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Use of relative and absolute effect measures in reporting health inequalities: structured review

机译:在报告健康不平等中使用相对效应和绝对效应度量:结构化审查

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摘要

>Objective To examine the frequency of reporting of absolute and relative effect measures in health inequalities research.>Design Structured review of selected general medical and public health journals.>Data sources 344 articles published during 2009 in American Journal of Epidemiology, American Journal of Public Health, BMJ, Epidemiology, International Journal of Epidemiology, JAMA, Journal of Epidemiology and Community Health, The Lancet, The New England Journal of Medicine, and Social Science and Medicine.>Main outcome measures Frequency and proportion of studies reporting absolute effect measures, relative effect measures, or both in abstract and full text; availability of absolute risks in studies reporting only relative effect measures.>Results 40% (138/344) of articles reported a measure of effect in the abstract; among these, 88% (122/138) reported only a relative measure, 9% (13/138) reported only an absolute measure, and 2% (3/138) reported both. 75% (258/344) of all articles reported only relative measures in the full text; among these, 46% (119/258) contained no information on absolute baseline risks that would facilitate calculation of absolute effect measures. 18% (61/344) of all articles reported only absolute measures in the full text, and 7% (25/344) reported both absolute and relative measures. These results were consistent across journals, exposures, and outcomes.>Conclusions Health inequalities are most commonly reported using only relative measures of effect, which may influence readers’ judgments of the magnitude, direction, significance, and implications of reported health inequalities.
机译:>目的以检查在健康不平等研究中报告绝对和相对效应措施的频率。>设计对部分普通医学和公共卫生期刊进行结构化审查。>数据来源< / strong> 2009年期间在《美国流行病学杂志》,《美国公共卫生杂志》,《美国医学杂志》,《流行病学》,《国际流行病学杂志》,《美国医学会杂志》,《流行病学和社区健康杂志》,《柳叶刀》,《新英格兰医学杂志》和《社会》杂志上发表了344条文章科学和医学。>主要成果指标:报告绝对效果指标,相对效果指标或摘要和全文的研究频率和比例;仅报告相对效果度量的研究中绝对风险的可用性。>结果有40%(138/344)的文章对摘要进行了效果度量;其中,88%(122/138)仅报告了相对测量,9%(13/138)仅报告了绝对测量,2%(3/138)报告了相对测量。所有文章中有75%(258/344)仅报告了相对措施的全文;其中,46%(119/258)没有包含有关绝对基准风险的信息,这些信息将有助于计算绝对效应度量。所有文章中有18%(61/344)仅报告了绝对措施,而全文(7%/ 25/344)则报告了绝对措施和相对措施。这些结果在期刊,风险敞口和结果之间是一致的。>结论健康不平等最常见的报道是仅使用相对的效应量度,这可能会影响读者的判断力的大小,方向,意义和含义。报告的健康不平等。

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