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© 1980 Oxford University Press

research-article

Measures of Disease Incidence Used in Epidemiologic Research

HAL MORGENSTERN1,2, DAVID G KLEINBAUM3,4 and LAWRENCE L KUPPER4

1Department of Epidemiology and Public Health, School of Medicine, Yale University 60 College Street, New Haven, CT 06510, USA
2Center for Health Studies, Institution for Social and Policy Studies, Yale University 89 Trumbull Street, New Haven, CT 06520, USA
3Department of Epidemiology, School of Public Health, University of North Carolina Chapel Hill, NC 27514, USA
4Department of Biostatistics, School of Public Health, University of North Carolina Chapel Hill, NC 27514, USA

Morgenstern H [Department of Epidemiology and Public Health, School of Medicine, Yale University, 60 College Street, New Haven, CT 06510], Kleinbaum D G and Kupper L L. Measures of disease incidence used in epidemio-logic research, International Journal of Epidemiology 1980, 9: 97–104.

This paper distinguishes between 2 concepts for measuring the incidence of disease: risk and rate. Alternative procedures for estimating these measures from epidemiologic data are reviewed and illustrated. An attempt is made to integrate statistical principles with epidemiologic methods while minimizing the use of higher mathematics. Several theoretical and practical criteria are discussed for choosing the appropriate incidence measure in the planning of a study and for selecting the best method of estimation in the analysis.

Received 21 September 1979


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