Community Medicine (PSM) · Epidemiology (Study Designs, Bias, Systematic Review, Measures of Association)

An investigator uses the number of incident cases of tuberculosis over 5 years divided by the total person-time contributed by all study participants. This measure is BEST described as:

  • A Cumulative incidence
  • B Point prevalence
  • C Period prevalence
  • D Incidence density (hazard rate)
Correct answer: D. Incidence density (hazard rate)

Explanation

Incidence density (incidence rate or hazard rate) uses person-time in the denominator, accounting for variable follow-up durations. Cumulative incidence uses the initial at-risk population as the denominator and assumes a fixed period. Point prevalence is all cases at a single time point divided by total population. Using person-time denominator correctly handles competing risks and variable follow-up, making incidence density the most precise measure in cohort studies.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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