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

In a cohort study of 5,000 smokers and 5,000 non-smokers followed for 10 years, 200 smokers and 40 non-smokers developed lung cancer. The attributable risk percent (AR%) in the exposed group is:

  • A 80%
  • B 75%
  • C 60%
  • D 50%
Correct answer: A. 80%

Explanation

Incidence in smokers = 200/5000 = 40 per 1000; incidence in non-smokers = 40/5000 = 8 per 1000. Attributable risk = 40 - 8 = 32 per 1000. AR% = (32/40) × 100 = 80%. This represents the proportion of disease in exposed individuals attributable to the exposure itself, assuming a causal relationship.

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

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