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

A prospective cohort study follows 200 exposed and 200 unexposed individuals for 10 years. Forty exposed and 20 unexposed develop the disease. The relative risk is:

  • A 1.5
  • B 2.5
  • C 3.0
  • D 2.0
Correct answer: D. 2.0

Explanation

RR = (Incidence in exposed)/(Incidence in unexposed) = (40/200)/(20/200) = 0.20/0.10 = 2.0. The exposed group has twice the risk of developing disease. Relative risk cannot be directly calculated from case-control studies, only from cohort or experimental studies.

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

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