TABLE OF CONTENTS
1 Introduction
1.1 Definition
1.2 Historical background and the need for epidemiology
1.3 Epidemiology as a scientific discipline
1.4 Application of epidemiology
1.5 Outline of the book
2
Hypotheses, Outcomes and Determinants
2.1 Introduction
2.2 The object and the subject
2.3 The hypothesis
2.4 Establishing the objective of a study
2.5 Inference drawing on the hypothesis
2.6 Target population, study population and
study unit
3 Nature of
Data
3.1 Introduction
3.2 Disease causation
3.3 Host determinants
3.3.1 Age
3.3.2 Sex
3.3.3 Species and breed
3.3.4 Size and conformation
3.3.5 Immunity
3.4 Agent determinants
3.5 Environmental determinants of disease
3.6 Transmission of infection
3.6.1 Sources of infection
3.6.2 Shedding of agent
3.6.3 Mode of transmission
3.6.4 Invasion of the host
3.7 Animal performance
3.8 Types of variables and scales
3.9 Variation in observations
3.10 Descriptive analysis of qualitative
and quantitative variables
3.11 Data levels
4 Observational
Studies
4.1 Introduction
4.2 Design of epidemiological
studies
4.3 Cross-sectional study
4.4 Cohort study
4.5 Case–control study
4.6 Other observational study designs
4.6.1 Cross-sectional study with follow-up
4.6.2 Nested case–control study
4.6.3 Repeated cross-sectional
study
4.7 Further reading
5
Experimental Studies
5.1 Introduction
5.2 Design of experimental studies
5.3 Full factorial designs
5.3.1 Parallel group design
5.3.2 Factorial design
5.4 Fractional factorial designs
5.4.1 Latin and Graeco-Latin
square design
5.5 Split-plot and strip-plot
designs
5.6 Cross-over design
5.7 Clinical trials, laboratory
experiments and field trials
5.7.1 Laboratory experiments
5.7.2 Clinical trials
5.7.3 Field trials
5.8 Further reading
6 Measures
of Disease Frequency
6.1 Introduction
6.2 Proportions and rates
6.3 Prevalence
6.4 Incidence
6.4.1 Incidence risk
6.4.2 Incidence rate
6.4.3 The relationship between
incidence rate and incidence risk
6.4.4 Extending the time period
6.4.5 Dynamic populations
6.4.6 Incidence rate or incidence risk?
6.4.7 Prevalence and incidence
6.5 Other
measures
6.6 Further reading
7 Measures
of Association and Effect
7.1 Introduction
7.2 The 2 × 2 table
7.3 Measures of association
7.3.1 Risk and relative risk
7.3.2 Odds and odds ratio
7.4 Measures of effect
7.5 Summary of measures
8 Sample
Size and Sampling Methods
8.1 Introduction
8.2 Sampling for a survey
8.2.1 Sample size to estimate a mean
8.2.2 Sample size to estimate a
proportion
8.3 Sampling to detect disease
8.4 Sampling to detect a difference
between groups
8.4.1 The power of a hypothesis test
8.4.2 Sample size to test a difference
between means
8.4.3 Sample size to test a relative
risk
8.4.4 Sample sizes in case–control
studies
8.5 Sampling and allocation methods
8.5.1 Simple random sampling
8.5.2 Systematic random sampling
8.5.3 Stratified
random sampling
8.5.4 Cluster sampling
8.5.5 Multistage sampling
8.5.6 Non-probability sampling
8.5.7 Combinations of sampling
methods
8.5.8 Block randomisation
8.6 Further reading
9 Evaluating Diagnostic Tests
9.1 Introduction
9.2 Types of tests
9.3 Performance measures:
Sensitivity, specificity and predicitive values
9.4 True and apparent prevalences
9.5 Performance measures for tests
with continuous outcome
9.5.1 Cut-off values
9.5.2 Differential positive rate
9.5.3 ROC analysis
9.6 Multiple testing
9.7 Sensitivity and specificity
at the herd level
9.8 Further reading
10 Data Management
10.1 Introduction
10.2 Primary observation, measurement
and data recording
10.3 Sources of data
10.3.1 Governmental veterinary
institutions and organisations
10.3.2 Veterinary practices
10.3.3 Slaughterhouses – meat
inspection
10.3.4 Agricultural organisations
and farm records
10.4 Database structure
10.5 Data quality
10.5.1 Clinical data
10.5.2 Pathological data
10.5.3 Laboratory data
10.5.4 Medicine consumption
10.5.5 Production data
10.5.6 Demographic data
10.5.7 Risk factors
10.6 Data control
10.7 Data editing
10.8 Examples of databases with
information on Danish farm animals
10.8.1 Central Farm Animal Register (in
Danish: Centrale HusdyrbrugsRegister,
CHR-register)
10.8.2 Vetstat
10.8.3 DANMAP – Danish Integrated
Antimicrobial Resistance Monitoring and Research Program
10.8.4 Danish Cattle Database (in Danish: ‘Kvægdatabasen’)
10.8.5 Danish register on bovine virus diarrhoea virus
10.8.6 The Danish SPF Company Database (specific pathogen-free pigs)
10.8.7 The PRRS Database (porcine
reproductive and respiratory syndrome) (pigs)
10.8.8 The database for mandatory meat
inspection recordings (pigs)
10.8.9 The Zoonosis
Register (pigs)
10.8.10 The Efficiency
Control (pigs)
10.8.11 The Ante Mortem
Database (poultry)
10.8.12 The Post Mortem
Database (poultry)
10.8.13 The Salmonella Database
(poultry)
10.8.14 The Efficiency
Control Database (poultry)
10.8.15 Project databases
10.9 Further reading
10.10 Acknowledgements
11 Bias and Interaction
11.1 Introduction
11.2 Bias
11.2.1 Selection bias
11.2.2 Information bias
11.2.3 Confounding bias
11.3 Interaction
12
Questionnaires
12.1 Introduction
12.2 Types of questionnaires and
communication forms
12.2.1 Questionnaire types
12.2.2 Communication forms
12.3 Types of questions and scales of
measurement
12.4 Constructing the
questionnaire
12.4.1 Pre-coding of answers in
structured questionnaires
12.4.2 Pre-testing
12.5 Obtaining the information
12.6 Bias related to questionnaires
12.6.1 Selection bias
12.6.2 Information bias
12.7 Validity of questionnaire
data
12.8 Perspectives and applicability of
questionnaires in the
dialogue between farmers and advisors
12.9 Acknowledgement
13 Data
Analysis
13.1 Introduction
13.2 Introduction to hypothesis
testing
13.3 Selection of statistical test
13.4 Analysis of a continuous outcome
13.4.1 Comparison of a mean with a given
value
13.4.2 Comparison of means for two
independent groups: t-test
13.4.3 Comparison of means for two
dependent groups: paired t-test
13.4.4 Comparison of means for more than
two groups: analysis of variance (ANOVA)
13.4.5 Correlation
13.4.6 Linear regression
13.5 Analysis of a dichotomous outcome
13.5.1 Comparison of a proportion with a
given value
13.5.2 Comparison of proportions for
independent groups: Fisher exact test and χ 2-test
13.5.3 Comparison of paired proportions: McNemar test
13.5.4 Logistic regression
13.5.5 Logistic analysis
13.6 Model control
13.6.1 Model control of analyses of a
continuous outcome
13.6.2 Model control of analyses of a
dichotomous outcome
13.7 Model reduction
13.8 Confounding and interaction
13.8.1 Confounding
13.8.2 Interaction
13.8.3 The relationship between
confounding and interaction
13.9 Measuring agreement
13.9.1 Agreement for qualitative
variables: Cohen’s kappa (κ )
13.9.2 Agreement for quantitative
variables: Bland–Altman plot
13.10 Overview of statistical
analyses
13.11 Further reading
Appendix A:
Exercises
Answers to
Exercises
Appendix B:
Biostatistics
B.1 Introduction
B.2 The normal distribution
B.3 The binomial distribution
Appendix C:
Statistical Tables
C.1 The normal distribution
C.2 The t distribution
C.3 The χ 2-distribution
C.4 The F-distribution
Appendix D:
Data Sets for the Examples in Chapter 13
Appendix E:
SAS-code and Output for the Examples in Chapter 13
Appendix F:
R-code and Output for the Examples in Chapter 13