Epidemiology – Direct Standardization

Introduction: This assignment addresses competency 1: “Apply epidemiological methods to the breadth of settings and situations in public health practice”. It is one of several assignments that will be used to assess this competency (standardization, calculating measures, screening). You may submit the assignment as a .pdf, word document, or excel spreadsheet, or enter the answers in the textbook. Please make it legible, and easy to understand.Assignment:DIRECT STANDARDIZATION Calculate and interpret crude and standardized mortality rates. Table 1. Number of deaths of females and estimated mid-year population in Florida, 1997 by racenon-White femalesWhite females(yrs)no. deathsest. mid-year pop.no. deathsest. mid-year pop.<124923,32535669,6901-45587,64383280,1095-1456215,67098704,63615-24143187,774297671,36525-34360176,134590771,97835-44603189,2231,312925,86445-54701138,5452,362825,97055-641,04182,7604,365667,61765-741,47156,05211,388730,05275-841,68731,60120,739563,05085+1,49511,40524,543189,213(1) What is the crude death rate for non-white females and for whites females?Crude death rate per 1,000 for non-white females: _______________Crude death rate per 1,000 for white females: ________________Table 2. Age-specific death rates per 1,000 population among females.non-White femalesWhite femalesage-specific death rateage-specific death rateAge group (yrs)per 1000 populationper 1000 population<11-45-1415-2425-3435-4445-5455-6465-7475-8485+(2) What are the age-specific death rates per 1,000 population for each age group for non-white and white females?Table 3. 1990 US Female Population by Age GroupAge group (yrs)1990 US population <11,928,0001-47,231,0005-1417,124,00015-2418,098,00025-3421,596,00035-4418,925,00045-5412,824,00055-6411,158,00065-7410,139,00075-846,267,00085+2,180,000(3) Using direct standardization, what is the age-adjusted rate per 1,000 among non-white and white females using the 1990 US female population as the standard?Age-adjusted death rate per 1,000 for non-white females: _______________Age-adjusted death rate per 1,000 for white females: ________________(4) Compare and interpret the crude and adjusted rates. Which rates – crude or adjusted- should be used for comparison? Why? Write a statement of the findings for a lay audience.
 

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