https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6718064/
Question 1: [36 points]
Read the following paper, and answer the questions below: “Vo TM, Tran VTN, Cuu TNT, Do TTH, Le TM. Domestic violence and its association with pre-term or low birthweight delivery in Vietnam. International Journal of Women Health 2019:11 501–510”
(f) “What was the prevalence of physical violence in this sample (Table 3) and what was the adjusted association (POR- Table 5) between physical violence and pre term/low birthweight? Interpret the adjusted association in your own words, could it be a result of some error?” [4 marks, no more than 100 words]
i) “Why the authors adjusted their analysis to alcohol consumption –( see table 5 in the legend, please explain with not more than 60words ” [4 marks]
Question 2 [16]
“In a case –control study researchers investigated the association between birth defect and consuming folic acid supplements during pregnancy. There were 72 infants born with birth defect and 55 of their mothers did not take folic supplementation during pregnancy. The authors matched for each case 3 mothers who gave birth to normal infant as control group. Among the control group there were 70 mothers who did not use folic supplementation during pregnancy.”
(a) “Construct a table with columns and rows headings that summarise the data between exposure and outcome .” [4 marks]
b) “Calculate an appropriate measure of the strength of association between birth defect and folic acid supplements during pregnancy and how you interpret the findings in (a) in your own words.” [4 marks]
c) “What is the attributable risk fraction (i.e., proportion of risk that is solely due to not taking folic acid supplementation in this case-control study) and explain it in your own words [4 marks]
d) “What proportion of birth defect in the population is potentially preventable, assuming a causal association between folic acid supplement.”[4 marks] explain in words your findings
Question 3
“In a cohort study of the association between self-reported tobacco smoking during pregnancy and stillbirth, smoking was associated with a two times higher risk of stillbirth [adjusted odds ratio (OR) 1.9, 95% CI 1.3–2.9]. It is acknowledged by the authors that smoking information from participants is likely to be hampered by errors resulting in likely misclassification of the study participants to exposure”.
Identify the type of error from this example and explain whether the true risk between smoking and still-birth would be greater or smaller than the published OR of 1.9? [4 Marks]
Question 4
“In a study of maternal use of hormones during pregnancy and increased risk of childhood cancer, it was observed that mothers who used hormones during their pregnancies were more likely to have had a history of medically complicated pregnancies. Further, and independent of the use of hormones, a history of medically complicated pregnancies may be associated with a subsequent increased risk of several conditions in the children, including cancer.” If so, this would be an example of: [4 marks]
Explain your answer briefly
