Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2000-9-19
pubmed:abstractText
Standardized mortality ratios (SMRs) have been criticized as lacking validity, and it has been recommended to use standardized rate ratios (SRRs) instead. A review of the epidemiology literature and standard epidemiology textbooks showed disagreement concerning the validity of SMRs and a lack of data to support claims concerning their validity. Therefore, we sought to determine the validity of SMRs in public health data analysis. Simulations were carried out using widely disparate study population age distributions and disease rates encountered in public health data analysis. We compared SMRs and SRRs as absolute measures of increased mortality in a population, and for ranking mortality in different populations. The simulations showed that SMRs changed by 6 per cent to 8 per cent when the age distribution was changed from that of a 'young' age distribution to that of an 'old' age distribution. In comparison, SRRs changed by 4 per cent to 5 per cent when the age-adjustment standard was changed from the 1940 U.S. Census population to the 1990 U.S. Census population. County rankings by SRR were somewhat more similar among themselves than when compared with rankings by SMR, but the differences were not large. Based on our findings, SMRs are of similar usefulness to SRRs in public health data analysis, will lead to similar conclusions, and may be used to compare different geographic areas.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0277-6715
pubmed:author
pubmed:copyrightInfo
Copyright 2000 John Wiley & Sons, Ltd.
pubmed:issnType
Print
pubmed:day
30
pubmed:volume
19
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1081-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
2000
pubmed:articleTitle
Are standardized mortality ratios valid for public health data analysis?
pubmed:affiliation
Expert Health Data Programming Inc., Austin, Texas 78756, USA. dgoldman@ehdp.com
pubmed:publicationType
Journal Article, Comparative Study