effective for investigating causal
links between exposures and
disease
more susceptible to bias and confounding
compared to randomised control trials.
'non-intervention' studies that are
conducted as people go about
their daily life.
Types
Analytical
cohort studies, case-control, or analytical surveys
cross-sectional surveys
examine relationships between variables (e.g. 'Does
alcohol consumption increase the risk of breast
cancer?').
Descriptive
case reports, case series and
simple surveys
more commonly used to measure
the incidence and prevalence of risk
factors or disease
ANALYTICAL
Cohort Studies
longitudinal in design, start with a selected group of
disease-free people who are classified according to
specific exposure (e.g. high/low alcohol consumption
study group is followed over time to see who
develops the disease/outcome (e.g. breast cancer).
used to measure incidence (new cases of disease) and thus risk.
Analyse results
relative risk (RR)
odds ratios (OR).
represent the increased (or
decreased) risk of disease for
those in the exposed group
Examples of questions
3.Does smoking increase the risk of
lung cancer and other diseases?
4.Does breast-feeding play a role in breast cancer?
1.Does physical activity reduce the risk of
heart disease?
2.Do high levels of HDL cholesterol reduce the
risk of coronary death?