Cross-Sectional Studies
Descriptive and
Analytical Studies
Descriptive Studies
2 important functions:
1. Estimate prevalence of disease
in populations.
2. Generate hypothesis in etiology
of disease.
Descriptive Studies (conti.)
Descriptive studies are performed when
relatively little is known about the risk
factors or natural history of a particular
disease or condition.
For example, sudden infant death
syndrome (SIDS) a major cause of
postneonatal mortality has a very poorly
understood etiology.
(Cont.)
Descriptive studies that are
designed to determine if SIDS
occurs more frequently among
certain ethnic groups, within
certain geographic areas, or at
certain time of the year:
could be instructive and useful.
Types of Descriptive
Studies
1. Case Reports
(usually by clinicians)
2. Case Series
3. Ecological Studies
4. Cross-Sectional studies or
surveys
Cross-Sectional Studies
One of the observational studies.
Based on a single examination of a
section of population at one point of time.
Also known as a Prevalence Study
Useful for chronic conditions.
It measures Exposure and Outcome
at the same time.
Advantages (Cross-sectional)
Simple
Short time
Prevalence rate can be
measured.
Disadvantages
Not appropriate to study rare
diseases or events of short
duration.
Can not measure the temporal
relationship between exposure and
health outcome.
(problem of Chick-egg dilema).
Prevalence and Incidence
Measures of Morbidity
Prevalence Rate:
It is the number of diseased individuals
(old and new) in a given time/total no.
of population examined.
Probability of having a disease.
Obtained from cross-sectional studies.
Incidence Rate:
Number of new cases of disease in
certain time/ population at risk.
Probability of getting a disease, risk
of developing a disease.
It is a measure of risk,
Obtained from cohort study.
Epidemiological Sequence
Observation
Counting cases or events
Relating cases or events to populat.
Making comparisons
Developing hypothesis & testing it
Conducting experimental studies
Intervention and Evaluation
Example of A Cross-Sectional
Design
Blood Transfusion And Hepatitis C
infection in an Egyptian village
1.Cross-Sectional Design
Hepatitis C infect. & Blood Transfusion
Population
Village (Sample)
HCV, Bl.T.
(D) (E) No HCV,
no Bl.T
(D) (E)
No HCV, Bl.T.
(D) (E) HCV, no Bl.T.
(D) (E)
4 different outcomes
D, E Population
30
Village Not D, not E
(n= 200) 120
D, not E Not D, E
10 40
Descriptive Data: Prevalence Rate
Prevalence of HCV in village: 40/ 200 = 20%
Prevalence among males, among females….
Prevalence among different age groups…….
Prevalence of blood transfusion: 70/200 = 35%
Cross-Sectional study (cont.)
Analytical data:
Prevalence of HCV among those receiving
blood transfusion 30/70 = 42.8%
Prevalence of HCV among those not
receiving blood transf.: 10/130 = 7.6%
Cross-Sectional Design
Typically descriptive studies do not select
persons into formal comparison groups,
however, investigators often form internal
comparison groups after doing the initial
descriptive statistics.