Cited by 1,214Statistical Methods in EpidemiologyGlobal Cancer Incidence and ScreeningAdvanced Causal Inference Techniques

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Estimating the population attributable risk for multiple risk factors using case-control data.

BRUZZI, PAOLO, GREEN, SYLVAN B., BYAR, DAVID P., BRINTON, LOUISE A., SCHAIRER, CATHERINE·1985·American Journal of Epidemiology

DOI 10.1093/oxfordjournals.aje.a114174

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Abstract

A straightforward and unified approach is presented for the calculation of the population attributable risk per cent (etiologic fraction) in the general multivariate setting, with emphasis on using data from case-control studies. The summary attributable risk for multiple factors can be estimated, with or without adjustment for other (confounding) risk factors. The relation of this approach to procedures in the literature is discussed. Given values of the relative risks for various combinations of factors, all that is required is the distribution of these factors among the cases only. The required information can often be estimated solely from case-control data, and in some situations relative risk estimates from one population can be applied to calculation of attributable risk for another population. The authors emphasize the benefits to be obtained from logistic regression models, so that risks need not be estimated separately in a large number of strata, some of which may contain inadequate numbers of individuals. This approach allows incorporation of important interactions between factors, but does not require that all possible interactions be included. The approach is illustrated with data on four risk factors from a pair-matched case-control study of participants in a multicenter breast cancer screening project.

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Self-citation

Authors: BRUZZI, P., GREEN, S. B., BYAR, D. P., BRINTON, L. A., & SCHAIRER, C.
Affiliations: National Institutes of Health (US)
Corresponding author: BYAR, DAVID P.
ORCID: BRUZZI, PAOLO
BRINTON, LOUISE A.
SCHAIRER, CATHERINE
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 1985-11
Volume: 122
Issue: 5
Pages: 904-914
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/oxfordjournals.aje.a114174
OpenAlex: W2256786579
Cited by: 1,214
References: 16
Citations by year: 2026: 12 · 2025: 10 · 2024: 25 · 2023: 20 · 2022: 20 · 2021: 44 · 2020: 37 · 2019: 29 · 2018: 31 · 2017: 25 · 2016: 36 · 2015: 25 · 2014: 41 · 2013: 49 · 2012: 36
FWCI: 8.74
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
Topics: Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
Keywords: population attributable risk, population attributable fraction, multiple risk factors, case-control study, logistic regression, confounding adjustment, relative risk, breast cancer screening
MeSH terms: Biopsy, Breast, Breast Neoplasms, Epidemiologic Methods, Female, Humans, Maternal Age, Menarche, Models, Biological, Risk, Statistics as Topic

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Estimating the population attributable risk for multiple risk factors using case-control data.

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