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Standardized mortality ratio

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of the same age in the general population? Is an additional risk associated with that occupation? To answer the question of whether a population of miners has a higher mortality than we would expect in a similar population that is not engaged in mining, the age-specific rates for such a known population, such as all men of the same age, are applied to each age group in the population of interest. This will yield the number of deaths expected in each age group in the population of interest, if this population had had the mortality experience of the known population. Thus, for each age group, the number of deaths expected is calculated, and these numbers are totaled. The numbers of deaths that were actually observed in that population are also calculated and totaled. The ratio of the total number of deaths actually observed to the total number of deaths expected, if the population of interest had had the mortality experience of the known population, is then calculated. This ratio is called the standardized mortality ratio (SMR). The SMR is defined as follows: SMR = (Observed no. of deaths per year)/(Expected no. of deaths per year).
66:. If the SMR is quoted as a ratio and is equal to 1.0, then this means the number of observed deaths equals that of expected cases. If higher than 1.0, then there is a higher number of deaths than is expected. SMR constitutes an indirect form of standardization. It has an advantage over the direct method of standardization since age-adjustment is permitted in situations where age stratification may not be available for the cohort being studied or where strata-specific data are subject to excessive 1422: 1446: 1434: 92:
Expected deaths would then be calculated simply by multiplying the death rates of the general population by the total number of participants in the study group at the corresponding age group and summing up all the values for each age group to arrive at the number of expected deaths. The study groups
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Mortality tables are also often used when numbers of deaths for each age-specific stratum are not available. It is also used to study mortality rate in an occupationally exposed population: Do people who work in a certain industry, such as mining or construction, have a higher mortality than people
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of 1.70 in the exposed group would mean that there is {(1.70 - 1)*100} 70% more cases of death due to bladder cancer in the cohort than in the reference population (in this case the national population, which is generally considered not to exhibit cumulative exposure to high arsenic levels).
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are weighted based on their particular distribution (for example, age), as opposed to the general populations's distribution. This is a fundamental distinction between an indirect method of standardization like SMR from direct standardization techniques.
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The standardized mortality ratio is the ratio of observed deaths in the study group to expected deaths in the general population. This ratio can be expressed as a percentage simply by multiplying by 100.
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in a highly exposed group (which drinks water with a mean arsenic concentration of, say 10 mg) is compared with those in the general population. An SMR for
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Medical researchers can track disease-related deaths and shift focus and funding to address increasing or decreasing risks.
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tells how many persons, per thousand of the population, will die in a given year and what the causes of death will be.
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The age specific death rates of the general population in the same age groups of the study population
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Organizations, both non- and for-profit, can utilize such statistics to justify their missions.
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Everitt, Brian; Skrondal, Anders (2010). "Standardized mortality rate (SMR)".
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Broeck, J.; Brestoff, J. R.; Kaulfuss, C. (2013). "Statistical Estimation".
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The number of persons in each age group in the population being studied
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Person-Years Analysis and Computation Program for calculating SMRs
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Committee on the Environment, Public Health and Food Safety
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companies periodically update their premiums based on the
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of a study cohort with respect to the general population.
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The requirements for calculating SMR for a cohort are:
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The SMR may well be quoted with an indication of the
250:Epidemiology: Principles and Practical Guidelines 136:, whereby the mortality rates due to a number of 1464: 108:, which allows it to be interpreted in terms of 222: 49: 148: 306: 88:The observed deaths in the study population 1268:Centers for Disease Control and Prevention 313: 299: 216: 100:associated with its estimation, such as a 1228:Centre for Disease Prevention and Control 1218:Center for Disease Control and Prevention 241: 1273:Health departments in the United States 14: 1465: 1278:Council on Education for Public Health 225:The Cambridge dictionary of statistics 1336:Professional degrees of public health 1243:Ministry of Health and Family Welfare 294: 1433: 1326:Bachelor of Science in Public Health 1445: 594:Workers' right to access the toilet 435:Human right to water and sanitation 24: 58:The SMR may be quoted as either a 25: 1499: 867:Commercial determinants of health 320: 278: 1444: 1432: 1421: 1420: 450:National public health institute 159:Such statistics have many uses: 847:Open-source healthcare software 589:Sociology of health and illness 1208:Caribbean Public Health Agency 1020:Sexually transmitted infection 917:Statistical hypothesis testing 678:Occupational safety and health 579:Sexual and reproductive health 492:Occupational safety and health 13: 1: 862:Social determinants of health 209: 73: 922:Analysis of variance (ANOVA) 683:Human factors and ergonomics 258:10.1007/978-94-007-5989-3_22 179:Regarding occupational uses: 50:Standardized mortality ratio 36:standardized mortality ratio 7: 1103:Good manufacturing practice 907:Randomized controlled trial 194:Age-specific mortality rate 187: 154:Standardized mortality rate 149:Standardized mortality rate 10: 1504: 1173:Theory of planned behavior 1098:Good agricultural practice 1003:Public health surveillance 895:epidemiological statistics 539:Public health intervention 115: 1416: 1351: 1310: 1295:World Toilet Organization 1290:World Health Organization 1197: 1186: 1123: 1048: 964: 892: 857:Public health informatics 797: 602: 564:Right to rest and leisure 393:Globalization and disease 328: 1341:Schools of public health 1133:Diffusion of innovations 832:Health impact assessment 544:Public health laboratory 440:Management of depression 110:statistical significance 1404:Social hygiene movement 1331:Doctor of Public Health 1163:Social cognitive theory 965:Infectious and epidemic 747:Fecal–oral transmission 1399:Germ theory of disease 1178:Transtheoretical model 120:An example might be a 27:Metric in epidemiology 1283:Public Health Service 1168:Social norms approach 1158:PRECEDE–PROCEED model 604:Preventive healthcare 497:Pharmaceutical policy 346:Chief Medical Officer 1359:Sara Josephine Baker 1258:Public Health Agency 1143:Health communication 1008:Disease surveillance 974:Asymptomatic carrier 956:Statistical software 644:Preventive nutrition 472:Medical anthropology 361:Environmental health 1369:Carl Rogers Darnall 1364:Samuel Jay Crumbine 1138:Health belief model 991:Notifiable diseases 927:Regression analysis 762:Waterborne diseases 351:Cultural competence 204:Vulnerability index 170:, adjusted for age. 126:cumulative exposure 102:confidence interval 1488:Statistical ratios 1483:Medical statistics 967:disease prevention 902:Case–control study 574:Security of person 423:Health care reform 68:random variability 1460: 1459: 1412: 1411: 1322:Higher education 1153:Positive deviance 1148:Health psychology 1124:Health behavioral 1051:safety management 1025:Social distancing 799:Population health 779:Smoking cessation 727:Pharmacovigilance 698:Injury prevention 666:Infection control 584:Social psychology 534:Prisoners' rights 477:Medical sociology 445:Public health law 341:Biological hazard 267:978-94-007-5988-6 16:(Redirected from 1495: 1448: 1447: 1436: 1435: 1424: 1423: 1318:Health education 1195: 1194: 1049:Food hygiene and 1030:Tropical disease 842:Infant mortality 817:Community health 693:Controlled Drugs 629:Health promotion 559:Right to housing 403:Health economics 315: 308: 301: 292: 291: 272: 271: 245: 239: 238: 220: 199:Crude death rate 21: 1503: 1502: 1498: 1497: 1496: 1494: 1493: 1492: 1463: 1462: 1461: 1456: 1408: 1379:Margaret Sanger 1347: 1306: 1190: 1188: 1182: 1125: 1119: 1091:Safety scandals 1050: 1044: 966: 960: 894: 888: 884:Social medicine 877:Race and health 812:Child mortality 793: 752:Open defecation 634:Human nutrition 624:Family planning 612:Behavior change 598: 554:Right to health 467:Maternal health 457:Health politics 408:Health literacy 324: 319: 281: 276: 275: 268: 252:. p. 417. 246: 242: 235: 221: 217: 212: 190: 151: 118: 76: 52: 28: 23: 22: 18:Mortality ratio 15: 12: 11: 5: 1501: 1491: 1490: 1485: 1480: 1475: 1458: 1457: 1455: 1454: 1442: 1430: 1417: 1414: 1413: 1410: 1409: 1407: 1406: 1401: 1396: 1391: 1386: 1381: 1376: 1371: 1366: 1361: 1355: 1353: 1349: 1348: 1346: 1345: 1344: 1343: 1338: 1333: 1328: 1320: 1314: 1312: 1308: 1307: 1305: 1304: 1297: 1292: 1287: 1286: 1285: 1280: 1275: 1270: 1262: 1261: 1260: 1255: 1247: 1246: 1245: 1237: 1236: 1235: 1230: 1222: 1221: 1220: 1212: 1211: 1210: 1201: 1199: 1192: 1187:Organizations, 1184: 1183: 1181: 1180: 1175: 1170: 1165: 1160: 1155: 1150: 1145: 1140: 1135: 1129: 1127: 1121: 1120: 1118: 1117: 1116: 1115: 1110: 1100: 1095: 1094: 1093: 1088: 1083: 1078: 1073: 1068: 1063: 1054: 1052: 1046: 1045: 1043: 1042: 1037: 1032: 1027: 1022: 1017: 1012: 1011: 1010: 1000: 999: 998: 988: 987: 986: 976: 970: 968: 962: 961: 959: 958: 953: 952: 951: 943: 934: 929: 924: 914: 909: 904: 898: 896: 893:Biological and 890: 889: 887: 886: 881: 880: 879: 874: 869: 859: 854: 852:Multimorbidity 849: 844: 839: 834: 829: 824: 819: 814: 809: 803: 801: 795: 794: 792: 791: 789:Vector control 786: 781: 776: 774:School hygiene 771: 770: 769: 764: 759: 757:Sanitary sewer 754: 749: 744: 734: 729: 724: 723: 722: 715:Patient safety 712: 711: 710: 705: 700: 695: 690: 685: 675: 674: 673: 668: 663: 658: 648: 647: 646: 641: 631: 626: 621: 620: 619: 608: 606: 600: 599: 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875: 873: 872:Health equity 870: 868: 865: 864: 863: 860: 858: 855: 853: 850: 848: 845: 843: 840: 838: 837:Health system 835: 833: 830: 828: 827:Global health 825: 823: 820: 818: 815: 813: 810: 808: 807:Biostatistics 805: 804: 802: 800: 796: 790: 787: 785: 782: 780: 777: 775: 772: 768: 765: 763: 760: 758: 755: 753: 750: 748: 745: 743: 740: 739: 738: 735: 733: 730: 728: 725: 721: 718: 717: 716: 713: 709: 706: 704: 701: 699: 696: 694: 691: 689: 686: 684: 681: 680: 679: 676: 672: 669: 667: 664: 662: 659: 657: 654: 653: 652: 649: 645: 642: 640: 637: 636: 635: 632: 630: 627: 625: 622: 618: 615: 614: 613: 610: 609: 607: 605: 601: 595: 592: 590: 587: 585: 582: 580: 577: 575: 572: 570: 567: 565: 562: 560: 557: 555: 552: 550: 549:Right to food 547: 545: 542: 540: 537: 535: 532: 528: 525: 523: 520: 518: 515: 513: 510: 508: 505: 504: 503: 500: 498: 495: 493: 490: 487: 483: 482:Mental health 480: 478: 475: 473: 470: 468: 465: 463: 460: 458: 455: 451: 448: 446: 443: 442: 441: 438: 436: 433: 431: 430:Housing First 428: 424: 421: 419: 418:Health system 416: 415: 414: 413:Health policy 411: 409: 406: 404: 401: 399: 396: 394: 391: 389: 386: 384: 381: 377: 374: 372: 369: 368: 367: 364: 362: 359: 357: 354: 352: 349: 347: 344: 342: 339: 337: 334: 333: 331: 327: 323: 322:Public health 316: 311: 309: 304: 302: 297: 296: 293: 286: 283: 282: 269: 263: 259: 255: 251: 244: 236: 234:9780521766999 230: 226: 219: 215: 205: 202: 200: 197: 195: 192: 191: 185: 178: 175: 172: 169: 165: 162: 161: 160: 157: 155: 146: 143: 139: 135: 131: 127: 123: 113: 111: 107: 103: 99: 94: 87: 84: 81: 80: 79: 71: 69: 65: 61: 56: 47: 45: 41: 37: 33: 19: 1473:Epidemiology 1449: 1437: 1425: 1394:Radium Girls 1389:Typhoid Mary 1076:Microbiology 946: 938: 822:Epidemiology 720:Organization 671:Oral hygiene 661:Hand washing 639:Healthy diet 569:Right to sit 462:Labor rights 249: 243: 224: 218: 182: 158: 153: 152: 122:cohort study 119: 95: 91: 77: 57: 53: 39: 35: 32:epidemiology 29: 1451:WikiProject 1191:and history 1071:Engineering 784:Vaccination 656:Food safety 98:uncertainty 1467:Categories 1204:Caribbean 1081:Processing 1015:Quarantine 937:Student's 737:Sanitation 371:History of 210:References 74:Definition 64:percentage 1384:John Snow 1311:Education 1301:Full list 1189:education 1113:ISO 22000 1066:Chemistry 979:Epidemics 932:ROC curve 742:Emergency 522:Radiation 502:Pollution 486:Ministers 383:Euthenics 44:mortality 1427:Category 1126:sciences 1061:Additive 732:Safe sex 703:Medicine 617:Theories 388:Genomics 366:Eugenics 356:Deviance 336:Auxology 188:See also 104:(CI) or 1439:Commons 1352:History 1249:Canada 1224:Europe 708:Nursing 688:Hygiene 651:Hygiene 376:Liberal 329:General 285:PAMCOMP 138:cancers 130:arsenic 116:Example 106:p value 1239:India 1214:China 1086:Safety 767:Worker 264:  231:  34:, the 1264:U.S. 1108:HACCP 1057:Food 949:-test 941:-test 527:Light 512:Water 132:from 124:into 62:or a 60:ratio 1040:WASH 996:List 984:List 517:Soil 262:ISBN 229:ISBN 507:Air 254:doi 128:to 40:SMR 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Index

Mortality ratio
epidemiology
mortality
ratio
percentage
random variability
uncertainty
confidence interval
p value
statistical significance
cohort study
cumulative exposure
arsenic
drinking water
cancers
bladder cancer
Life insurance
mortality rate
Age-specific mortality rate
Crude death rate
Vulnerability index
ISBN
9780521766999
doi
10.1007/978-94-007-5989-3_22
ISBN
978-94-007-5988-6
PAMCOMP
v
t

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