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33
Summary
Individuals
. case reports
Descriptive studies
.
case series
.
cross-sectional
Populations
.
ecological
(correlational)
. comparative
cross-sectional
Analytic studies observational studies
.
case- control
.
cohort
Experimental studies
.
therapeutic trials
.
preventive trials
6.4 Study population
At an early stage in the planning of any investigation decisions must be made concerning the
study population. That is, concerning the population of individual units (whether they are
persons, households, etc.) to be investigated. The population under
consideration should be
clearly and explicitly defined in terms of place, time, and other relevant criteria. If the study
population comprises cases of a disease the procedures to be used for case identification
should be stated. If controls are to be chosen their method of selection should be stated.
Often the investigator will have implicitly chosen his study population
when he defined the
topic of his investigation, by reason of his interest in a specific community or a specific health
program.
In other instances, particularly when an analytic survey or
an experiment is being planned,
the investigator may require purposively to select a study population. In so doing he must
consider questions of appropriateness and practicability.
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34
The appropriateness of the study population refers to its suitability for the attainment of the
objectives of the study.
The selection of study population on the basis of suitability usually
affects the validity of
subsequent generalizations from the findings. This situation requires a close attention at the
early stage of the given study. Two examples are given below.
a)
Volunteer populations: Persons who volunteer to enter a study may differ in many
respects from
those who do not so volunteer, and therefore the findings in a volunteer
population do not necessarily apply to the population at large.
b)
Hospital or clinic populations: Persons receiving medical care are obviously not
representative of the general population from which they have come from. That is,
persons treated in hospital for a certain disease may differ from
those patients with the
same disease but not receiving care for it.
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