Jul 13, 2016 05:03
7 yrs ago
1 viewer *
English term

risk of asthma/incidence of asthma

English Medical Medical (general) asthma
Hi guys,

I thought that these two terms were the same in meaning, but it seems that they aren't.

So, I think the difference is as follows
risk of asthma: the risk of contracting asthma
incidence of asthma: the risk of having a asthma episode

What do you guys think?
Thank you!

Context:
Significant research has shown that diets rich in fruits and vegetables lower the risk of asthma, and reduce the incidence of asthma.

Discussion

Charles Davis Jul 17, 2016:
@Clark_NVG This crucially important new context makes it clear that they are using "incidence" to mean incidence of asthma attacks, not (as it normally means in epidemiology) incidence of contracting asthma.

Nevertheless, it remains the case that "incidence" and "risk" are not synonyms.
Nam Vo (asker) Jul 17, 2016:
New related context: Illustrating this, researchers from Britain’s Imperial College (Shaheen et al.
2008) studied the association between acetaminophen use and asthma incidence among 1,028 asthmatics and healthy matched controls.
They found that the weekly use of acetaminophen was significantly related to a diagnosis of asthma.
The researchers concluded that:
“These data add to the increasing and consistent epidemiological evidence implicating frequent paracetamol [acetaminophen] use in asthma in diverse populations.”

Note: Please focus on the bold text!
If the incidence of asthma is the number of people that contract it in this case, then the word "asthmatics" should not exist, I think.
Nam Vo (asker) Jul 13, 2016:
Thank you guys for your amazing support! I appreciate it!
Thanks, Charles for your clear explanation!
Charles Davis Jul 13, 2016:
Not redundant if terms being used correctly "Incidence" means the number of new cases of a condition, here asthma, in a specific population in a given period. You discover incidence by studying a population and counting cases of the condition. Incidence, in itself, says nothing about why these cases arise. I would be surprised if the author were using the term "incidence" in any other sense. If the author meant number of attacks, they would have said so.

"Risk", as has been said, is probability of a given individual or group of individuals developing asthma. Risk is all about causes; you compare those who share a certain feature (e.g. diet) with those who don't. Again, it is very unlikely that the author means risk of those diagnosed with asthma suffering an attack; it should and almost certainly does refer to risk of developing asthma, becoming a new case.

Other things being equal, increased/decreased risk for a given part of the population logically translates into increased/decreased incidence in the population at large. But other things often aren't equal, we don't know how many people are affected by this risk factor or other risk factors, and in any case risk is not certainty.
Terry Richards Jul 13, 2016:
It is redundant (or not)! It really depends on what the author means by "incidence". If they mean the number of attacks that an asthma suffer has, then it is not redundant. The two clauses are independent.

However, if they mean the number of people that have asthma, it is redundant. The risk is calculated from the number of sufferers divided by the total population. As total population is a constant (at any point in time), risk and incidence are directly related and are just two different ways of expressing the same thing.

Responses

+2
1 hr
Selected

a bit redundant!

The risk of asthma is the probability that somebody will get it. It could be expressed as a percentage - there is a 10% chance that a person will get asthma.

The incidence of asthma is the number of people that will suffer from it. This can be expressed as a number or also as a percentage - 10% of the population will get asthma.

Obviously, for the same population, the two are closely related. The higher the risk, the more people will get it. The only time they would not be closely linked is in a very small population. For instance, there could be a 10% risk of asthma but if your population is only two people, there is no chance of 0.2 of a person getting asthma!

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Note added at 1 hr (2016-07-13 06:13:23 GMT)
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Just after posting, I realised that you could be right. The author may mean "the risk of having a asthma episode" for somebody that already has asthma. If that is what they meant, they are using the term wrong but it would be less redundant.
Note from asker:
Oh I see the point now. I think you're right. Thank you.
Peer comment(s):

agree acetran
3 hrs
agree philgoddard : I agree. They're two sides of the same coin, and the text is clumsily written.
6 hrs
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Thanks, Terry!"
+5
1 hr

Not redundant at all!

Risk of asthma is the probability that someone will get it, over a certain time span.
Incidence of asthma is the number of people suffering from asthma in a given population at a certain time moment.
Therefore, "incidence" is a population parameter, whereas risk is more of an "individual" parameter. More about the subject in epidemiology textbooks.
Note from asker:
I see the point. Thank you.
Peer comment(s):

agree dandamesh
29 mins
Thanks!
agree Yasutomo Kanazawa
2 hrs
agree Jörgen Slet
3 hrs
agree redoktor : Correction: your definition of incidence relates in fact to prevalence. Incidence is something else.
6 hrs
Agree with you and stand corrected. Incidence=frequency. Thanks!
agree Charles Davis : An excellent illustration of why those who have not done some basic reading in epidemiology should not proffer an opinion on the terminology.
6 hrs
Something went wrong...
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