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Question

The following table shows the mortality figures among hazardous industry workers :
Age groupNational death rate per 1000Hazardous industry worker populationObserved deaths
25-342.030008
35-443.520009
45-546.0200013

What is the Standardized Mortality Ratio (SMR) for the hazardous industry workers (as compared to national popu-lation) ?

The correct answer is
120

Standardized Mortality Ratio (SMR) Calculation

The Standardized Mortality Ratio (SMR) compares the observed deaths in a specific group (hazardous industry workers) to the deaths expected based on the national death rates for similar age groups.

The formula for SMR is:

$ SMR = \frac{\text{Total Observed Deaths}}{\text{Total Expected Deaths}} \times 100 $

Step 1: Calculate Expected Deaths

Calculate the expected number of deaths for each age group based on the national death rate and the worker population.

  • Age 25-34: Expected Deaths = $ (3000 \times \frac{2.0}{1000}) = 6 $
  • Age 35-44: Expected Deaths = $ (2000 \times \frac{3.5}{1000}) = 7 $
  • Age 45-54: Expected Deaths = $ (2000 \times \frac{6.0}{1000}) = 12 $

Step 2: Sum Total Expected Deaths

Add the expected deaths from all age groups:

Total Expected Deaths = $ 6 + 7 + 12 = 25 $

Step 3: Sum Total Observed Deaths

Add the observed deaths reported for the hazardous industry workers from the table:

Total Observed Deaths = $ 8 + 9 + 13 = 30 $

Step 4: Calculate SMR

Apply the SMR formula using the calculated totals:

$ SMR = \frac{30}{25} \times 100 $

$ SMR = 1.2 \times 100 $

$ SMR = 120 $

Conclusion

The Standardized Mortality Ratio (SMR) for the hazardous industry workers, compared to the national population, is 120.

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Important Questions from Biostatistics

  1. What is the specificity of sputum microscopy in detection of Pulmonary Tuberculosis (PTB) as per the information given below?
     

     PTB Total
    Sputum microscopyPresentAbsent 
    Positive27020290
    Negative30180210
    Total300200500
  2. In a cohort of 500 women attending antenatal clinic, 70 % had ultrasonography (USG). This cohort was followed up at delivery. Of the women who had USG, 70 delivered low birth weight (LBW) babies; whereas of the women, who did not undergo USG, 50 delivered LBW babies. The incidence of LBW babies among women who had USG is:

  3. In a case-control study, 300 women aged 20-45 years suffering from breast cancer were compared with age-matched 300 women without breast cancer. It was observed that 120 women among cases and 60 women among controls were obese. The odds ratio of developing breast cancer among obese women is:

  4. What is the relative risk of developing pulmonary embolism in users of oral contraceptives as per the information given below?
     

    Women using OCsPulmonary embolismTotal
     YesNo 
    Yes12080200
    No107080
    Total130150280
  5. Which one of the following tests should be applied to compare mean haemoglobin level of two groups of antenatal mothers?

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