Evidence map›Paper›PMID 28472445›Full record

ArticleInternational journal of epidemiology2017

Defining the population attributable fraction for infectious diseases.

Ellen Brooks-Pollock, Leon Danon

Open access · bronzeAbstract read
In one paragraph

Article in International journal of epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Economic costs of obesity: a systematic review.International journal of obesity (2005) · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Infectious Disease Modelling · 2024
    Review
  8. Article
  9. Article
  10. The population attributable fraction of cases due to gatherings and groups with relevance to COVID-19 mitigation strategies.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021
    Article
  11. Mapping social distancing measures to the reproduction number for COVID-19.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Evaluating the Risk Factors forFrontiers in veterinary science · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Ellen Brooks-PollockNational Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Evaluation of Interventions, School of Social and Community Medicine.
Leon DanonSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
National Institute for Health Research · GBUniversity of Bristol · GB

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
CIHR 232250NIAID NIH HHS P30 AI094189PEPFAR
6 · The paper itself

Abstract

Background: The population attributable fraction (PAF) is used to quantify the contribution of a risk group to disease burden. For infectious diseases, high-risk individuals may increase disease risk for the wider population in addition to themselves; therefore methods are required to estimate the PAF for infectious diseases. Methods: A mathematical model of disease transmission in a population with a high-risk group was used to compare existing approaches for calculating the PAF. We quantify when existing methods are consistent and when estimates diverge. We introduce a new method, based on the basic reproduction number, for calculating the PAF, which bridges the gap between existing methods and addresses shortcomings. We illustrate the methods with two examples of the contribution of badgers to bovine tuberculosis in cattle and the role of commercial sex in an HIV epidemic. Results: We demonstrate that current methods result in irreconcilable PAF estimates, depending on how chains of transmission are categorized. Using two novel simple formulae for emerging and endemic diseases, we demonstrate that the largest differences occur when transmission in the general population is not self-sustaining. Crucially, some existing methods are not able to discriminate between multiple risk groups. We show that compared with traditional estimates, assortative mixing leads to a decreased PAF, whereas disassortative mixing increases PAF. Conclusions: Recent methods for calculating the population attributable fraction (PAF) are not consistent with traditional approaches. Policy makers and users of PAF statistics should be aware of these differences. Our approach offers a straightforward and parsimonious method for calculating the PAF for infectious diseases.

Indexed as

Cost of IllnessEpidemiologic MethodsRisk AssessmentAnimalsCattleCommunicable DiseasesFemaleHIV InfectionsHumansMaleMathematicsRisk FactorsTuberculosis, Bovineinfectious diseasesPopulation attributable fractionrisk groups

Identifiers

PMID28472445
PMCPMC5837626
OpenAlexW2609876873

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.