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What are the methods of standardization?

There are two main standardization methods, characterized by whether the standard used is a population distribution (direct method) or a set of specific rates (indirect method).

How do you calculate standardized morbidity ratio?

STANDARDIZED MORTALITY RATIO (abbreviated SMR) is the number of observed deaths in the study population divided by the number of expected deaths (calculated from indirect adjustment) and multiplied by 100 (Lilienfeld Stolley, 1994; Last, 2001).

What does a high SMR mean?

The SMR may be quoted as either a ratio or a percentage. 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.

How do you interpret SMR epidemiology?

A ratio greater than 1.0 indicates that more mortality has occurred than would have been expected, while a ratio less than 1.0 indicates that less mortality has occurred. The decimal fraction shows the percentage comparison.

Why are direct and indirect age standardization methods used?

Direct and indirect methods of standardization address confounding when comparing the rate of a given outcome (like mortality) between two populations that differ for important prognostic factors (like age, gender and social-economical status). These two methods are used for both descriptive and analytical purposes.

What does SMR measure?

The SMR (or SIR) is the ratio of observed number of deaths (or incident cases) in the cohort to the number of deaths (or incident cases) that would be expected, for example, on the basis of age- and gender-specific death (or incidence) rates in the general population.

Why is direct standardization done?

Direct standardization is used when the number of events or the mortality rates in each age group within the population, is known, whereas indirect standardization is used when the number of events or the mortality rates in each age group within the population is not known.

How do you calculate standardized fertility rate?

The age-specific fertility rate is calculated as the quotient of the numerator divided by the denominator for each age group, multiplied by 1000. The result is an average rate over the 36-month period, expressed as an annual rate per 1000 women.

How do you calculate direct Standardisation?

Direct method The adjusted or standardized rate is obtained by dividing the total of expected cases by the standard population.

What is an SMR in research?

The standardized mortality rate (SMR) is the ratio of the number of deaths observed in a population over a given period to the number that would be expected over the same period if the study population had the same age-specific rates as the standard population.

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