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Why might crude death rates be misleading? What is SMR? Can SMR of one population be...

Why might crude death rates be misleading?

What is SMR? Can SMR of one population be compared to SMR of another population? In the indirect method, what data from the reference (standard) population is used?

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1) Crude death rates might be misleading because it doesn't take into account age or sex difference among the population which has an important effect on many health outcomes such as mortality,heart disease ,Cancer , infectious diseases and injury .

2) SMR(Standardized Mortality Ratio) :- It is the ratio of observed deaths in the study group to expected deaths in the general population.This ratio can also be expressed as a percentage simply by multiplying by 100.

3)SMR of one population can't be compared with SMR of another population because they are calculated using different weighting schemes that depend upon the age structures of the index/ study population.SMR can however be compared if we make the assumption that the ratio of rates between index and reference population is constant.

4) In indirect method ,age/sex specific mortality rates data from reference (Standard)population is used.

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