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A Guide to HIV/AIDS Epidemiological and Surveillance Terms

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Frequently Used Terms in HIV/AIDS Monitoring and Epidemiological Research in Canada

R

RANGE

The range is an example of a descriptive statistic. The range describes the spread of scores. The range is the highest value minus the lowest value in any set of values.

Using the following ages at which 11 injecting drug users (IDUs) reported testing HIV positive:

    19, 21, 24, 27, 29, 31, 32, 32, 32, 36, 39

There is a 20-year range (39 minus 19) in the ages of IDUs reporting testing positive for HIV.

This result can also be expressed as, "The age range at which IDUs reported testing HIV positive is 19 to 39 years."

RATE
(See also RATIO)

A rate is an expression of the frequency with which an event occurs in a defined population in a specified period of time. In HIV/AIDS research, a rate can be the proportion of a population with a particular "event", such as HIV infection, occurring during a specified time period.

A rate can be obtained by dividing the number of cases in a given time period by the population at risk in the same time period and then usually multiplying the result by a multiple of ten. In epidemiological reports, 100,000 is commonly used as this number (the multiplier). The rate can then be expressed as the number of people with the "event" per 100,000 population. Expressing the rate as the number of people per 100,000 per year is done so that rates can be compared between population groups and from year to year.

You can compare rates between different populations as long as the rate has been calculated using the same multiplier.

For example, we could calculate the rate of needle exchange at one needle exchange site in Canada in the year 2000. Let us assume that there were 1,500 injecting drug users (IDUs) accessing this site in 2000, and there were 27,000 needles exchanged at that site in the same year. The needle exchange rate at that site for the year 2000 would be:

 Number of needles exchanged 
 = 
27,000
 = 
18 per injecting drug user
Number of injecting drug users
1,500

This means that in 2000, 18 needles were exchanged for every injecting drug user accessing the site.

RATIO

A ratio is a combination of two numbers that shows their size relative to each other.

The ratio of one number to another is the first number (the numerator) divided by the other number (the denominator), and can be expressed as a fraction or a decimal. A ratio can also be expressed as two numbers separated by a colon (:).

For example, the total number of positive HIV test reports among White and Aboriginal persons between 1998 and 2000 was reported in the May 2001 HIV/AIDS Epi Updates: AIDS/HIV Ethnicity in Canada to be 1,474. Of these, 1,103 were among White persons and 371 were among Aboriginal persons. (Bureau of HIV/AIDS, STD and TB, Centre for Infectious Disease Prevention and Control, Health Canada, Bureau of HIV/AIDS, 2001c)

The ratio of positive HIV test reports among White persons to Aboriginal persons could be expressed as 1,103/371 or 1,103:371. More often, it may be expressed as 2.97:1, which is obtained by dividing 1,103 by 371. This could be expressed as approximately 3:1.

REPORTABLE DISEASE
(Refer to NOTIFIABLE DISEASE)

REPORTED AIDS CASES
(See also AIDS CASE REPORT and FAQs 6, 8, 14, 16, 17)

Reported AIDS cases are those AIDS cases on which information about the individual has been sent to the provincial or territorial government and then reported to the Centre for Infectious Disease Prevention and Control (CIDPC).

For example it may be stated that "The proportion of reported AIDS cases attributed to injecting drug use has increased from 8.3% in 1995 to 21.7% in 2000." (Bureau of HIV/AIDS, STD and TB, Centre for Infectious Disease Prevention and Control, Health Canada, 2001d)

This means that of all the AIDS cases reported to CIDPC in 1995, 8.3% reported injecting drug use as the highest risk of HIV transmission.

It is important to note that the number of reported AIDS cases at any point in time is not a true reflection of the total number of AIDS cases that have been diagnosed in Canada since the beginning of the epidemic. This is because some AIDS cases never get reported for a variety of reasons, such as health care providers being unaware of the legal requirement to report AIDS cases. You will often see this situation referred to as "under-reporting".

Also, there are often substantial delays in reporting AIDS cases. It is currently estimated that 23% of newly diagnosed AIDS cases are reported to CIDPC within three months, 45% within six months, 65% within one year, 82% within two years and 95% within five years. You will often see this situation referred to as "delayed reporting".

RISK FACTOR
(See also FAQ 3)

A risk factor is an aspect of someone's behaviour or lifestyle, a characteristic that a person was born with, or an event that he or she has been exposed to, that is known to be associated with a health-related condition.

A behavioural risk factor describes a specific behaviour that carries a proven risk of a particular outcome. In HIV/AIDS research, you will often see the term "HIV-related risk behaviour" to describe a behaviour that, when practiced, carries a proven risk of HIV infection.

An individual's HIV-related risk factors determine the exposure category assigned to a report of a positive HIV test.

For example, a risk factor documented to be associated with HIV infection is injecting drug(s) with used needles. As this risk factor is an aspect of a person's behaviour, it may be referred to as an "HIV-related behavioural risk factor". It may also be more generally referred to as an "HIV risk factor".


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