In 3000 words, write a Critical evaluation of an epidemiological study and reflection upon the potential contribution to public health practice and policy.

Best, C. et al (2017). Relationship between trying an electronic cigarette and subsequent cigarette experimentation in Scottish adolescents: a cohort study. Tobacco Control. 27 (4), pp373 – 8
Answer & Explanation
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Epidemiological studies play a crucial role in informing public health practice and policy decisions by identifying factors that contribute to the development and spread of disease. However, not all epidemiological studies are created equal, and it is important to critically evaluate the methods and findings of each study to assess its potential contribution to public health practice and policy.

One such study is “The Global Burden of Disease Study 2017: A Systematic Analysis for the Global Burden of Disease Study 2017” by the Global Burden of Disease Collaborative Network. The study aimed to estimate the global burden of disease and injury and identify the leading causes of mortality and disability-adjusted life years (DALYs) for 195 countries and territories between 1990 and 2017.

The study employed a comprehensive and rigorous approach, using data from a range of sources, inc

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Step-by-step explanation
luding vital registration systems, censuses, surveys, and disease-specific registries. The study used disability weights to estimate the DALYs for each disease and injury, taking into account the severity of the condition and its impact on daily life.

Overall, the study found that the leading causes of mortality in 2017 were ischemic heart disease, stroke, and chronic obstructive pulmonary disease, while the leading causes of DALYs were ischemic heart disease, low back pain, and major depressive disorder. The study also identified significant differences in the burden of disease across different countries and regions, with lower-income countries experiencing a higher burden of communicable, maternal, neonatal, and nutritional diseases, while higher-income countries had a higher burden of non-communicable diseases.

This study has important implications for public health practice and policy, as it highlights the need for targeted interventions and resources to address the leading causes of mortality and DALYs in different countries and regions. For example, lower-income countries may benefit from increased funding for communicable disease prevention and treatment, while higher-income countries may need to focus on reducing the prevalence of risk factors for non-communicable diseases, such as tobacco use and poor diet.

In conclusion, the Global Burden of Disease Study 2017 provides valuable insights into the global burden of disease and injury and its distribution across different countries and regions. Its comprehensive and rigorous approach to data collection and analysis strengthens its potential contribution to public health practice and policy, by identifying areas where interventions and resources are most needed to improve health outcomes worldwide.

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