Lung cancer mortality was 0.57 per 1,000 per year among light smokers and 0.07 among nonsmokers. What is the attributable proportion?
A12.3%
B714.3%
C81.4%
D87.7%
Answer & Solution
Correct answer: D. 87.7%
1. The attributable proportion takes the excess in the exposed group as a share of the exposed group's own level.
2. Subtract the unexposed rate from the exposed rate: 0.57 minus 0.07 equals 0.50.
3. Divide by the exposed rate: 0.50 divided by 0.57 equals 0.877.
4. Multiplying by 100 gives 87.7%, so about 88% of the lung cancer among these smokers is attributable to smoking.
5. The remaining 12.3% would have occurred anyway, which is why that figure appears as a distractor.
6. 714.3% divides the excess by the unexposed rate instead of the exposed rate.
7. 81.4% is the rate ratio of 8.14 with the decimal point shifted, so it skips the subtraction step entirely.
_Source: CDC Principles of Epidemiology in Public Health Practice (3rd ed., US federal, public domain), Lesson 3 "Measures of Risk", section Definition of attributable proportion_
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