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At a wedding, 50 of 53 cake eaters and 4 of 26 non-eaters fell ill. What share of illness among cake eaters is attributable to the cake?
A83.7%
B94.3%
C16.3%
D78.9%
Answer & Solution
Correct answer: A. 83.7%
1. Work out the attack rate among cake eaters: 50 divided by 53 equals 94.3%.
2. Work out the attack rate among those who did not eat cake: 4 divided by 26 equals 15.4%.
3. The excess attributable to the cake is 94.3 minus 15.4, or 78.9 percentage points.
4. Divide that excess by the attack rate among cake eaters: 78.9 divided by 94.3 equals 0.837.
5. Multiplying by 100 gives 83.7%.
6. 94.3% is the attack rate among cake eaters, not the share attributable to the cake.
7. 78.9% stops at the risk difference without dividing, and 16.3% is the complement of the correct answer.
_Source: CDC Principles of Epidemiology in Public Health Practice (3rd ed., US federal, public domain), Lesson 3 "Measures of Risk", section Method for calculating attributable proportion_
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