Diabetes is a risk factor for atrial fibrillation

Diabetes is a risk factor for atrial fibrillation. In one longitudinal study researchers investigated the association between diabetes and atrial fibrillation, stratified by sex. These data are given in the table below.”

 

Table: Incidence of Atrial Fibrillation (AF) by diabetes status, stratified by sex Cases of AF Person years of followup  per 1,000

Males Diabetes372,336
No diabetes35526,454
Females Diabetes653,896
No diabetes33437,120
Total

Diabetes

1026,232
No diabetes68963,574
  1. “Use the data in the table to assess the association between diabetes and atrial fibrillation, and then stratified by sex. (meaning the association in males and the association in female”
  2. “After using the statistical software, the authors found that the sex-adjusted relative risk (rate-ratio in this case) they found adjusted RR of 1.51. Is sex best characterised as a confounder or an effect modifier of the relationship between diabetes and atrial fibrillation? Explain.”
  3. “What is the Attributable risk fraction of diabetes among Males and how would you interpret the finding [4 marks]
  4. What is the population attributable fraction of diabetes on the occurrence of atrial fibrillation that is potentially preventable, assuming a causal association between diabetes and Atrial Fibrilation.”   explain in words your findings