WIC Nutrition Risk Criteria: A Scientific Assessment (1996)

Chapter: Appendix D Definitions of Yield and Sensitivity of Cutoff Points for Nutrition Risk

Previous Chapter: Appendix C WIC Program: Common Nutritional Risk Criteria
Suggested Citation: "Appendix D Definitions of Yield and Sensitivity of Cutoff Points for Nutrition Risk ." Institute of Medicine. 1996. WIC Nutrition Risk Criteria: A Scientific Assessment. Washington, DC: The National Academies Press. doi: 10.17226/5071.

Appendix D
Definitions of Yield and Sensitivity of Cutoff Points for Nutrition Risk

Efficacy of WIC interventions: the proportion of individuals selected for WIC whose bad outcomes will be prevented or reduced =

where

Y = those identified who have the risk and will benefit

w = those identified who have the risk and will not benefit

 

Overall benefit from WIC

Identified by criterion

Yes

No

Yes

Y

w

Yield of risk1: the proportion of those identified at risk who are at risk =

where

B = those identified at risk who are at risk

o = those identified at risk who are not at risk

1  

Yield of risk is called positive predictive value in epidemiology (Last, 1988).

Suggested Citation: "Appendix D Definitions of Yield and Sensitivity of Cutoff Points for Nutrition Risk ." Institute of Medicine. 1996. WIC Nutrition Risk Criteria: A Scientific Assessment. Washington, DC: The National Academies Press. doi: 10.17226/5071.

 

At risk of bad outcome

Identified by criterion

Yes

No

Yes

B

o

No

b

O

Not all those who have the risk and are identified at risk (B) will benefit, thus:

Combining equations D-2 and D-3:

Yield of benefit: proportion of those identified at risk who will benefit =

Sensitivity for risk2 = Sensitivity for benefit:

References

Habicht, J-P. 1980. Some characteristics of indicators of nutritional status for use in screening and surveillance. Am. J. Clin. Nutr. 33:531-535.

Habicht, J-P., L.D. Meyers, and C. Brownie. 1982. Indicators for identifying and counting the improperly nourished. Am. J. Clin. Nutr. 35:1241-1254.


Last, J.M. 1988. A Dictionary of Epidemiology. London: Oxford University Press.

2  

Nutritional examples of tradeoffs between specificity and sensitivity are discussed in Habicht (1982), and the relationship of specificity-sensitivity tradeoffs to the positive predictive value are discussed in Habicht (1980).

Suggested Citation: "Appendix D Definitions of Yield and Sensitivity of Cutoff Points for Nutrition Risk ." Institute of Medicine. 1996. WIC Nutrition Risk Criteria: A Scientific Assessment. Washington, DC: The National Academies Press. doi: 10.17226/5071.
Page 359
Suggested Citation: "Appendix D Definitions of Yield and Sensitivity of Cutoff Points for Nutrition Risk ." Institute of Medicine. 1996. WIC Nutrition Risk Criteria: A Scientific Assessment. Washington, DC: The National Academies Press. doi: 10.17226/5071.
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