Analysing data on illness and mortality

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Analysing data on illness and mortalitySpec 1.15

In short

Illness and mortality data are compared using rates, such as deaths per 100 000 people per year, so that populations of different sizes can be compared fairly. A correlation between a factor and a disease does not prove that one causes the other, because another variable may be responsible. Different studies can give conflicting evidence.

Health data are usually given as rates so that populations of different sizes can be compared.

  • Incidence: the number of new cases of an illness in a population in a stated time, often per 100 000 people per year.
  • Prevalence: the total number of people with the illness at a given time, often per 100 000 people.
  • Mortality rate: the number of deaths from a cause in a stated time, per 100 000 people (or per 1000).

Calculating a mortality rate

In one year 1500 people died from coronary heart disease in a town of 600 000 people. Calculate the mortality rate per 100 000 people.

  1. Rate per 100 000 = (number of deaths ÷ population) × 100 000
  2. = (1500 ÷ 600 000) × 100 000

Answer: 250 deaths per 100 000 people per year

To interpret data, describe the trend with figures from the table or graph, calculate percentage changes, and compare groups. Percentage change = (new value − original value) ÷ original value × 100.

Correlation and causation

A correlation is a relationship between two variables, often shown on a scatter diagram: as one rises the other rises (positive) or falls (negative). A correlation does not show that one variable causes the other. A third variable (a confounding variable) may be responsible for both, or the link may be due to chance.

Evidence for a causal relationship is stronger when there is a plausible biological mechanism, the effect increases with the dose of the factor, the link is found repeatedly in different studies, and intervention (removing the factor) reduces the disease.

Conflicting evidence

Studies on the same risk may reach different conclusions because they differ in sample size, the people studied, the length of the study, how data were collected and which other variables were controlled. When evidence conflicts, compare the quality of the studies and look at the overall weight of evidence.

Maths skill:

Give rates with units (per 100 000 per year), and when calculating a percentage change always divide by the original value.

Exam tip:

When asked why data do not prove causation, name a possible confounding variable (for example, other lifestyle differences between groups) rather than just writing 'correlation is not causation'.

Written and checked against the Edexcel International A Level Biology (YBI11) specification · Updated October 2026

Frequently asked questions

What is the difference between correlation and causation?

A correlation is a relationship between two variables, such as smoking and heart disease. Causation means one variable directly produces the change in the other. A correlation does not prove causation, as a third (confounding) variable could be responsible, so extra evidence such as a mechanism is needed.

What is the difference between HDL and LDL cholesterol?

LDL carries cholesterol from the liver to the body tissues, and a high level raises the risk of atherosclerosis. HDL carries cholesterol from the tissues back to the liver, so a high HDL level is protective. A high LDL with a low HDL is the highest-risk combination.

How do you calculate BMI and waist-to-hip ratio?

BMI is body mass in kilograms divided by height in metres squared. Waist-to-hip ratio is waist circumference divided by hip circumference. Both indicate obesity, but BMI does not separate muscle from fat, while waist-to-hip ratio shows how much fat is stored around the abdomen.

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