Relative risk vs absolute risk
When you hear that something raises your risk by a percentage, always ask: from what, to what?
You will turn a headline like 'raises your risk by 18%' into real numbers out of 1,000 people.
Why it matters
Relative risk tells you how much a risk changes; absolute risk tells you how likely the thing is to happen at all. An FDA guide notes that a change shown in relative terms seems larger than the same change shown in absolute terms, and that this is as true for medical students as for the public. The guide also quotes researchers who found that relative risks without the starting rate often appear in leading medical journals and spread from there to doctors, the media, and the public.
How to do it
- Spot a relative number: 'doubles your risk', '18% higher', 'cuts your risk in half'. It compares two groups but does not say how common the thing is.
- Find the starting risk (the baseline): how many people out of 1,000 get the condition anyway.
- Turn the percentage into a multiplier: 18% higher means x 1.18; 'doubles' means x 2; 'cuts in half' means x 0.5.
- Multiply the baseline by it. Example: about 39 in 1,000 people in the US are diagnosed with colorectal cancer in their lifetime (NCI SEER, 2021 to 2023 data). The WHO's cancer agency found each 50-gram portion of processed meat eaten daily raises that risk by about 18%. 39 x 1.18 is about 46.
- Find the absolute difference: 46 - 39 = about 7 more cases per 1,000 people. This is a rough illustration; real risk depends on many factors.
- Say both numbers together: 'an 18% higher risk, which is roughly 7 extra cases per 1,000 people over a lifetime'.
- Use the same denominator when you compare: 39 in 1,000 versus 46 in 1,000, not 3.9% versus 1 in 22.
- Remember both numbers matter. A small absolute change for one person can still mean many cases across millions of people.
Common mistakes
- Reading 'doubles your risk' as 'you will probably get it'.
- Comparing a relative number from one source with an absolute number from another.
- Ignoring a small relative change to a common risk, which can affect more people than a big change to a rare one.
Sources
- FDA - Communicating Risks and Benefits: An Evidence-Based User's Guide
- IARC (WHO) - Press release 240: red meat and processed meat
- National Cancer Institute SEER - Colorectal cancer stat facts
Sources and numbers last checked . How we check
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