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The table below contains counts of mouth cancer for smokers and non-smokers from a medical center.
Cancer
smokers
Non-smokers
YES
459
9
NO
11
321
2. Calculate a 95% confidence interval for the difference in proportions of those who had cancer (YES).
Does the interval exclude 0? Is the difference statistically significant?
ANSWER: The interval does excludes 0.
Hence, the difference is statistically significant
CALCULATION/REASON: (show your work)
From part (a), we can calculate the standard error of the estimated difference in proportions:
r
.976 (1 .976) .027 (1 .027)
SE(
p1 p2 ) =
+
= .00005 + .00008 = .011
470
330
Hence the margin of error is M E = 1.96 .011 = .022. Consequently, we can get a 95%
c.i. for p1 p2 :
(.949 .022, .949 + .022) = (0.927, 0.971)
which excludes 0. Therefore, the proportions differ and it appears that the proportion of those
who had mouth cancer for smokers is greater than those for non-smokers.
Note that the interpretation of this 95% confidence interval: we are 95% confident that the
difference in proportions (percentages) is in between 0.927 (92.7%) and and 0.971(97.1%).
3. Estimate the relative risk (i.e., risk ratio) of those who had cancer (YES). Interpret your answer in
words
d = 36.15
ANSWER: RR
1
d =
RR
p1
0.976
=
= 36.15
p2
0.027
Based upon the estimated risk ratio, smokers are about 36 times as likey as non-smokers to
have mouth cancer.
4. Calculate a 95% confidence interval for the risk ratio of those who had cancer (YES). Does the
interval exclude 1? Is the risk ratio statistically significant?
ANSWER: The risk ratio is statistically significant.
CALCULATION/REASON: (show your work)
The standard error for estimated log-risk ratio is
r
1
1
1
1
d
SE(ln(RR)) =
+
= 0.3288
459 9 470 330
and hence the margin of error is M E = 1.96 0.3288 = 0.6444.
d = ln(36.15) = 3.5877) is then
95% c.i. for ln(RR) (note: ln(RR)
d 0.6444 = (3.5877 0.6444, 3.5877 + 0.6444) = (2.9433, 4.2321).
ln(RR)
It follows that 95% c.i. for RR is
(e2.9433 , e4.2321 ) (19, 69)
which excludes 1 and hence the risk ratio is statistically significant. We are 95% confident
that the risk of having mouth cancer for smokers is between 19 times and 69 times as large as
that for non-smokers.
5. Estimate the odds ratio of those who had cancer (YES). Interpret your answer in words
d = 1488.3
ANSWER: OR
CALCULATION/REASON: (show your work)
d =
OR
d1
odds
=
d2
odds
459
11
9
321
459 321
= 1488.3
11 9
Based upon the estimated odds ratio, the odds that smokers have mouth cancer is about 1,488
times as large as that of non-smokers.
6. Calculate a 95% confidence interval for the odds ratio of those who had cancer (YES). Does the
Formulas
Notation: Note that we are dealing with proportions. They are concerning success (= observing an event
of interest). There are two groups under comparison, called them group 1 and group 2. So, for examples,
successes1 = number of successes in group 1
f ailures2 = number of failures in group 2
size1 = sample size for group 1 = successes1 + f ailures1
s
SE1 =
prop1 (1 prop1 )
size1
successes1
size1
successes2
size2
d = prop1 =
RR
prop2
Odds:
odds =
successes2
size2
prop2 (1 prop2 )
size2
successes1 size2
successes2 size1
prob. of success
and is estimated by
prob. of failure
d =
odds
prop.
d
successes
=
1 prop.
d
f ailures
successes1
f ailures1
successes2
f ailures2
successes1 f ailures2
successes2 f ailures1
Difference in proportions.
1. Calculate the estimate of difference: d = prop1 prop2 .
2. Calculate V1 and V2 .
3. Calculate the SE = standard error of difference:
SE =
p
V1 + V2
Risk ratio.
1. Calculate the risk ratio:
RR =
prop1
prop2
Odds ratio.
1. Calculate the odds ratio:
OR =
successes1 f ailures2
successes2 f ailures1