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In biomedical research, when analyzing the relationship between two categorical variables, the predictor variable (X-axis) influences the subjects by:

  • Causing a direct linear change in a Y parameter, such as blood pressure.
  • Causing subjects to fall into two or more categories of outcome. (correct)
  • Increasing the mean value of a continuous variable.
  • Decreasing the variance within a specific group.
  • Contingency tables are used to display results of analyses involving a continuous variable on the Y axis and a categorical variable on the X axis.

    False (B)

    If you are analyzing the relationship between adding sugar to coffee (yes/no) and energy levels (high/low), which statistical test is most appropriate?

    Chi-squared test

    When assessing how gender influences the likelihood of having an HIV test, the results are typically displayed in a __________ table.

    <p>contingency</p> Signup and view all the answers

    Match each statistical test with its appropriate variable types:

    <p>T-test = Continuous Y axis, 2 Categories on X axis ANOVA = Continuous Y axis, 3 or more Categories on X axis Chi-squared test = Categorical Y axis, Categorical X axis</p> Signup and view all the answers

    In a Chi-squared test, what does the CHISQ.TEST function in Excel return?

    <p>The p-value (A)</p> Signup and view all the answers

    In a Chi-squared test performed in Excel, the observed data should be specified as the second argument in the CHISQ.TEST function.

    <p>False (B)</p> Signup and view all the answers

    When calculating the expected value for a cell in a Chi-squared test, what formula is used?

    <p>(Row Total * Column Total) / Grand Total</p> Signup and view all the answers

    In a Chi-squared test, if the p-value is less than the significance level, we ______ the null hypothesis.

    <p>reject</p> Signup and view all the answers

    Match the terms with their descriptions in the context of a Chi-squared test:

    <p>Observed Values = The actual data collected from the sample. Expected Values = Values calculated based on the assumption that the null hypothesis is true. P-value = Probability of obtaining test results at least as extreme as the results actually observed, assuming that the null hypothesis is correct. Grand Total = Sum of all observed data.</p> Signup and view all the answers

    Fisher's exact test is frequently used in biomedicine due to the typically large sample sizes encountered.

    <p>False (B)</p> Signup and view all the answers

    When should Fisher's exact test be used instead of the Chi-squared test?

    <p>When at least one cell in the contingency table has an expected count less than 5. (D)</p> Signup and view all the answers

    If a researcher wants to determine if there's a statistically significant association between different drug dosages and disease recovery using a contingency table, but only wants an overall significance, which statistical tests can be used?

    <p>Chi-squared test or Fisher's exact test</p> Signup and view all the answers

    For contingency tables larger than 2x2, the Chi-squared test or Fisher's exact test will indicate if at least ______ condition is significant, but not the specific condition.

    <p>one</p> Signup and view all the answers

    Which software packages are suitable for performing Fisher's exact test when Excel lacks the functionality?

    <p>R, Jamovi, and SPSS (D)</p> Signup and view all the answers

    A statistically significant result from a Chi-squared test on a larger contingency table (e.g., 4x2) pinpoints exactly which conditions are significantly different from each other. In other words, the test identifies WHICH specific conditions stick out.

    <p>False (B)</p> Signup and view all the answers

    Match the scenario with the appropriate condition for using Fisher's exact test:

    <p>Grand total exceeds 50, every observation exceeds 5 = Not suitable Grand total is 14, every cell is less than 5 = Use Fisher's exact test Grand total is 378, one cell is less than 5 = Use Fisher's exact test Grand total is 378, every cell exceeds 50 = Not suitable</p> Signup and view all the answers

    Consider a 2x2 contingency table. Which scenario necessitates the use of Fisher's exact test?

    <p>The grand total of all observations is less than 50 and at least one expected cell count is less than 5. (A)</p> Signup and view all the answers

    If the 95% confidence interval (CI) for an Odds Ratio (OR) includes 1, what does this indicate?

    <p>The result is not statistically significant. (D)</p> Signup and view all the answers

    A log(OR) of 1 indicates there is 'no effect'.

    <p>False (B)</p> Signup and view all the answers

    What is the primary reason Fisher's exact test is used instead of Pearson's chi-squared test in certain situations?

    <p>Small sample sizes</p> Signup and view all the answers

    For Pearson's chi-squared test to be appropriate, the grand total of observations must exceed ______.

    <p>50</p> Signup and view all the answers

    What value represents 'no effect' when using Log(OR)?

    <p>0 (C)</p> Signup and view all the answers

    Why was the Chi-squared test developed?

    <p>To simplify calculations when dealing with large numbers, which can be computationally intensive in Fisher's exact test. (C)</p> Signup and view all the answers

    Fisher’s exact test is an approximation, and the Chi-squared test provides the exact p-value.

    <p>False (B)</p> Signup and view all the answers

    Under what condition should you not use the Chi-squared test and instead opt for Fisher's exact test?

    <p>When the grand total of observations is below 50 and/or any cell count is less than 5. (C)</p> Signup and view all the answers

    In a Chi-squared test, what does an odds ratio greater than 1 suggest?

    <p>The exposure is positively associated with the outcome. (B)</p> Signup and view all the answers

    In an expected value table for a Chi-squared test, it is acceptable to have fractional values even if the observed data consists of whole numbers.

    <p>True (A)</p> Signup and view all the answers

    What statistical software packages are mentioned as tools that eliminate the need to manually look up p-values from a Chi-squared distribution table?

    <p>R and Excel</p> Signup and view all the answers

    In the context of the provided example, the odds of passing the exam after having lunch are calculated as 35/15, which equals ______.

    <p>2.3</p> Signup and view all the answers

    If the odds of passing an exam after a meal are 2.3 and the odds of passing before a meal are 1.5, what is the odds ratio?

    <p>1.53 (B)</p> Signup and view all the answers

    In a Chi-squared test, an odds ratio of exactly 1 between two variables indicates that there is a strong association between them.

    <p>False (B)</p> Signup and view all the answers

    In the context of a Chi-squared test, what is the purpose of creating an 'expected value table'?

    <p>To determine what the values would be if there is no association between the variables.</p> Signup and view all the answers

    What does a Relative Risk (RR) of 1 indicate between two conditions?

    <p>No difference in risk between the two conditions. (D)</p> Signup and view all the answers

    The odds ratio (OR) is calculated by dividing the risk of an event in one group by the total number of events.

    <p>False (B)</p> Signup and view all the answers

    What is the purpose of using the Chi-squared test in the context of analyzing contingency tables?

    <p>to test for significance</p> Signup and view all the answers

    In hypothesis testing, a p-value is used to determine the statistical ______ of an observed result.

    <p>significance</p> Signup and view all the answers

    Match the statistical measure with its appropriate interpretation:

    <p>Odds Ratio (OR) = The ratio of the odds of an event occurring in one group versus another. Relative Risk (RR) = The ratio of the probability of an event occurring in an exposed group versus a non-exposed group. Chi-squared test = A test to determine if there is a significant association between two categorical variables.</p> Signup and view all the answers

    Why is it important to test the odds ratio (OR) for significance?

    <p>To determine if the observed OR is likely due to chance. (B)</p> Signup and view all the answers

    Expected values in a Chi-squared test represent the values you would expect to see if there is an effect.

    <p>False (B)</p> Signup and view all the answers

    In the context of the Chi-squared test, what do observed values represent?

    <p>actual counts</p> Signup and view all the answers

    Karl Pearson, known for his work on the correlation coefficient, also developed the significance test for ______ tables.

    <p>contingency</p> Signup and view all the answers

    How does the magnitude of the Chi-squared value relate to the significance of the difference between observed and expected values?

    <p>A larger Chi-squared value indicates a more significant difference. (B)</p> Signup and view all the answers

    When is Fisher's Exact Test most appropriate compared to the Chi-Squared test?

    <p>When sample sizes are small or expected cell counts are less than 5. (B)</p> Signup and view all the answers

    A high p-value (e.g., above 0.05) indicates a statistically significant association between the variables being tested.

    <p>False (B)</p> Signup and view all the answers

    What distribution does Fisher’s Exact Test use to calculate probabilities, instead of approximating with a Chi-Squared distribution?

    <p>hypergeometric distribution</p> Signup and view all the answers

    Ideally, the expected counts in each cell for a Chi-Squared test should be ________ or more to ensure a good approximation.

    <p>5</p> Signup and view all the answers

    Match the statistical test with its appropriate condition for use:

    <p>Chi-Squared Test = Large samples with adequate expected frequencies. Fisher’s Exact Test = Small samples or sparse data.</p> Signup and view all the answers

    Which of the following is a key assumption for the Chi-Squared test?

    <p>The observations should be independent. (D)</p> Signup and view all the answers

    In a 2x2 contingency table, what does Fisher's Exact Test calculate?

    <p>The exact probability of observing a table as extreme or more extreme, given no association. (C)</p> Signup and view all the answers

    In the context of hypothesis testing, what does a low Chi-Squared statistic, resulting in a high p-value, generally indicate?

    <p>no significant association</p> Signup and view all the answers

    In a Chi-Squared test for a 2x2 table, what does the test primarily assess?

    <p>The statistical significance of an association between two categorical variables. (D)</p> Signup and view all the answers

    The expected counts in a Chi-Squared test represent the values you would expect to see if there were a strong association between the variables.

    <p>False (B)</p> Signup and view all the answers

    Write the formula to calculate the expected count for a cell in a Chi-Squared test.

    <p>(Row Total * Column Total) / Grand Total</p> Signup and view all the answers

    In the Chi-Squared test calculation, the term (Observed - Expected)^2 / Expected represents the contribution of each ______ to the overall Chi-Squared statistic.

    <p>cell</p> Signup and view all the answers

    For a standard 2x2 contingency table, what is the degrees of freedom for the Chi-Squared test?

    <p>1 (D)</p> Signup and view all the answers

    A small p-value in a Chi-Squared test suggests there is a weak association between the categorical variables.

    <p>False (B)</p> Signup and view all the answers

    Given a 2x2 table where Group 1 total is 50, Category A total is 60, and the Grand Total is 100, what is the expected count for Group 1, Category A?

    <p>30</p> Signup and view all the answers

    Flashcards

    T-test

    A statistical test used for comparing means between two categories.

    ANOVA

    Analysis of Variance; a method for comparing three or more groups.

    Chi-squared test

    A statistical test to determine if there's a significant association between categorical variables.

    Contingency table

    A table that displays the frequency distribution of variables to analyze categorical data.

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    Odds Ratio

    A measure of association between an exposure and an outcome, comparing odds of events.

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    Observed Values

    The actual counts recorded in a study or experiment, shown in a contingency table.

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    Expected Values

    Calculated frequencies based on the assumption that the null hypothesis is true, derived from row and column totals.

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    CHISQ.TEST Function

    An Excel function that computes the p-value for a chi squared test based on observed and expected data.

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    P-value Interpretation

    The probability of observing the data if the null hypothesis is true; used to determine significance.

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    Odds Ratio (OR)

    A measure comparing odds of an event occurring in two groups.

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    Expected Value Table

    A table showing expected frequencies based on overall proportions.

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    Differences in Observed and Expected

    The deviations between actual data and what is expected.

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    P-value

    A probability indicating the likelihood that the observed result happened by chance.

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    c² Value

    The calculated statistic in chi-squared tests to assess differences.

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    R and Excel

    Tools used for performing statistical analysis including chi-squared tests.

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    Relative Risk (RR)

    A measure comparing the risk of an event occurring in two groups.

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    Absolute Risk

    The actual risk of an event happening in a population.

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    Significance Test

    A statistical method to determine if results are likely due to chance.

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    Chi Squared Test (c2)

    A statistical test to determine differences between observed and expected values.

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    Effect Size

    A quantitative measure of the magnitude of an experimental effect.

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    Odds of Lung Cancer

    The likelihood of developing lung cancer for different smoking statuses.

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    Probability

    The likelihood that a specified event will occur.

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    Confidence Intervals (CIs)

    A range that estimates where a population parameter lies with a certain confidence level.

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    OR (Odds Ratio)

    A statistic that describes the odds of an event occurring in one group versus another.

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    Significance of OR CI

    A CI for OR that does not include 1 indicates a statistically significant result.

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    Log(OR)

    The natural logarithm of the odds ratio; shifts the 'no effect' value to zero.

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    Significance of Log(OR) CI

    A CI for Log(OR) that does not include 0 indicates a statistically significant result.

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    Fisher's Exact Test

    A statistical test used to determine the significance of the association between two categorical variables, particularly with small sample sizes.

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    Chi-Squared Test vs. Fisher's Exact Test

    Chi-squared is simpler but less precise with small samples; Fisher’s is exact but complex.

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    Rules of Thumb for Chi-Squared Test

    Use Chi-squared if total > 50 and every observation > 5; otherwise use Fisher's test.

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    Grand Total Requirement

    The sum of observations must exceed a specified threshold, often 50 in examples.

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    Observation Limit

    Every cell in a contingency table must have values greater than a certain threshold, typically 5.

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    2x2 Contingency Table

    A table displaying two conditions and their outcomes, commonly seen in Fisher's Exact Test.

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    Larger Contingency Tables

    Can analyze larger multi-condition tables using chi-squared or Fisher's Exact Test.

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    ANOVA Limitation

    ANOVA identifies if one condition stands out but not which one, similar limitation applies to larger contingency tables.

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    High p-value

    Indicates no significant difference; likely due to chance.

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    Independence Assumption

    Observations in a dataset must be independent of each other.

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    Fisher’s Exact Test Purpose

    Used for small samples or low expected counts to assess association.

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    Hypergeometric Distribution

    Used in Fisher’s test to calculate probabilities for 2×2 tables.

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    Exact p-value

    Probability of observing data as extreme or more, assuming no association.

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    Use of Fisher’s Test

    Preferred when sample sizes are small or expected counts are low.

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    Chi-Squared Test Validity

    Assumes large sample sizes and higher expected cell counts.

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    Comparison: Chi-Squared vs. Fisher’s

    Chi-squared is less accurate with small samples; Fisher’s is exact.

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    Chi-Squared Test Purpose

    Assesses if there's a significant association between two categorical variables.

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    Expected Count Calculation

    Calculated using (Row Total) × (Column Total) / Grand Total.

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    Degrees of Freedom in Chi-Squared

    For a 2×2 table, calculated as (r-1) × (c-1).

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    Chi-Squared Statistic Calculation

    Sum of ((Observed - Expected)² / Expected) for all cells.

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    Interpreting P-value

    Probability that the observed result is due to chance if the null hypothesis is true.

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    Fisher's Exact Test Usage

    Used for small sample sizes to find associations in categorical variables.

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    2×2 Table Structure

    Displays two groups and two outcomes, helping analyze categorical data.

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    Chi-Squared Test Limitations

    Not reliable if expected counts are too low; prefer Fisher’s test then.

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    Study Notes

    Obesity Levels in Children

    • Obesity levels have risen among Year 6 children in England
    • Trend data show a gradual increase in obesity rates from 2006/07 to 2021/22.

    Statistical Analysis

    • Continuous vs. Categorical Variables: Different statistical tests are used depending on whether variables are continuous or categorized.
    • T-test and ANOVA: Used when one variable is continuous and the other is categorized. The number of categories dictates which test to use (2 for t-test, 3 or more for ANOVA)
    • Chi-squared and Fisher: Used when both variables are categorical
    • Contingency Tables: Tables displaying results from categorical analysis. Gender and HIV test status is an example.

    Contingency Tables - Details

    • Contingency tables are used to display data from categorical variables
    • The analysis shows if one variable or categorical condition affects the probability of another categorical variable.

    Effect Size Metrics: What's Special?

    • This case occurs often in biomedical research
    • When one variable influences the categories of another variable (like drug dosages vs. disease recovery), several conditions may affect a single outcome.

    Odds Ratio (OR) and Relative Risk (RR)

    • Odds Ratio: The comparison of odds in two groups, useful to determine factors that influence an outcome
    • Relative Risk: The ratio of risks between groups, also used to compare exposures and outcomes
    • Importance: These metrics are used to determine factors influencing outcomes, like whether adding milk to coffee affects exam grades.
    • Interpretation Key: A ratio of 1 indicates no influence. A ratio greater than 1 often indicates a positive influence from one of the variables.
    • Log Odds ratio: This also represents "no effect" as 0. Important: the confidence interval for log(OR) also represents the no effect.

    Chi-Squared Test

    • Purpose: A statistical significance test for comparing categorical variables in a contingency table.
    • Logic: Finds the difference between expected and observed values in a contingency table. A large difference suggests the variables are related.
    • P-value: Provides level of significance
    • How to Use the Test: This test is used to check if a condition influences an outcome, e.g., eating lunch before an exam.
    • Expected Value Tables: Expected outcomes based on the null hypothesis (no effect).

    Chi Squared Test - Excel

    • Calculations are done in spreadsheet software (Excel, specifically in this presentation.)

    Fisher's Exact Test

    • Usefulness: Used for smaller sample sizes or when individual observations are less than 5, where chi-squared becomes less accurate.
    • Details: A more exact method for contingency table analysis.
    • Conditions for Chi-squared use:
      • Overall sample size must exceed 50
      • Individual observations must exceed 5

    Summary

    • Different types of tests are used for different types of variables (continuous and categorical).
    • These statistical tests allow comparison of metrics (like Odds Ratio) and give significance through p-values and confidence intervals.
    • Confidence intervals for Odds Ratios (or Log Odds ratio) are important in interpreting results; a CI that does not include 1 (or 0 for Log OR) suggests a significant result.

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    Description

    Obesity levels are rising among children. Statistical analysis methods like t-tests, ANOVA, Chi-squared, and Fisher's exact tests are used to analyze relationships between continuous and categorical variables. Contingency tables display results from categorical data analysis.

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