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Biostatistics for Public Health Practice Concepts HLTH Associate

of

5187:

Statistical

Professor

for

MPHP

Theo Week

Inference

Niyonsenga

03 1 ‐ 3

Statistical

Statistics

Survey Statistical Inference

Population Statistical sampling inference

Note: Descriptive statistics applies to both sample and population.

HLTH 5187: Biostatistics for MPHP 2 Biostatistics for Public Health Practice Statistical Two waystomakeinference – – larger population learn somethingabout a Use a random sample to Hypothesis Testing * Intervals Estimation ( * PointEstimation Estimation of parameters HLTH

Inference

5187:

Biostatistics

for

MPHP  X orp) 3 Statistical Inference

Statistic Parameter

Mean: X estimates 

Standard deviation: s estimates 

Proportion: p estimates  from entire from sample population

HLTH 5187: Biostatistics for MPHP 4

Xor P Xor P Xor P

HLTH 5187: Biostatistics for MPHP 5 Sampling distribution SE (): • Measure of dispersion of sampling distribution • of sampling distribution

Quantitative Variable SE() Sn

Qualitative Variable SE(p) p(1 pn )

HLTH 5187: Biostatistics for MPHP 6

Confidence Interval of a Parameter = ± Its Error

What is in “Its Error”? • SE(Statistic) • A number associated to the Level of confidence • Derived from z-score, or t-score, or chi-square, or Fisher F

HLTH 5187: Biostatistics for MPHP 7 Confidence Interval

Level of significance,  & Level of confidence, 

• Typical values are 1% (99%), 5% (95%) • Selected by the Researcher at the Start • Provides Critical Value(s) of the statistic • Critical Values define regions of unlikely (and likely) values of the sample statistic within the sampling distribution

HLTH 5187: Biostatistics for MPHP 8 Confidence Interval Level of Significance, a and Rejection Region

 Critical Value(s) Rejection Regions

Level of Confidence, 1‐a and Acceptance Region

HLTH 5187: Biostatistics for MPHP 9 Confidence Interval

α/2 α/2 1 - α _ X SE  SE Z-axis 95% Samples

X - 1.96 SE X + 1.96 SE

HLTH 5187: Biostatistics for MPHP 10 Confidence Interval

α/2 α/2 1 - α

p SE  SE Z-axis 95% Samples

p - 1.96 SE p + 1.96 SE

HLTH 5187: Biostatistics for MPHP 11 Confidence Interval

Interpretation of CI

Probabilistic Practical

In repeated sampling We are 100(1-)% 100(1-)% of all intervals confident that the single around sample will computed CI contains  in the long run include  Confidence Interval

In a survey of 140 asthmatics, 35% had allergy to house dust. Construct the 95% CI for the .

95% CI of  = p +Z * SE(p); SE= 0.35*0.65 140 = 0.04 0.35 –1.96  0.04 0.35 + 1.96  0.04 0.27 0.4, or 27% 43%

HLTH 5187: Biostatistics for MPHP 13 Confidence Interval

An epidemiologist studied the blood glucose level of a random sample of 100 patients. The mean was 170, with a SD of 10.

95% CI of  =mean +Z * SE(mean); SE=10/10=1 ( SE(Mean) 10 100 ) 170 –1.96  1 170 + 1.96  1 168.04 171.96

HLTH 5187: Biostatistics for MPHP 14 Hypothesis Testing

• A statistical procedure that uses a sample to evaluate a hypothesis about a population parameter • Intended to help researchers differentiate between real and random patterns in the observed data

HLTH 5187: Biostatistics for MPHP 15 Hypothesis Testing

What is a Hypothesis? I assume the mean SBP of participants is 120 mmHg An assumption about the population parameter. Hypothesis Testing

The steps in Hypothesis Testing: • A claim is made (researcher’s hypothesis) • Evidence (sample data) is collected in order to test the claim • The data are analyzed in order to support or refute the claim

Null and Alternative Hypotheses: • Null Hypothesis: Opposite of the researcher’s claim about the population parameter; the simplest state of the parameter • : Researcher’s claim;

HLTH 5187: Biostatistics for MPHP 17 Hypothesis Testing Result Possibilities

H0: Innocent (Negative); H1: Guilty (Positive)

Jury Trial Hypothesis test Actual Situation Actual Situation

Verdict Innocent Guilty Decision H0 True H0 False

Accept Type II Innocent Correct Error H 1 -  0 Error ( )

Reject Type I Power Guilty Error Correct Error H (1 - ) 0 ( )

False False Positive Negative Hypothesis Testing Level of Significance, a and Rejection Region

 Critical Value(s) Rejection Regions

Level of Confidence, 1‐a and Acceptance Region

HLTH 5187: Biostatistics for MPHP 19 Hypothesis Testing

The p value of a test: • A of obtaining a value as extreme or more than the actual sample value given that the null hypothesis (H0) is true • Observed level of significance

• Used to make the decision about H0 : – If p value  Do Not Reject H0 – If p value < , Reject H0

HLTH 5187: Biostatistics for MPHP 20