IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH...

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IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS

Transcript of IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH...

Page 1: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

IN

The Use of 2 by 2 Tables

CAUSAL ASSOCIATIONS

Page 2: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Causality

ASSOCIATION BETWEEN

FACTOR AND HEALTH EVENT

F+ D+???

Page 3: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Causality

ASSOCIATION

APPARENT

STATISTICAL

CAUSAL

Page 4: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Epidemiologic Methods

PROSPECTIVE OR COHORTPROSPECTIVE OR COHORT

F+

F-

D+

D-

TIME

Page 5: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Epidemiologic Methods

F+

F-

D+

D-

TIME

RETROSPECTIVE OR CASE-CONTROLRETROSPECTIVE OR CASE-CONTROL

Page 6: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Epidemiologic Methods

RISK ANALYSIS

THE USE OF THE 2X2 TABLE

D+ D- Total IR

F+

F-

Tot

a b

c d

a+b

c+d

a+c b+d n

a/(a+b)

c/(c+d)

(a+c)/n

AR RR

AR= (a/(a+b)-(c/(c+d)))RR= (a/(a+b))/(c/(c+d)))

Page 7: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Epidemiologic MethodsRISK ANALYSIS

THE USE OF THE 2X2 TABLE

D+ D- Total IR

F+

F-

Tot

a b

c d

a+b

c+d

a+c b+d n

a/(a+b)

c/(c+d)

(a+c)/n

RR(exact)= (a/(a+b))/(c/(c+d)))

(PROSPECTIVE or COHORT)

Page 8: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

EXERCISE: CASE ProblemEXERCISE: CASE Problem #2 #2

Calf Mortality Exercise

Given

300 calves born in corrals No. dead 100

90 calves born in barn No. dead 9

Crude mortality rate CMR0.33333333

3 33.3%

(corrals)

Crude mortality rate Barn 0.1 10.0%

Page 9: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

EXERCISE: CASE Problem #2EXERCISE: CASE Problem #2

2 X 2 Table Prospective design

D+

D-

total

Incidence rate (IR)

Corral 100 200 300 33.3%

Barn 9 81 90 10.0%

109 281 390

Relative Risk (exact) Rre 3.333333333

Attributable Risk AR 0.233333333 23.30%

Page 10: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Epidemiologic Methods

F+

F-

D+

D-

TIME

RETROSPECTIVE OR CASE-CONTROLRETROSPECTIVE OR CASE-CONTROL

Page 11: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Epidemiologic MethodsRISK ANALYSIS

THE USE OF THE 2X2 TABLE

D+ D- Total IR

F+

F-

Tot

a b

c d

a+b

c+d

a+c b+d n

RR(approx)= Odds Ratio=(a*d/c*b)

(RETROSPECTIVE or CASE CONTROL)

UNKNOWN

Page 12: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

EXERCISE: CASE Problem #2EXERCISE: CASE Problem #2

2 X 2 Table Retrospective design D+

D-

total

Corral 100 200 300Barn 9 81 90

109 281 390

Odds Ratio OR 4.5

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Causality

F+ D+

STATISTICAL ASSOCIATION

SA

USE OF THE CHI SQUARE

Page 14: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Causality

STATISTICAL ASSOCIATION

THE 2 by 2 TABLE.

D+ D-

F+

F-

a b

c d

a+b

c+da+c b+d n

ChiSq= (ad-bc)**2n

(a+c)(a+b)(b+d)(c+d)

NULL HYPOTHESIS

ALTERNATE HYPOTHESIS

Level of sig (a=0.05)

df for 2X2= 1

FOR DECISION

Compare ChiSquare calculated

To ChiSquare tabulated (3.84)

Exposure to Risk

Disease Outcome

Page 15: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

IN

The Use of 2 by 2 Tables

OUTBREAK INVESTIGATIONS

Page 16: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Causality

ASSOCIATION BETWEEN

Food Eaten & Disease (outcome)

F+ D+???

Page 17: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Epidemiologic Methods

Food-Borne OutbreakFood-Borne Outbreak

F+

F-

D+

D-

Eaten Risky Food

Not Eat Risky Food

Outcome Disease

OUTCOME NO DISEASE

Page 18: IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Causality

STATISTICAL ASSOCIATION

THE 2 by 2 TABLE.

D+ D-

F+

F-

a b

c d

a+b

c+da+c b+d n

ChiSq= (ad-bc)**2n

(a+c)(a+b)(b+d)(c+d)

NULL HYPOTHESIS

ALTERNATE HYPOTHESIS

Level of sig (a=0.05)

df for 2X2= 1

FOR DECISION

Compare ChiSquare calculated

To ChiSquare tabulated (3.84)

Exposure to Risk

Disease Outcome