Chapter 2 Notes Math 1680 Math 1680 Assignments • Look over Chapter 1 and 2 before Wednesday • Assignment #2: Chapter 2 Exercise Set A (all, but #7, 8, and 10) due on Monday, January 31st. • By Wednesday Jan 26th, do Ch 2 review exercises (not to turn in). Will discuss in class. • Quiz 1 will be over the reading for Chapter 1 • Don’t forget Prerequisite Verification is due to me by Friday Jan 28th at 3pm. • If you want a copy of these notes, email me and I will reply with them attached. Section 1 • Controlled experiments vs. observational studies – In a control experiment, the investigators choose who is in the control group and who is in the treatment group – In an observational study the subject assign him or herself to the treatment or the control group, and the investigators solely observe what is going on. – Controlled experiment and observational study still have both a treatment group and a control group. Examples of need for observational vs. controlled • A study of the effects of smoking • A study of the effects of sexual promiscuity • A study of the effects of being an alcoholic – These are all things that someone is not going to take part in for 10 years without it being a regular habit, thus the need for observation study Causation versus Association • In an observational study of smokers and nonsmoker, there is more common occurrence of heart attacks, lung cancer, and many other diseases among smokers. – Thus there is a strong association between smokers and these diseases. “Association is circumstantial evidence for causation. However, the proof is incomplete.” • There could be confounding factors that are not being considered – (In the case of smoking, the idea of other confounding factors were found implausible and that if you quitting smoking, you will live longer.) Ways to “control” confounding • Investigate how a control is selected – Was the control group truly similar to the treatment group aside from the exposure of interest? • Techniques when confounding factors are identified – Make comparisons in smaller more homogeneous groups Examples in the study of smokers • Confounding factor: gender – Men are more susceptible to heart disease than women – Thus, they compared male smokers to male nonsmokers • Confounding factor: age – Thus, they compared male smokers age 55-59 to male nonsmokers age 55-59 Section 2 • The Coronary Drug project – Randomized, controlled double-blind – One drug tested: Clofibrate • Death rate: 20% treatment group and 21% control group, thus Clofibrate does not save lives • Suggested confounding factor: adherence • See Table 1 on page 14 Conclusion • Clofibrate does not have an effect • Adherers are different from non-adherers – Remember: comparing adherers to nonadherers is an observation study because the patients made the decision to adhere or not. Section 3 (More Examples) • Pellagra – Sporadically hit villages – Sanitary conditions is diseased households was poor and had many flies – One such blood-sucking fly (Simulium) had the same geographic range as Pellagra – Did pellagra spread through insects? Conclusion • “Pellagra was caused by bad diet, and is not infectious” – Poorer villages had more restrictive diets – “The flies were a marker of poverty, not a cause of Pellagra” – Association does not imply causation • Read through next three examples on your own… Section 4 • Sex Bias at the University of California, Berkeley Graduate Admissions – 44% of male applicants admitted – 35% of female applicants admitted – Is there discrimination taking place? • What needs to be done? • Look at more homogeneous groups…. College Admission Bias Men Women Major Number of applicants Number admitted Number of applicants Number admitted A 825 512 108 89 B 560 353 25 17 C 325 120 593 202 D 417 138 375 131 E 191 53 393 94 F 373 22 341 24 Notice • Over 50% of the men applied to the first two majors that were easier to get into • Over 90% women applied to the later four that were much harder to get into • Choice of major was a confounding factor • Weighted averages show no discrimination • Simpson’s Paradox – Relationship between percentages in subgroups can be reverse when the subgroups are combined • Read Section 5 on your own time… Class Discussion • Ch 2 review exercises and any other pertinent questions.