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In medical investigations, the ratio \(\theta = {p_1}/{p_2}\)is often of more interest than the difference \({p_1} - {p_2}\)(e.g., individuals given treatment 1 are how many times as likely to recover as those given treatment\(2?)\). Let\(\hat \theta = {\hat p_1}/{\hat p_2}\). When \(m\)and n are both large, the statistic \(ln(\theta )\)has approximately a normal distribution with approximate mean value \(ln(\theta )\)and approximate standard deviation \({[(m - x)/(mx) + (n - y)/(ny)]^{1/2}}.\)

  1. Use these facts to obtain a large-sample 95 % CI formula for estimating\(ln(\theta )\), and then a CI for \(\theta \)itself.
  2. Return to the heart-attack data of Example 1.3, and calculate an interval of plausible values for \(\theta \)at the 95 % confidence level. What does this interval suggest about the efficacy of the aspirin treatment?

Short Answer

Expert verified

\(\begin{array}{l}{\rm{ a}}{\rm{. }}\ln \hat \theta \pm {z_{\alpha /2}} \times \sqrt {\frac{{m - x}}{{mx}} + \frac{{n - y}}{{ny}}} ;\exp \;\;\;\ln \hat \theta \pm {z_{\alpha /2}} \times \sqrt {\frac{{m - x}}{{mx}} + \frac{{n - y}}{{ny}}} ;{\rm{ }}\\{\rm{ a}}{\rm{. }}(1.43,2.32)\end{array}\)

b) \(\hat \theta = \frac{{0.0171}}{{0.0094}} = 1.818\)

Aspirin appears to be beneficial.

Step by step solution

01

Step 1:To obtain a 95% large sample confidence intervalfor estimating the \(ln(\theta )\)and\(\theta \)

(a):

In order to obtain a 95% large sample confidence interval you need to use facts that the standard deviations of a normally distributed random variable \(\ln \hat \theta \)

\(\begin{array}{l}is{\rm{ }}\sigma = \sqrt {\frac{{m - x}}{{mx}} + \frac{{n - y}}{{ny}}} {\rm{ and the mean value is }}\mu = \ln \theta \cdot {\rm{ }}\\{\rm{When }}\end{array}\)

Alpha=0.05, at 95 %

\(\begin{array}{l}{\rm{ confidence interval can be obtained from }}P\left( {{z_1} < \ln \hat \theta < {z_2}} \right) = 1 - \alpha {\rm{ }}\\{\rm{ and the mentioned facts above as }}\end{array}\)

\(\begin{array}{c}P\left( {{z_1} < \ln \hat \theta < {z_2}} \right) = P\;\;\left( {\;\frac{{{z_1} - \mu }}{\sigma } < \frac{{\ln \hat \theta - \mu }}{\sigma } < \frac{{{z_2} - \mu }}{\sigma }} \right)\\ = P\;\;\left( {\;\frac{{{z_1} - \mu }}{\sigma } < Z < \frac{{{z_2} - \mu }}{\sigma }} \right) = 0.95\end{array}\)

Where,

Z is standard normal distribution and the upper and lower bounds are

\[\begin{array}{l}\frac{{{z_2} - \mu }}{\sigma } = {z_{\alpha /2}}\\\frac{{{z_1} - \mu }}{\sigma } = - {z_{\alpha /2}}\end{array}\]

Thus, upper bound for a 95 % large sample confidence interval for \(\ln \theta \)is

\(\begin{array}{l}\frac{{{z_2} - \mu }}{\sigma } = {z_{\alpha /2}}\\{z_2} - \mu = {z_{\alpha /2}} \times \sigma \\{z_2} = \mu + {z_{\alpha /2}} \times \sigma \\{z_2} = \ln \hat \theta + {z_{\alpha /2}} \times \sqrt {\frac{{m - x}}{{mx}} + \frac{{n - y}}{{ny}}} \end{array}\)

and the lower bound is

\(\begin{array}{l}\frac{{{z_1} - \mu }}{\sigma } = - {z_{\alpha /2}}\\{z_1} - \mu = - {z_{\alpha /2}} \times \sigma \\{z_1} = \mu - {z_{\alpha /2}} \times \sigma \\{z_1} = \ln \hat \theta - {z_{\alpha /2}} \times \sqrt {\frac{{m - x}}{{mx}} + \frac{{n - y}}{{ny}}} \end{array}\)

Finally, the formula for a 95 % large sample confidence interval is

\(\ln \hat \theta \pm {z_{\alpha /2}} \times \sqrt {\frac{{m - x}}{{mx}} + \frac{{n - y}}{{ny}}} \)

The value needed to obtain confidence interval is the natural log

\(\begin{array}{c}\ln \hat \theta = \ln 1.818\\ \approx 0.598\end{array}\)

Remember that\({z_{\alpha /2}} = {z_{0.025}} = 1.96\)from the table in the appendix of the book. Now, the 95% confidence interval for\(\ln \theta \)is

\(\begin{array}{c}\ln \hat \theta \pm {z_{\alpha /2}} \times \sqrt {\frac{{m - x}}{{mx}} + \frac{{n - y}}{{ny}}} \\ = 0.598 \pm 1.96 \times \sqrt {\frac{{11,034 - 189}}{{11,034 \cdot 189}} + \frac{{11,037 - 104}}{{11,037 \cdot 104}}} \\ = 0.598 \pm 1.96 \times 0.1213\\ = (0.36,0.84).\end{array}\)

Taking the anti-logs of the computed\({\rm{Cl}}\), the 95 % confidence interval for \(\theta \)is\((1.43,2.32)\)

There is 95% confident that individuals who do not take aspirin treatment is about \(1.43\) to \(2.32\) times more likely to have a heart attack than from those from control group. This means that the aspirin therapy is good to reduce number of people who have heart attack.

02

To obtain the interval suggest about the efficacy of the aspirin treatment

b).

From the example \(1.4\) (in example 1.3 there are no aspirin treatments thus assume that there is a typing mistake), the given are

\(m = 11,034,n = 11,037,x = 189,y = 104\)

Wherem stands for control group, n stands for aspirin group,x is number of people who had heart attack from control group, and y is number of people who had heart attack from aspirin group. From

\(\hat \theta = \frac{{{{\hat p}_1}}}{{{{\hat p}_2}}}\)

Where

\({\hat p_1} = \frac{{189}}{{11,034}} = 0.017129\)

And

\({\hat p_2} = \frac{{104}}{{11,037}} = 0.009423\)

Thus the estimate is\(\hat \theta = \frac{{0.0171}}{{0.0094}} = 1.818\)

03

Final conclusion

\(\begin{array}{l}{\rm{ a}}{\rm{. }}\ln \hat \theta \pm {z_{\alpha /2}} \cdot \sqrt {\frac{{m - x}}{{mx}} + \frac{{n - y}}{{ny}}} ;\exp \;\;\;\ln \hat \theta \pm {z_{\alpha /2}} \cdot \sqrt {\frac{{m - x}}{{mx}} + \frac{{n - y}}{{ny}}} ;{\rm{ }}\\{\rm{ a}}{\rm{. }}(1.43,2.32)\end{array}\)

b) \(\hat \theta = \frac{{0.0171}}{{0.0094}} = 1.818\)

Aspirin appears to be beneficial.

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