Exam 5: A Dichotomous Outcome: Confounding and Regression

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When the Breslow-Day test results in a significant p-value

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Which of the following represents an odds ratio in a logistic regression?

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Given that an interaction effect is found significant in the logistic regression model, the main effects associated with the interaction should NOT be interpreted independently. Why? What should be reported/interpreted when an interaction is present?

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The effect of the explanatory variable on the outcome depends on both the main effect and the interaction effect. Thus, the odds ratio estimates should be calculated and interpreted for each level of the effect modifier.

The plot below presents the odds ratio estimates and 95% confidence intervals from three different studies. Interpret. The plot below presents the odds ratio estimates and 95% confidence intervals from three different studies. Interpret.

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What is the rationale behind using logit (log(odds)) and not odds or probability of the event as the outcome variable in logistic regression?

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Briefly explain what a positive and negative parameter estimate (b) implies in a logistic regression in terms of the probability of the outcome.

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Which of the following characterizes a good screening test?

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If the global null hypothesis "All of the true slopes are 0" is rejected, what can be concluded?

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Which of the following is a logistic regression model? (p=probability of an event)

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Which of the following is an appropriate way to handle a confounder?

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Three diagnostic tests (Pearson, Deviance, Hosmer-Lemeshow) can be used to evaluate the model fit of logistic regression. Provide the null hypothesis for a test of model fit. What would you conclude if the hypothesis is not rejected?

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The Mantel-Haenszel's odds ratio is often used to account for confounding. When a confounding variable is found to be an effect modifier, why is it not appropriate to report Mantel-Haenszel odds ratios?

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How does the magnitude of the parameter estimate (b) in a logistic regression influence the interpretation of the risk factor?

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ROC curves are often used to evaluate model fit for a logistic regression. Why is this appropriate?

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In a body mass index (BMI) test, a cutoff point is established such that an individual is classified as obese when test score is above the cutoff point. As the cutoff score increases, how will the sensitivity and specificity of the test change?

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Which (A, B, or C) represents the best screening test? Why? What does curve C tell about the screening test? Which (A, B, or C) represents the best screening test? Why? What does curve C tell about the screening test?

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Which of the following yields the correct estimated odds ratio for a 5-unit increase in an explanatory variable?

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List situations when Mantel-Haenszel's method for calculating an adjusted odds ratio is no longer appropriate. What type of analysis is an alternative in these situations?

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Define sensitivity and specificity.

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Suppose that the estimated odds ratio of asthma is reported to be 0.45 (95% CI: 0.1, 0.8) for children living near farms (measured in kilometers, km), adjusting for age, race, and sex. Interpret.

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