Introductory Biostatistics

(Chris Devlin) #1

The primary regression coe‰cientb 1 (andb 0 , which is often not needed) can
be estimated iteratively using a computer-packaged program such as SAS.
From the results, we can obtained a point estimate


ORORd¼ebb^^1

and its 95% confidence interval


exp½bb^ 1 G 1 :96 SEðbb^ 1 ފ

9.1.3 E¤ect of Measurement Scale


It should be noted that the odds ratio, used as a measure of association between
the binary dependent variable and a covariate, depends on the coding scheme
for a binary covariate and for a continuous covariateX, the scale with which to
measureX. For example, if we use the following coding for a factor,


Xi¼

 1 if the subject is not exposed
1 if the subject is exposed




then


lnðodds;nonexposedÞ¼b 0 b 1
lnðodds;exposedÞ¼b 0 þb 1

so that


OR¼exp½lnðodds;exposedÞlnðodds;nonexposedފ

¼e^2 b^1

and its 95% confidence interval,


exp½ 2 ðbb^ 1 G 1 :96 SEðbb^ 1 Þފ

Of course, the estimate ofb 1 under the new coding scheme is only half of that
under the former scheme; therefore, the (numerical) estimate of the OR remains
unchanged. The following example, however, will show the clear e¤ect of a
measurement scale in the case of a continuous independent variable.


Example 9.2 Refer to the data for patients diagnosed as having cancer of the
prostate in Example 9.1 (Table 9.1) and suppose that we want to investigate the
relationship between nodal involvement found at surgery and the level of acid
phosphatase in blood serum in two di¤erent ways using either (a)X¼acid or
(b)X¼log 10 ðacidÞ.


320 LOGISTIC REGRESSION

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