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Review Question - QID 217167

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QID 217167 (Type "217167" in App Search)
A team of researchers is studying the association between cigarette smoking and surgical site infection incidence after total joint arthroplasty. They conduct a prospective cohort study in which 365 patients undergoing total joint arthroplasty are administered a preoperative questionnaire that contains questions regarding cigarette use. They then separate patients into 3 cohorts based on cigarette use: non-smokers, <1 pack per day, >=1 pack per day. They collect demographic data on all patients. The researchers wish to ascertain whether differences exist in the sex distributions between their 3 cohorts. Which statistical test is most appropriate to answer this question?

Analysis of variance (ANOVA)

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Chi square test

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Linear regression

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Pearson coefficient

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T-test

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The researchers are attempting to determine whether an association exists between 2 categorical variables: sex and cohort assignment. The most appropriate statistical test for evaluating the association between 2 categorical variables is the chi square test.

The chi square test is used to determine whether there is an association between categorical variables; the null hypothesis states that there is no association between categorical variable 1 (e.g., sex) and categorical variable 2 (e.g., cohort membership). It can be used to test whether differences in distribution of a categorical variable (e.g., race, sex) exist across 2 or more independent cohorts. The chi square test is often performed on count or frequency data. This data is often visualized using a contingency table, in which the x- and y-axes correspond to the categorical variables and each row/column denotes the level of the variable.

Incorrect Answers:
Answer 1: Analysis of variance (ANOVA) is used to compare the means of 3 or more independent groups. ANOVA is used when the response variable is continuous. For example, ANOVA would be used to evaluate whether age differs between the 3 cohorts.

Answer 3: Linear regression is used to measure the association between 1 or more independent variables and a single, continuous response variable. For example, linear regression would be used to evaluate whether age is associated with body mass index.

Answer 4: Pearson coefficient is used to measure the association between 2 continuous, linearly-related variables. Cohort membership and sex are neither continuous nor linearly-related variables. For example, the Pearson coefficient would be used to evaluate whether an association exists between height and weight.

Answer 5: T-test is used to compare the means of 2 independent groups. It is used when the response variable is continuous. For example, a t-test would be used to evaluate whether age differs between the cohorts if this study had only 2, as opposed to 3, cohorts.

Bullet Summary:
The chi square test is used to measure whether differences in distribution of a categorical variable exist across 2 or more independent cohorts.

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