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    Tests of significance

    Parametric tests

    Eg. T test, Z test, Chi-square test,

    Pearson correlation coifficient

    Non parametric tests

    Eg. Chi-square test, Kruskal-Wallis test, Spearman

    correlation coifficient

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    Tests of significance- Steps involved

    Define the problem

    state the hypothesis

    Null hypothesis

    Alternate hypothesis

    Fix the level of significance

    Select appropriate test to find test statisticFind degree of freedom (df)

    Compare the observed test statistic with theoretical one at

    desired level of significance & corresponding DF

    If the observed test statistic value is greater than the theoreticalvalue, reject the null hypothesis.

    Draw the inference based on the level of significance

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    First variable Second

    variable

    Example Tests of significance

    Quantitative Quantitative Water F levels andmean DMFT Pearson correlationcoefficient (r) ;

    linear regression

    Quantitative Ordinal Water F levels and

    esthetic concerns

    Spearman correlation

    coifficient (rho); possibly

    use ANOVA or F test

    Quantitative Dichotomous

    unpaired

    Tooth

    displacement in

    mm in males and

    females

    Students t- test

    Or

    Z- test

    Quantitative Dichotomous

    paired

    Difference in systolic

    blood pressure before

    and after injecting LA

    Paired t- test

    Or

    Z- test

    Quantitative nominal Mean DMFT in

    four areas

    ANOVA (F- test)

    Tab.1. Appropriate tests of significance to be used in bivariate analysis

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    Tab.3. Appropriate tests of significance to be used in bivariate analysis

    First variable Second variable Example Tests of significance

    Dichotomous Dichotomous

    unpaired

    Success/ Failure in

    treated/untreated groups

    Chi- square test; Fisher exact

    probability test

    Dichotomous Dichotomous

    paired

    Change in success/ failure

    before and after treatment

    Mc Nemar chi- square test

    Dichotomous nominal Retention of different pit and

    fissure sealants two years after

    application

    Chi- square test

    nominal nominal Sterilising equipment used by

    doctors of different

    specialities

    Chi- square test

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    Tab.4. Appropriate tests of significance to be used in multivariate analysis

    dependent variable independent

    variables

    Example Tests of significance

    Quantitative All are categorical Prevalence of dental caries

    - frequency of sugar intake,

    water fluoride level, socio

    economic status

    ANOVA

    Quantitative All are quantitative Blood pressure- body mass

    index, age, amount of fat

    intake, salt intake

    Multiple linear

    regression

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    Objective of using tests of significance

    To comparesample mean with population

    Means of two samples

    Sample proportion with population

    Proportion of two samplesAssociation b/w two attributes

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    t - test

    Students t-test

    Designed by W.S GossettUnpaired t- test (two independent samples)

    Paired t- test ( single sample correlated observation)

    Essential conditions:

    randomly selected samples from the corresponding

    populations

    Homogeneity of variances in the 2 samples

    Quantitative data

    Variable normally distributed

    samples < 30

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    Unpaired t- test

    Unpaired data of independent observation made on the

    individual of two different or separate groups or samplesdrawn from 2 populations

    Null hypothesis is stated

    difference between means of two samples

    (X1-X2) measures variation in variable

    calculate the t value

    t = (X1-X2)

    SE

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    SE =

    Determine degrees of freedom

    df= (n1-1 )+(n2- 1) = n1+ n2-2

    Compare calculated value with table value at particular

    degrees of freedom to find the level of significance

    1n1+ 1n2 If t- not known

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    t value at 5% level2.0692.74obtained value in expSignificant

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    Paired t- test

    To study the role of factor or cause when the observations aremade before & after the its play:

    Eg: exertion on pulse rate, effect of a drug on blood pressure etc

    To compare the effect of 2drugs , given to the same individualin the sample on two different occasions

    eg: adrenaline & noradrenaline on pulse rate

    to study the comparative accuracy of 2 difft instruments

    eg: 2 difft types of sphygmomanometers

    to compare the results of 2 difft lab techniques

    To compare the observations made at two different sites in thesame body

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    Testing procedure:

    Null hypothesis

    X1-X2= x

    Calculate mean of the difference x = x /ncalculate SD of differences & SE of mean

    SE= SD/ n

    Determine t value

    t = x -o

    SD / n= x

    SD/ n

    Find the degrees of freedom , n-1refer the table & find the probabilityP >0.05 not significantP< 0.05 significant

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    T value 5 % =

    2.31

    Observed tvalue 5.17

    HS

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    Analysis of variance

    ANOVA test

    Compare more than two samples

    Compares variation between the classes as well as withinthe classes

    For such comparisons there is high chance of error using t

    test.

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    A :b/w groups variation = random variation (always) +imposed variation (maybe)

    B :Within group variation = random variation

    Total variation = A+B

    If there is no real difference b/w groups, then

    between treatment = random variation = 1

    Within treatment random variation

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    If there is any real difference b/n the R/

    between treatment = random variation+ imposed variation

    Within treatment random variation > 1

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    Chi square test ( test )

    Non parametric testDeveloped by Karl Pearson

    Not based on normal distribution of any variable

    Used for qualitative data

    To test whether the difference in distribution of

    attributes in different groups is due to sampling

    variation or otherwise.

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    Applications

    1. Test for goodness of fit

    2. Test of association (independence)

    3. Test of homogeneity or population variance

    2test is non parametric in the first two cases and

    parametric in the third case

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    Calculation of valueThree requirements

    A random sampleQualitative data

    Lowest expected frequency > 5

    = (observed fexpected f )

    df =( r-1)x (c-1)

    Calculated value is correlated with table

    Expected fExpected f = row total x column total / grand total

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    To test whether there is any association between dental

    hygiene no of cavities

    df = 2 p value at 5 % is 5.99

    Calculated value7Null hypothesis is rejected

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    Drawbacks :

    Tells us about the association but fails to measure the strength of

    association.

    Test is unreliableifthe expected frequency in any one cell

    is less than 5.

    Correction is done by subtracting 0.5 from [ O-E ] Yatess correction

    For Tables larger that 2 x 2 , Yates correction cannot be applied

    Not applicable when there is 0 or 1 in any of the cells [ Resort toFishers exact probabilitytest ]

    values interpreted with caution when sample < 50

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    Non parametric tests

    a family of statistical tests also called as distribution free

    tests that do not require any assumption about thedistribution the data set follows and that do not require the

    testing of distribution parameters such as means or variances

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    Friedmans test nonparametric equivalent of analysis of

    varianceKruskalWallis testto compare medians of severalindependent samples equivalent of oneway analysis ofvariance

    MannWhitney U testcompare medians of two independentsamples. Equivalent of t test

    McNemars test variant of chi squared test , used when data ispaired

    Wilcoxons Sign rank test paired dataSpearmans rank correlation correlation coefficient

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    Conclusion

    Its more important to understand the indications and limitations

    of various statistical tests rather than the robust mathematical

    calculations since the latter is taken care of by the software like

    SPSS

    Understanding the classification of data is crucial for the

    selection of appropriate test of significance

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    References

    B.K. Mahajan. Methods in Biostatistics, 6thedition.

    P.S.S.Sundar Rao, J.Richard. An introduction to Biostatistics,3rdedition.

    James F Jekel, David L Katz, Joann G Elmore. Epidemiology, biostatistics

    and preventive medicine, 2ndedition.

    Research methodology-C.R.Kothari,

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