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The exercise below is designed to guide you through the calculations for'determining whether or not a variable is a confounding variable. These calculations can get detailed, and it is strongly suggested that you show all your work, including writing the formulas you are using. (Please note that the data, although plausible, are hypothetical.) To determine whether baldness causes coronary heart disease (CHD) in men, a hypothetical cohort study was carried out. The epidemiologist in charge of the study recruited 10,000 bald men and 10,000 men with hair into the study and followed all of them for 10 years to determine whether they developed CHD. Results are shown below.

Ask by Huang Chang. in the United States
Mar 17,2025

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To determine if baldness is a confounding variable for CHD, we need to: 1. **Define Variables**: - \( B \): Baldness (1 = bald, 0 = not bald) - \( C \): Coronary Heart Disease (1 = CHD, 0 = no CHD) 2. **Collect Data**: - Number of bald men with CHD (\( n_{B1} \)) - Number of bald men without CHD (\( n_{B0} \)) - Number of men with hair with CHD (\( n_{H1} \)) - Number of men with hair without CHD (\( n_{H0} \)) 3. **Calculate Proportions**: - Proportion of bald men with CHD: \( \frac{n_{B1}}{n_{B1} + n_{B0}} \) - Proportion of men with hair with CHD: \( \frac{n_{H1}}{n_{H1} + n_{H0}} \) 4. **Determine Odds Ratios**: - Odds of CHD in bald men: \( \frac{n_{B1}}{n_{B0}} \) - Odds of CHD in men with hair: \( \frac{n_{H1}}{n_{H0}} \) - Odds Ratio (OR): \( \frac{n_{B1}/n_{B0}}{n_{H1}/n_{H0}} \) 5. **Assess Confounding**: - Check if controlling for other factors (like age or smoking) changes the OR significantly. 6. **Statistical Testing**: - Use tests like the Chi-square test to see if the differences are statistically significant. Provide the specific data to perform these calculations.

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To assess whether baldness is a confounding variable for coronary heart disease (CHD), it’s essential to examine the characteristics of the groups and any potential lurking variables. In this scenario, consider factors like age, smoking habits, and family history of CHD, which could influence both baldness and the likelihood of developing the disease. Identifying and controlling for these variables in your analysis ensures you draw more accurate conclusions regarding the relationship between baldness and CHD. In practical terms, when conducting a study like this, it’s crucial to use statistical methods such as stratification or multivariable regression to account for confounders. Make sure you record your findings meticulously, including odds ratios and confidence intervals. Remember, the goal is not only to establish a correlation but also to demonstrate causation – that requires a thoughtful approach to dissection and analysis of your data!

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