Comments about Ch. 3 of Applied Logistic Regression, 2nd Ed.
- (p. 50) I think the relative risk is a more natural value/function
of interest than is the odds ratio. In a lot of cases the odds ratio is
described as if it was the relative risk, since it often approximates the
relative risk. But if one group has 75% fatalities, and another group
has 25% fatalities, then the odds ratio is (0.75/0.25)/(0.25/0.75) = 9,
while the ralative risk is 3. In this case the odds ratio is not a good
approximation of the relative risk (and it's a bit hard to grasp what
the odds ratio represents). An odds ratio of 9 can also correspond to a
relative risk of about 9, or a relative risk of 1.8, 27/11, or some other
value.
- (pp. 51-52) The difference between the odds ratio estimates of 8.1
and 8.11 is just due to the number of digits presented, not because the
estimators produce different values from the same data.
- (p. 52, lines 17-18) I think the odds ratio is a chief focus in logistic
regression due to the form of the logistic regression model, which makes
the odds ratio a convenient thing to estimate, more than "due to its
ease of interpretation."
- (p. 52) Of course the sampling distribution of the odds ratio
estimator is only approximately normal for large sample sizes.
(H&L have a habit of stating that distributions are normal or chi-square
when in fact these are the asymptotic sampling distributions, and
not the actual sampling distributions for any sample sizes.)
- (p. 58) Can you get the maximum likelihood estimates presented in
Table 3.7 from the data presented in Table 3.5 on p. 56 without using
software or an iterative method?
- (p. 59, line 7) I guess CIE stands for confidence interval
estimate, although adding estimate to confidence interval seems
unnecessary.
- (p. 65, 3rd full paragraph) Even if the age distribution is the
same for the two groups, unless one was content to simply report a point
estimate and not report test results and give confidence intervals, age
should still be used in order to reduce standard error. (For example,
using age to create matched pairs should reduce the width of a 95%
confidence interval for the difference of the means.)
- (p. 68, middle portion of page) Keep in mind that here the
wi are not weights, but rather the logits for the two
groups. The difference in the logits is the log of the odds ratio, and
so exponentiating this difference gives the odds ratio.
- (p. 69, first paragraph) Hopefully Ch. 4 will make this clearer!
- (p. 69, lines 21-22) The phrase "The adjustment is statistical"
seems screwy to me.
- (p. 70) Note that a confounder is any covariate which needs
to be included in the model in order to adjust for its effect, since it
influences the binary response --- so in order to properly measure or
assess the effect of a certain risk factor, confounding variables need
to be adjusted for. A confounder doesn't have to interact with the risk
factor --- they can both effect the outcome in an additive sense, and in
this case, once an adjustment is made to account for the cofounder, the
odds ratio associated with a risk factor is constant (assuming no other
covariate is an effect modifier).
If a covariate interacts with a certain risk
factor, it is called an effect modifier. If an effect modifier
is present, the odds ratio associated with a risk factor is not
constant, but is instead a function of the effect modifier.
It seems to me that the
set of effect modifiers is a subset of the set of confounders. Am I
right?
I don't think I am! Based on bottom of p. 73,
perhaps if the distribution of an explanatory variable is the same for
both groups corresponding to a binary risk factor (and so is not
associated with the risk factor), then the variable isn't considered to
be a confounder (although it could still be that one should use the
variable in the model since it may be useful in predicting the response
variable). (By omitting a confounder from the model, you bias the
assessment of a risk factor. By omitting a variable not associated with
the risk factor, you don't bias its assessment, but at the same time you
may not may the best model because the omitted variable could be useful
for predicting the response.)
- (p. 72 (line 26) & p. 73 (line 10)) The percent decrease values
given are not correct --- it should be 32% on p. 72 and 47% on p. 73.
Doing it H&L's way, a change from 1.00 to 0.10 would be a 900% decrease
(whereas I would call it a 90% decrease),
and a change from 1.00 to 0.00 wouldn't even be well defined (whereas I
would call it a 100% decrease).
- (p. 77) Note that H&L want to include the interaction with AGE in
the model even though Model 2 isn't significantly better than Model 1,
and Model 3 isn't significantly better than Model 2. (Comparing Model 3
to Model 1 with a likelihood ratio test results in a p-value of 0.078.)
- (p. 78, Fig. 3.3) Note that the plot shows the estimated logits,
which are guaranteed to be linear. We don't have that the data itself
exhibits such a strong pattern. So it's not the linearity of the
plotted patterns that's notabale --- rather it's the fact that the
slopes differ so much.
- (p. 79) Note that the confidence intervals contain 1 for ages 15
and 20, but not for 25 and 30. Even though the p-values from p. 77
don't strongly indicate that AGE should be in the model, when AGE and
its interaction with the risk factor are included, the odds ratio
associated with the risk factor seems to vary appreciably with AGE.
Going back to the p-values on p. 77, what guidelines should be followed
with regard to including terms in the model?
- (p. 80) To refer to the Mantel-Haenszel estimator as "a weighted
average of the stratum specific odds ratios" doesn't seem right, since
weights are used in both the numerator and the denominator --- it's not
a linear combination of the stratum specific odds ratios. Note that the
form of the weighting may appear odd if you give it insufficient
thought, since the weights are the inverse strata sizes --- it may
appear that the larger strata contribute less to the overall estimate,
but this isn't really the case since the
ai,
bi,
ci,
and di values will be collectively larger with the larger
strata sizes. If we use sample proportions instead of cell counts in
the numerator and denominator, the weights would be Ni
instead of 1/Ni.
- (p. 81) The log of the logit-based summary estimator given by
(3.21) is a weighted average of the stratum specific log-odds ratios,
but the actual estimator given by (3.21) is not a weighted average ---
it has more of a (weighted) geometric mean flavor.
- (p. 81) Do you know why it's good to use the inverse variances as
the weights in (3.21), as opposed to say the inverse standard errors?
(It can be shown (using the method of Lagrange multipliers is one way to
attack it) that using the inverse variances as weights minimizes the
variance of the sum inside of the brackets.)
- (p. 81, line 7) The word estimator isn't proper here --- it should
be estimate. Similarly, on line 16 of p. 85, it should be
estimate. I believe in other places, H&L use estimate where estimator
would be better. For example, they refer to the standard error of an
estimate. An estimator, being a random variable, can have a standard
error, but an estimate, being just a nonvariable number, cannot. When
people refer to the standard error of an estimate, it would typically be
better to use the phrase estimated standard error associated with the
estimate.
- (p. 82) Note that it's only proper to employ the estimators being
considered if the odds ratio is assumed to be constant. In such a case,
you might wonder what's wrong with simply pooling and estimating the
common odds ratio from a single 2 by 2 table. But it's possible to have
the odds ratio from each 2 by 2 table be the exact same value, and when
these tables are pooled, the estimated odds ratio can be a different
value.
- (p. 82) The use of the word "Thus" in the last sentence on the page
doesn't seem proper, since it doesn't follow from the
immediately preceding sentence
that one should reject for large values of the test statistic.
- (p. 83) The sentence after (3.23) should have and
is inserted before "given by the following formula" since the
quantity, and not the quadratic equation, is given by (3.24).
- (p. 83) StatXact has the Mantel-Haenszel procedures for
estimating the common odds ratio (both point and interval estimates)
and testing the null hypothesis that it
equals 1 against the general alternative (it does exact versions of
these things), and it has the
Breslow-Day test of the null hypothesis of a common odds ratio against
the general alternative.
The Breslow-Day statistic used doesn't seem to include the correction
term that improves the approximation, but that's of little concern
because StatXact also does an exact test (Zelen's test).
If one wants to focus on the relative risk instead of the odds ratio,
StatXact has some pertinent procedures.
- (p. 85, line 2) Here the term saturated model is being used
in the way that Dr. Bolstein was using it during our June 6 meeting.
With the three tables of p. 81, we just have 6 sample proportions, and
so 6 parameters can achive a perfect fit of the data in the tables.
If SMOKE and RACE are the only covariates available, no model can fit
better than this 6 parameter model including the interaction terms ---
the model is saturated in that the best possible fit is achieved and
there are no other terms to add to improve the fit. However, the
likelihood associated with this model is not 1, and this is in
contradiction of H&L's use of the term saturated model on p. 13.
(On p. 13, the saturated model has to include variables not available in
the data set, since in order to have a likelihood if 1 all of the
logistic probabilities have to be 1. If observations having the same
covariate values have different outcomes, as is the case in the data of
p. 81, then in order to have each observation have a logistic
probability of 1, other unobserved variables have to be
considered.) Perhaps it would have been better to use the term ideal
model on p. 13 to refer to the model corresponding to a likelihood
of 1.
- (p. 85, line 5) It should be Table 3.18 (not 3.17).
- (p. 85, lines 9-10) The specific version of a Mantel-Haenszel test
referred to here has not yet been described in the book.
- (pp. 85-86) The confidence bands considered are pointwise correct as
opposed to being such that the entire logit function is contained with a
probability of at least 0.95. Question: Is the term
confidence band used for both pointwise coverage and overall coverage
situations? If so, what words can be added to make it clearer which
type of band is being referred to?
- (p. 86, last two lines) H&L point out that the band is "narrowest
near the mean weight of LWT, approximately 130 pounds." Using (2.7) on
p. 41, and Table 2.4 on p. 42, calculus can be used to show the
estimated standard error is smallest for a value of LWT of about 127.
(Note, that the form of the logit under consideration is rather simple,
including just the intercept and only one product of a coefficient and
variable. This makes the minimization of (2.7) rather simple.)
Is there a reason why the band will be narrowest near the mean of the
variable in a case like this, or does it just turn out that way?