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The paper "Research Hypothesis" tells us about association between the duration of breastfeeding and the risk of asthma. A population-based cohort (correlational) study design is appropriate in investigating the question in STUDY TWO…
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Assignment number: of Convenors: Due week 7 , Friday 23rd of April, Semester Before 5:00pm.
Part 1 (STUDY TWO)
(1) Provide research hypothesis for the study based on the given study aim (Mark 2)
The null and alternate hypotheses are
H0: There is no association between the duration of breastfeeding and the risk of asthma later in life in Finland children.
H1: There is an association between the duration of breastfeeding and the risk of asthma later in life in Finland children.
(2) Which design is appropriate in investigating the question in STUDY TWO;
provide a rationale as to why you have made this choice? (Note –there may be
more than one suitable choice) (Mark 4)
A population-based cohort (correlational) study design is appropriate in investigating the question in STUDY TWO. A rationale as to why I have made this choice is that the study is observational, unit of study is individual, and time is prospective (two-time points).
(3) Using the most appropriate design provide a plan of your study design (Mark 3)
The study will be conducted on randomly selected urban-suburban municipality from city of Finland. The sample will be all children born between January 1, 2003, and December 31, 2008. The baseline study population will be children between the ages of one to seven years. Two-time points I will collect data (6 to 7 years cohort). There will be only one group.
(4) What are the names of variables, are there more than two variables in this study? How might you measure these? (Mark 4)
The first questionnaire will consist of data related to age, gender, any allergic disease, single parent/guardian, highest level of parental education, hairy/feathery pets, type of day care, etc at the first time. The second questionnaire at the end of the follow-up period will includes all the questions from first questionnaire besides data related to duration of breastfeeding (independent variable) and current asthma (dependent variable). The duration of breastfeeding will be divided into categories as 0-3 months, 4-6 months, 7-9 months, 10-12 months, and more than 12 months. The current asthma will be measured using Yes/No response. The survey method will be Researcher-administered.
(5) Who will be your study sample? What is your target population and what is
sampling frame? What are your comparison groups? Are they groups and/or
time points? (Mark 4).
The sample will be all children born between January 1, 2003, and December 31, 2008 in urban-suburban municipality from city of Finland. The target population will be all Finland children. The sampling frame will be the Central Population Registry from which the initial data for the baseline study population such as address, phone number will be collected for all children born between January 1, 2003, and December 31, 2008. There will be only one group and two time points as described earlier in (4).
(6) Can your dependant variable/s be directly attributed to the independent
variable/s? Are there potential sources of bias or error related to the design
choice? What might they be? (Mark 4)
Yes, I think that there is an association between the duration of breastfeeding and the risk of asthma later in life. Therefore, the risk of asthma later in life depends upon the duration of breastfeeding. There are potential sources of bias or error related to the design choice such as Selection bias (recruitment and response) - medium or high, Information bias - medium, losses to follow up, and confounding factors.
PART 2
STUDY ONE (Open Assignment 1.1.sav dataset)
Two research questions are:
1. What are the demographic characteristics of cancer patients?
2. Is years of smoking, number of cigarettes smoked and alcohol consumption in cancer patients different to control group?
1. Hypothesis: Write-up the scientific hypotheses that you want to test to address the research question 2. (1 Marks)
The three null and alternate hypotheses are
H0: Years of smoking is similar in cancer patients and control group.
H1: Years of smoking is different in cancer patients and control group.
H0: Number of cigarettes smoked is similar in cancer patients and control group.
H1: Number of cigarettes smoked is different in cancer patients and control group.
H0: Alcohol consumption is similar in cancer patients and control group.
H1: Alcohol consumption is different in cancer patients and control group.
2. Variables: For each research question identify-
Variables/measurement type for each variable (Mark 2)
Variable
Measurement Type (Scale)
Sex
Dichotomous (or nominal)
Age
Interval
Age at diagnosis
Interval
Living environment
Nominal
Living condition
Nominal
Contact with X-Ray at work
Dichotomous
Contact with radioactive substances at work
Dichotomous
Work in air pollution
Dichotomous
Further education
Dichotomous
Socio-economic status
Ordinal
Years of smoking (years)
Ordinal
Number of cigarettes smoked per day
Interval
Alcohol consumption
Dichotomous
3. Data management and data cleaning (1 mark)
Variable
Missing Data Values
Case
No missing values
Sex
No missing values
Age
blank
Age at diagnosis
-1, blank
Living environment
blank
Living condition
blank
Contact with X-Ray at work
blank
Contact with radioactive substances at work
blank
Work in air pollution
blank
Further education
blank
Socio-economic status
blank
Years of smoking (years)
No missing values
Number of cigarettes smoked per day
blank
Alcohol consumption
blank
Four duplicate cases (PatientID) were detected and deleted using Data Identify Duplicate Cases as below:
94027741.2
94027741.2 (Deleted)
96015990.5 (Deleted)
96015990.5
96066763.5 (Deleted)
96066763.5
97061147.1 (Deleted)
97061147.1
4. Univariate Analysis: For each variable, choose the appropriate
numerical statistical summery and or graphical summary for cancer patients
group, provide the results of statistical assumption if the variables are interval or
ratio data type (3 Marks)
The Statistical Assumption (normality) Check for Interval and Ratio Data (Question 1)
Statistics
AGE
AGE AT DIAGNOSIS
N
Valid
116
116
Missing
0
0
Mean
43.92
38.78
Median
44.50
40.00
Std. Deviation
5.819
5.731
Skewness
-.578
-1.089
Std. Error of Skewness
.225
.225
Kurtosis
-.273
.822
Std. Error of Kurtosis
.446
.446
Minimum
30
20
Maximum
54
45
Age
Mean is within 10% of the median.
Calculating mean ± 3SD = 43.92 ± 3 × 5.82 = 26.46 min, 61.38 max.
Min is 26.46, max is 61.38, which are close to 30 and 54.
The skewness and kurtosis are well within the range of -3 and +3.
The assumption of normality is accepted.
Age at diagnosis
Mean is within 10% of the median.
Calculating mean ± 3SD = 38.78 ± 3 × 5.73 = 21.59 min, 55.97 max.
Min is 21.59, max is 55.97, which are close to 20 and 45.
The skewness and kurtosis are well within the range of -3 and +3.
The assumption of normality is accepted.
Therefore, Mean and SD will be used to summarise the variables Age and Age at diagnosis.
Table 1 – Demographic variables
Variable
N
Mean (SD)
Age
116
43.92 (5.82)
Age at diagnosis
116
38.78 (5.73)
Table 2 – Demographic variables
Variable
N (%)
Sex
Male
65 (56.0)
Female
51 (44.0)
Living environment
City
51 (44.7)
Suburbs
46 (40.4)
Rural
17 (14.9)
Living condition
Alone
20 (17.4)
With partner
84 (73.0)
With parents
3 (2.6)
Other
8 (7.0)
Contact with X-Ray at work
No
108 (93.9)
Yes
6 (5.2)
Don’t know
1 (0.9)
Contact with radioactive substances at work
No
107 (93.0)
Yes
1 (0.9)
Don’t know
7 (6.1)
Work in air pollution
No
81 (70.4)
Yes
15 (13.0)
Don’t know
19 (16.5)
Further education
No
59 (50.9)
Yes
57 (49.1)
Socio-economic status
I&II
47 (40.5)
III
45 (38.8)
IV&V
13 (11.2)
Non-class
11 (9.5)
Table 1 and 2 show the demographic characteristics of cancer patients. The average age of cancer patients was about 43.92 years (SD = 5.82). The average age at diagnosis of cancer patients was about 38.78 years (SD = 5.73). Majority of the cancer patients were male (56%). About 44.7% of cancer patients are from city, 40.4% from suburbs, and 14.9% from rural environment. Majority (73.0%) of cancer patients are living with partner. Most (93.9%) of cancer patients have no contact with X-Ray at work. Most (93.0%) of cancer patients have no contact with radioactive substances at work. Majority (70.4%) of cancer patients are not working in air pollution. There is an even response for further education. The Socio-economic status of cancer patients are I&II (40.5%), III (38.8%), IV&V (11.2%), and non-class (9.5%).
5. Bivariate Analysis:
Present table (numerical) would you use to summarise the difference between case and control group in years of smoking, number of cigarettes smoked and alcohol consumption once the data are analysed (3 Marks)
Mean is not within 10% of the median for control and case groups. Therefore, Median and Range (Min, Max) will be used to summarise the variable number of cigarettes smoked per day for control and case group.
Table 3 – Summary statistics of number of cigarettes smoked per day
N
Median
Range (Min, Max)
Control (normal)
200
5
50 (0, 50)
Case (Cancer patients)
116
10
60 (0, 60)
Table 3 shows the summary statistics of number of cigarettes smoked per day. The average (median) number of cigarettes smoked per day for cancer patients is higher (double) as compared to control group (10 vs. 5). The spread (range) of number of cigarettes smoked per day for cancer patients is wider as compared to control group (60 vs. 50).
Table 4 – Summary statistics of years of smoking and alcohol consumption
Case or Control
Variable
Control (normal)
Case (Cancer patients)
N (%)
N (%)
Smoking in years
Less than 1
68 (33.5)
33 (28.4)
1 - 10
37 (18.2)
15 (12.9)
11 - 20
44 (21.7)
17 (14.7)
21+
54 (26.6)
51 (44.0)
Alcohol consumption
No
21 (10.4)
16 (13.8)
Yes
181 (89.6)
100 (86.2)
Table 4 shows the summary statistics of years of smoking and alcohol consumption for case and control group. More numbers of cancer patients are smoking for 21 and more years as compared to control group (44.0% vs. 26.6%).
SPSS OUTPUT: Part 2- Study One (Assignment 1.1)
Statistics
CASE OR CONTROL
smoking in years
No of Cigarettes Smoked PER DAY
CONTROL_normal
N
Valid
203
200
Missing
0
3
Mean
1.41
9.08
Median
1.00
5.00
Std. Deviation
1.205
10.951
Skewness
.085
1.189
Std. Error of Skewness
.171
.172
Kurtosis
-1.545
.963
Std. Error of Kurtosis
.340
.342
Range
3
50
Minimum
0
0
Maximum
3
50
CASE_Cancer patients
N
Valid
116
116
Missing
0
0
Mean
1.74
12.08
Median
2.00
10.00
Std. Deviation
1.286
13.621
Skewness
-.326
1.402
Std. Error of Skewness
.225
.225
Kurtosis
-1.620
2.230
Std. Error of Kurtosis
.446
.446
Range
3
60
Minimum
0
0
Maximum
3
60
smoking in years
CASE OR CONTROL
Frequency
Percent
Valid Percent
Cumulative Percent
CONTROL_normal
Valid
less than 1
68
33.5
33.5
33.5
1-10
37
18.2
18.2
51.7
11-20
44
21.7
21.7
73.4
21+
54
26.6
26.6
100.0
Total
203
100.0
100.0
CASE_Cancer patients
Valid
less than 1
33
28.4
28.4
28.4
1-10
15
12.9
12.9
41.4
11-20
17
14.7
14.7
56.0
21+
51
44.0
44.0
100.0
Total
116
100.0
100.0
CONSUME ALCOHOL
CASE OR CONTROL
Frequency
Percent
Valid Percent
Cumulative Percent
CONTROL_normal
Valid
NO
21
10.3
10.4
10.4
YES
181
89.2
89.6
100.0
Total
202
99.5
100.0
Missing
System
1
.5
Total
203
100.0
CASE_Cancer patients
Valid
NO
16
13.8
13.8
13.8
YES
100
86.2
86.2
100.0
Total
116
100.0
100.0
Missing
System
Total
STUDY TWO (Open Assignment 1.2.sav dataset)
Two research questions:
1. Are there differences between three birthweight groups in maternal lead level?
2. Is child’s birth weight associated with maternal age of the mother (at first child birth)?
1. What are the variables involved in answering the research question/s (2 marks)
Research Question 1
Two variables involved are birth-weight groups (Independent variable), and maternal blood lead levels (Dependent variable).
Research Question 2
Two variables involved are maternal age of the mother at first child (Independent variable), and child’s full term birth weight (Dependent variable).
2. What is their level of measurement (type); (1 mark)
Variable
Measurement Type (Scale)
Full term birth weight (in grams)
Ratio
Birth weight by group
Ordinal
Maternal age of mother (in years)
Interval
Maternal blood lead levels (micrograms per decilitre)
Ratio
3. Write-up the scientific hypotheses that you want to test to address the research question/s; (1 mark)
Research Question 1
The null and alternate hypotheses are
H0: There are no differences between three birth-weight groups in maternal lead level.
H1: There are differences between three birth-weight groups in maternal lead level.
Research Question 2
The null and alternate hypotheses are
H0: Child’s birth weight is associated with maternal age of the mother (at first child birth).
H1: Child’s birth weight is not associated with maternal age of the mother (at first child birth).
4. What table (numerical) or graphs would you use to summarise the data? Provide tables or graphs with appropriate labels; (2 marks)
For research question 1, a boxplot is an appropriate graph and for research question 2, a scatterplot is an appropriate graph.
Figure 1: Boxplot of maternal blood lead level by three birth-weight groups
Figure 2: Scatterplot of full-term birth weight against maternal age of mother
5. Provide a list of assumptions that will need to be met to apply the test(s) validly; (1 mark)
A list of assumptions that will need to be met to apply the test(s) validly for both research questions are given below:
Research Question 1
Independence of observational units
Normality of dependent variables
Homogeneity of variances across comparison groups
Research Question 2
Independence of observational units
Normality of dependent variables
The Statistical Assumption (normality) Check for Dependent Variable (Question 1)
Statistics
maternal blood lead levels - micrograms per deciliter
N
Valid
250
Missing
0
Mean
4.1184
Median
3.5794
Std. Deviation
2.23943
Skewness
3.254
Std. Error of Skewness
.154
Kurtosis
22.402
Std. Error of Kurtosis
.307
Range
22.25
Minimum
1.24
Maximum
23.49
Maternal blood lead levels
Mean is not within 10% of the median.
The skewness and kurtosis are not within the range of -3 and +3.
Histogram is not bell-shaped.
The assumption of normality is not accepted.
Therefore, Median and Range (Min, Max) will be used to summarise the dependent variable maternal blood lead levels.
Table 1 – Summary statistics of the dependent variable maternal blood lead levels
N
Median
Range (Min, Max)
Maternal blood lead levels
250
3.58
22.25 (1.24, 23.49)
The Statistical Assumption (normality) Check for Dependent Variable (Question 2)
Statistics
full term birth weight in grams
N
Valid
250
Missing
0
Mean
3204.47
Median
3178.00
Std. Deviation
620.986
Skewness
.162
Std. Error of Skewness
.154
Kurtosis
-.171
Std. Error of Kurtosis
.307
Range
3316
Minimum
1709
Maximum
5025
Full term birth weight
Mean is within 10% of the median.
Calculating mean ± 3SD = 3204 ± 3 × 621 = 1341 min, 5067 max.
Min is 1341, max is 5067, which are close to 1709 and 5025.
The skewness and kurtosis are well within the range of -3 and +3.
Histogram is bell-shaped.
The assumption of normality is accepted.
Therefore, Mean and SD will be used to summarise the dependent variable full term birth weight.
Table 2 – Summary statistics of the dependent variable full term birth weight
Variable
N
Mean (SD)
Full term birth weight
250
3204.47 (620.99)
6. Describe results for both research question 1 and research question 2.
(2 marks)
Research Question 1
As shown in figure 1, there appear differences between three birth-weight groups in maternal blood lead level. Therefore, average maternal blood lead level differs by three birth-weight groups. In addition, there appears substantial maternal blood lead level variation within each birth-weight.
Research Question 2
As shown in figure 2, there appears a positive linear relationship between full term birth weight and maternal age of mother. Therefore, child’s birth weight is associated with maternal age of the mother (at first child birth).
SPSS OUTPUT: Part 2- Study Two (Assignment 1.2)
Statistics
maternal blood lead levels - micrograms per deciliter
Low birthweight
N
Valid
33
Missing
0
Mean
4.0167
Median
3.5086
Std. Deviation
2.40766
Skewness
1.134
Std. Error of Skewness
.409
Kurtosis
1.644
Std. Error of Kurtosis
.798
Range
10.44
Minimum
1.24
Maximum
11.68
Lower end of normal birthweight
N
Valid
60
Missing
0
Mean
3.4214
Median
2.9523
Std. Deviation
1.55170
Skewness
.828
Std. Error of Skewness
.309
Kurtosis
-.351
Std. Error of Kurtosis
.608
Range
5.79
Minimum
1.39
Maximum
7.18
Normal birthweight
N
Valid
157
Missing
0
Mean
4.4062
Median
3.7572
Std. Deviation
2.37333
Skewness
3.879
Std. Error of Skewness
.194
Kurtosis
26.516
Std. Error of Kurtosis
.385
Range
21.62
Minimum
1.87
Maximum
23.49
Correlations
maternal age of mother
full term birth weight in grams
maternal age of mother
Pearson Correlation
1
.180(**)
Sig. (2-tailed)
.004
N
250
250
full term birth weight in grams
Pearson Correlation
.180(**)
1
Sig. (2-tailed)
.004
N
250
250
** Correlation is significant at the 0.01 level (2-tailed).
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