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Statistical Methods in Medical Research 4ed

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96 Analys<strong>in</strong>g means and proportions<br />

Frequency<br />

300<br />

200<br />

100<br />

0<br />

0 . 5 1 . 3 2 . 1 2 . 9 3 . 7 4 . 5 5 . 3 6 . 1 6 . 9 7 . 7 8 . 5<br />

Mean, x<br />

Fig. 4.4 The distribution of means from 2000 samples of five random digits (Table 4.1), with the<br />

approximat<strong>in</strong>g normal distribution.<br />

as the sample size approaches the population size. Clearly, when n ˆ N, f ˆ 1<br />

and SE…x† ˆ0, there is only one possible random sample, consist<strong>in</strong>g of all the<br />

members of the population, and for this sample x ˆ m.<br />

The sampl<strong>in</strong>g error of the sample median has no simple general expression. In<br />

random samples from a normal distribution, however, the standard error of the<br />

median for large n is approximately 1 253s= n<br />

p . The fact that this exceeds s= n<br />

p<br />

shows that the median is more variable than the sample mean (or, technically, it<br />

is less efficient as an estimator of m). This comparison depends on the assumption<br />

of normality for the distribution of x, however, and for certa<strong>in</strong> other<br />

distributional forms the median provides the more efficient estimator.<br />

Inferences from the sample mean<br />

We consider first the situation <strong>in</strong> which the population standard deviation, s, is<br />

known; later we consider what to do when s is unknown.<br />

Known s<br />

Let us consider <strong>in</strong> some detail the problem of test<strong>in</strong>g the null hypothesis (which<br />

we shall denote by H0) that the parameters of a normal distribution are m ˆ m0 and s ˆ s0, us<strong>in</strong>g the mean, x, of a random sample of size n.<br />

If H0 is true, we know that the probability is only 0 05 that x falls outside<br />

the <strong>in</strong>terval m0 1 96s0= n<br />

p to m0 ‡ 1 96s0= n<br />

p . For a value of x outside this<br />

range, the standardized normal deviate<br />

z ˆ x m0 p …4:3†<br />

s0= n

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