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Statistical Methods in Medical Research 4ed

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652 <strong>Statistical</strong> methods <strong>in</strong> epidemiology<br />

and the total sample size is<br />

N ˆ Pk<br />

Ni,<br />

iˆ1<br />

n ˆ Pk<br />

The mean value of x <strong>in</strong> the whole population is clearly<br />

P<br />

Nimi m ˆ<br />

N :<br />

The appropriate estimate of m is<br />

iˆ1<br />

ni:<br />

P Nixi<br />

^m ˆ , …19:1†<br />

N<br />

which is easily seen to be unbiased. Its variance is<br />

var…^m† ˆ 1<br />

N2 P 2 Ni var…xi†<br />

by (4.2), and this is estimated from the sample as<br />

ˆ 1<br />

N2 P N2 i s2i …1 fi† …19:2†<br />

ni<br />

var…^m† ˆ 1<br />

N2 P N2 i s2i …1 fi†: …19:3†<br />

ni<br />

If all the fi are small, the terms 1 fi may be replaced by unity. In general,<br />

(19.2) will be smaller than the variance of the mean of a random sample because<br />

the terms s2 i measure only the variability with<strong>in</strong> strata. Variability between the mi is irrelevant.<br />

If n is fixed and the fi are small, var…^m† becomes a m<strong>in</strong>imum if the ni are<br />

chosen to be as nearly as possible proportional to Nisi. Thus, if si is constant<br />

from one stratum to another, the ni should be chosen <strong>in</strong> proportion to Ni, i.e. the<br />

sampl<strong>in</strong>g fraction should be constant. Strata with relatively large si have correspond<strong>in</strong>gly<br />

<strong>in</strong>creased sampl<strong>in</strong>g fractions. Usually, little will be known about the<br />

si before the survey is carried out and the choice of a constant sampl<strong>in</strong>g fraction<br />

will be the most reasonable strategy.<br />

If the survey is designed to estimate a proportion p, the above formulae hold<br />

with xi and mi replaced by pi and pi, the observed and true proportions <strong>in</strong> the ith<br />

stratum, s2 i by pi…1 pi† and s2 i by nipi…1 pi†=…ni 1† (this be<strong>in</strong>g the estimate<br />

of variance <strong>in</strong> a sample of size ni <strong>in</strong> which nipi observations are 1 and ni…1 pi)<br />

are 0).

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