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an epidemiological study of listeriosis in dairy cattle

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association (Kirkwood 1988, Thrusfield 1995). This problem is overcome by several<br />

ways i.e. stratify<strong>in</strong>g data to adjust for possible confounders or employ<strong>in</strong>g more complex<br />

multivariate techniques. This is dealt with <strong>in</strong> the follow<strong>in</strong>g chapter. However there also<br />

are adv<strong>an</strong>tages <strong>of</strong> this technique. In univariate <strong>an</strong>alysis it is possible to exam<strong>in</strong>e the<br />

association between all predictor variables <strong>an</strong>d <strong>an</strong> outcome. All observations obta<strong>in</strong>ed<br />

c<strong>an</strong> be used <strong>in</strong> the univariate <strong>an</strong>alysis whereas <strong>in</strong> the multivariate <strong>an</strong>alysis miss<strong>in</strong>g<br />

values c<strong>an</strong> result <strong>in</strong> a considerable reduction <strong>in</strong> the number <strong>of</strong> observations.<br />

In the <strong>an</strong>alysis <strong>of</strong> this data, possible confounders were not taken <strong>in</strong>to account but<br />

a number <strong>of</strong> predictor variables were found to be associated with the outcome variables.<br />

However demonstration <strong>of</strong> a statistically signific<strong>an</strong>t association between a predictor<br />

variable <strong>an</strong>d <strong>an</strong> outcome variable does not necessarily me<strong>an</strong> that a relationship is causal.<br />

In a biological sense for a predictor variable to be causal it must be experimentally<br />

proved that it leads to the occurrence <strong>of</strong> disease. However <strong>in</strong> the absence <strong>of</strong><br />

experimental evidence <strong>epidemiological</strong> identification <strong>of</strong> <strong>an</strong> association is <strong>of</strong><br />

considerable value because it <strong>in</strong>dicates a risk factor <strong>an</strong>d removal <strong>of</strong> such a factor may<br />

result <strong>in</strong> the reduction <strong>of</strong> disease (Thrusfield 1995).<br />

In the follow<strong>in</strong>g chapter the association between the predictor variables <strong>an</strong>d the<br />

different outcome variables is <strong>in</strong>vestigated us<strong>in</strong>g multivariate techniques.<br />

105

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