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Bio
B ostaatiistiics
 

Courrtesy ofo Speecial Thannks to

Sayyed Hassan AL-AAwami 6eebb


 

Statistical inferences:

1. Estimation
2. Hypothesis testing
 

Hypothesis Testing
Before I start my 2nd lecture… I would like to say that hypothesis
testing needs more attention than estimation. I.e. don’t read this
while you are watching TV or eating your dinner.

Other thing, I have done little new things in this lecture to make it
easier for you:

1. It is highly colorized to comfort your eyes and


waste your printer-ink.
2. Full of examples. And from my mates’ experiences, the more
examples you solve, the better you become.
3. Also, it is very important to understand the doctor’s note, so I
stool some full sentences from it. And I searched in some websites to
make sure of some information.
4. I explained few things in ARABIC, which is not accepted from a 3rd
medical-school student. (sorry, my English is on my size)

Ready……Let’s start then:


 

Introduction:

Hypothesis testing is another way to make statistical interferences.

There are two types of Hypothesis that we are going to deal with:

1. Null hypothesis (H0).


2. Alternative hypothesis (HA).

I hope that it will become clear while you move on

Example: In a clinical trial of a new drug, the null hypothesis might


be that the new drug is no better, on average, than the current drug.
We would write H0: there is no difference between the two drugs on
average. However, the H1 is that there is a difference between them.

Notice these two important points:

1. Any hypothesis should be: a. Clear b. Ambitious c. Can


be tested.
2. Equality must appear in the null hypothesis (=, <, >).
3. The null and alternative hypotheses are complementary. That is,
the two together exhaust all possibilities regarding the value that
the hypothesized parameter can assume.
(If H0: µ = x, then HA: µ ≠ x…and if H0: µ < x, then HA: µ > x)

. Recall:

Alpha = level of significance, error, type 1 error, p-value.

So don’t be confused if you see these names 


 

How to test a hypothesis?


These are simple steps which will help you. We are going to discuss
each one separately.

1. Formulate the null and alternative hypothesis:


It is the most important step.

- The researcher tries to Reject the null hypothesis.

- In the questions, the alternative hypothesis is the one which usually


given.

2. Choose a level of significance:


It is Alpha; usually it is given in the question.

(Usually, it is 0.05)

Notice these things about alpha, it usually equals to:

0.1 For social science.

0.05 For physiological studies or pathogenesis.

0.01 For clinical denial.

3. Determine the sample size: (n)


Also it is usually given.
 

4. Calculate z (or t) score: (which is the test statistic)


The general equation:

Test statistic = (relevant statistic- hypothesized parameter) / standard


error of the relevant statistic.

Relevant statistic = sample mean.

Test statistic = (x- µ) / SE.

5. Utilize the table to determine if the z score falls within the


acceptance region.
This is very important and a little bit complicated. But we are going to
make it ridiculous as far as possible.

- “Acceptance region” means: when we draw the normal


distribution curve, And mark “the level of significance area” or
“alpha”… we will have a shape like these:
 

- Notice the pink or the blue areas are the level of significance.
They are also called “rejection regions” and the white areas are
called “the acceptance regions”

- This curve is for NULL HYPOTHESIS.

- WHAT does that mean YA SAYED?

When you draw the curve and mark the level of significance
“all that from the question”, you will calculate the test statics
from the equation. Then you will see is your result in the pink or
blue areas, or in the white area…

If it is in the pink or blue areas, you will reject the null


hypothesis and accept the alternative hypothesis. And if it is in
the white area, you will accept the null hypothesis and reject the
alternative hypothesis.
 

Comparing a sample mean with population mean

Example: suppose that chest circumference for new born girls is


N distributed with µ = 13 in (µ=parameter of the population),
SD= 0.7 in. group of 25 new born girls found to have average
chest circumference of 12.6 in (x=parameter of the sample). is
this evidence that this group differ from the population? At
alpha= 0.05.

H0: µ= 13. (H0: µ = x)

HA: µ≠ 13. (HA: µ ≠ x)

Why?

As we said before, the researcher tries to reject the null


hypothesis.

‫ وبين‬١٢.٦ ‫نحن نريد التحقق ھل يوجد فرق بين المعطى من التجربة العملية وھو‬
‫؟؟‬١٣ ‫النظرية الموضوعة‬

.HA ‫وكما قلنا سابقا بأن المعطى في السؤال عادة ما يكون‬

‫ ال يوجد فرق‬:H0 ‫ إذاً ستكون‬.‫ يوجد فرق بينھما‬:‫أال وھو‬

- The next step we will draw the normal distribution curve


for NULL HYPOTHESIS with α = 0.05.

(Again: notice these hints in the questions: (differ) means


two tails AND (more/less) than means one tail)

(These steps are already explained on estimation)


 

Now, we are going to calculate the test statistics:

Z= (x-µ) /SD

Z= (12.6 – 13) / SE = -2.9 (2.9).

Now, we look at the curve that we drew. Is this number (2.9) in the
acceptance region??

2.9> 1.96

We will find that this number is on the blue region which is the rejected
region.

So, we will reject the H0 and accept the HA. i.e. µ ≠ x

HA: µ ≠ 13.

So, the verbal conclusion is:

Based on this data, the mean of the population chest circumference is


different from the mean of the sample at alpha = 0.05
 

Example: The mean value of a certain enzyme level in 10 subjects is 28


with variance equals 45. In general population, the mean level of that
enzyme is 25. Find if the mean enzyme level in this sample differ from
that of the general population.

‫ وبين النظرية‬28 ‫نحن نريد التحقق ھل يوجد فرق بين المعطى من التجربة العملية وھو‬
‫؟؟‬25 ‫الموضوعة‬

.HA ‫وكما قلنا سابقا بأن المعطى في السؤال عادة ما يكون‬

‫ ال يوجد فرق‬:H0 ‫ إذاً ستكون‬.‫ يوجد فرق بينھما‬:‫أال وھو‬

H0 = 25, HA ≠ 25

Notice: there is no Level of significance in the question (α), so will


assume it as 0.05.

Now, we will calculate the test statistics:

Z = (28- 25) / SE = 1.41

1.41 < 1.96 …… THAT means that it is located in the acceptance region.
So, we will accept the H0.

Conclusion, based on this data, the mean level of the enzyme in this
sample does not differ from the population at alpha = 0.05
 

IMPORTANT POINT

THE CURVE may have one tail or two. Usually, when the H0 is
(=), the curve has two tails.

But when it is (<) or (>), it has one tail

Example: 50 smokers were questioned about the number of hours they


sleep each day. We want to test the hypothesis that the smokers need less
sleep than the general public which needs an average of 7.7 hours of
sleep. At level of significance equal to 0.05.

If the sample mean is 7.5 and the standard deviation is 0.5, what can you
conclude?

µ = 7.7 hrs.

x = 7.5 hrs.

‫ نحن نريد التحقق ھل أن متوسط النوم الذي يحتاجه المدخنين والذي حصلنا‬...‫ھذه المرة‬
‫؟؟‬٧.٧ ‫( ھو اقل من النظرية الموضوعة‬٧.٥) ‫عليه من التجربة العملية‬

.HA ‫وكما قلنا سابقا بأن المعطى في السؤال عادة ما يكون‬

.ً‫ ھو أقل فعال‬:‫أال وھو‬

H0: µ > 7.7 (x < µ) HA: µ < 7.7 (x > µ)


 

‫المفروض اصير الرقم موجب )االشارات مو داك الزود‬


‫ بس لألسف ما‬.....١.٦٤٥ ‫مھمة في ھالموقع( ويساوي‬
ً ‫ وخالص طبعا‬    .‫حصلت رسمة ومستمل ارسم بايدي‬
...١.٦٤٥ ‫ سويناه ومن وينة‬how ‫المفروض افھمتوا‬

  !!‫تخيل انك بعدك ما تعرف‬

Remember: it is only one tail, because it is not (=) as we said before. And
we choose the left area because it is (less than). That is why it is (-ve).

And, please, don’t forget how that we drew this curve.

Z = (7.5-7.7) / SE = -2.83

Since -2.83 is to the left of -1.٦٤٥, it is in the critical region. Hence we


reject the null hypothesis and accept the alternative hypothesis.

SO, the conclusion is: based on this data, the smokers need less hours of
sleeping than general public. At the level of significance = 0.05

Do you feel that you can easily answer this type of questions by now?
 

Test yourself

Example: Suppose that we want to test the hypothesis with a


significance level of 0.05 that the climate has changed since
industrialization. Suppose that the mean temperature
throughout history is 50 degrees. During the last 40 years,
the mean temperature has been 51 degrees with a standard
deviation of 2 degrees. What can we conclude?

Answer: we can conclude that there has been a change in temperature.

The difference between two population means

Example: in a sample of 12 patient’s in Hospital A yielded a mean serum


uric acid value of X1 = 4.5 mg/100ml with variance = 1 in. Hospital S a
sample of 15 patients of the same age and sex has X2 = 3.4 with
variance= 1. If the two populations are normally distributed. Do these
data provide sufficient evidence to indicate a DIFFERENT between the
two populations means at α = 0.05?

There is a little difference but it is easy too.

H0: µ1 = µ2

H1: µ1 ≠ µ2

The difference is that the test statistic equation will be:

SE =

Z = {(x1-x2) – (µ1-µ2)} / SE (µ1-µ2 = 0 ‫) ألنھم متساوين‬

Z = 2.82
 

And when you draw the curve you will see it is two tails…. ( ‫بصير زي‬
‫)الرسمات الي راحت‬

Conclusion:

Since calculated value 2.82 > tabulated value 1.96. That means the null
hypothesis is rejected.

  Problem: In health survey of a certain community, 150 
persons  were  interviewed.  One  of  the  items  of 
This 
information obtained was the number of prescriptions 
problem 
each  person  has  filled  during  the  past  years  per  day. 
was a part 
The  average  number  of  150  people  was  5.8  with 
of one 
standard  deviation  of  3.1.  The  investigators  wishes  to 
exam 
know if this data provide sufficient evidence to indicate 
that the population mean is greater than 5 at 0.05 level 
of significance. 

Find:

1. The null hypothesis.


2. The alternative hypothesis.
3. Test u should use.
4. Calculated value.
5. Tabulated value.
6. Decision.
7. Interpretation.
8. 95% C.I for the problem.
 

1. The null hypothesis.

H0: population mean < 5

2. The alternative hypothesis.

As we said before, the alternative hypothesis is the one which is given


in the question.

H1: population mean > 5

3. The test you should use.

Test statistics for one population mean: Z = (x-µ) / SE

Never forget
Tests: 

‐One population mean    ‐Two populations’ means 

‐Paired t‐test      ‐One population proportion 

‐Two population proportions  ‐Chi ‐squared 

4. Calculated value.

Z = (x-µ) / SE

Z = (5.8 - 5) / 0.25 = 3.2


‫‪ ‬‬

‫‪5. Tabulated value.‬‬

‫‪Since the level of significance = 0.05, the curve will be like this:‬‬

‫مرة ثانية‪:‬‬

‫المفروض اصير الرقم موجب ويساوي ‪ ١.٦٤٥‬ومن‬


‫الجھة الثانية بس لألسف ما حصلت رسمة ومستمل‬
‫ارسم بايدي‪  .‬‬

‫‪From the diagram above:‬‬

‫‪Tabulated value for (z) = 1.645‬‬

‫مالحظة ھامة جداً‪ :‬ليش ما كان الناتج ‪1.96‬؟‬

‫حاول الرسم بنفسك‪ ...‬وستجد أن المساحة في احد النصفين تساوي‬


‫‪ ٠.٥‬والباقي ھو ‪ ٠.٤٥‬في الجھة األخرى‪ ...‬ومن الجدول نجد انه ال‬
‫يوجد لدينا ‪ ٤٥‬كاملة بل يوجد ‪ ٤٤.٩٥‬و ‪ ... ٤٥.٠٥‬لذلك أخذنا‬
‫الرقم الذي بينھما اال وھو ‪.١.٦٤٥‬‬

‫‪6. Decision.‬‬

‫‪We reject the null hypothesis and accept the alternative one. I.e. the‬‬
‫‪population mean is greater than 5.‬‬

‫للتوضيح‪ :‬سبب رفضنا لــ ‪ H0‬ان الرقم الي حسبناه طلع اكبر من الي في الجدول‪ ...‬وال‬
‫تنسوا ان الرسمة الي رسمناھا خاصة بالــ ‪ H0‬لھذا رفضناھا ھي وليس ‪.HA‬‬
 

7. Interpretation.

Based on this data, the mean number of prescription of the sample is


higher than the population mean at level of significance 0.05.

8. 95% C.I for the problem.

C.I. = Estimator + [Reliability coefficient x Stand error].

C.I. = 5.8 + (1.96 x 0.25) = 6.29, 5.31

Why did we take 1.96??

Because in any C.I. always take two tales!! 

We hope you enjoyed while reading this note. We tried our best to make it easy and
light…
At the end, Again and again, I would like to say that if there were any mistakes and

you didn’t notice, then, say GOOD BYE to some marks.

“Testing hypothesis-topic WAS my nightmare. But after reading this, it


became my lovely dream. I can say about this note: it is really highly
colorized, but, in the same time, it is easy metabolized”

3rd year student

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