An epidemiologist was interested in comparing data provided by mothers about their smoking status during pregnancy on their child’s birth certificate with data on smoking status recorded in their medical record (This is a real study conducted in 1993, name of the author withheld). For this study, we will consider the medical record as the gold standard and the birth certificate to be the imperfect classification scheme. The result is shown in the table below:     Medical Record         Smoker Non-Smoker Total Birth Certificate Smoker 128 5 133   Nonsmoker 36 465 501   Total  164 470 634             Using the data from this table, compute the sensitivity and specificity of smoking status as reported on the birth certificate.        2. What are your observations concerning the true smokers and the true non-smokers?        3. What feasible methods would you employ to reduce the misclassification of exposure among the true                          smokers?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
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An epidemiologist was interested in comparing data provided by mothers about their smoking status during pregnancy on their child’s birth certificate with data on smoking status recorded in their medical record (This is a real study conducted in 1993, name of the author withheld). For this study, we will consider the medical record as the gold standard and the birth certificate to be the imperfect classification scheme. The result is shown in the table below:

 

 

Medical Record

 

 

 

 

Smoker

Non-Smoker

Total

Birth Certificate

Smoker

128

5

133

 

Nonsmoker

36

465

501

 

Total

 164

470

634

 

 

 

 

 

 

  1. Using the data from this table, compute the sensitivity and specificity of smoking status as reported on the birth certificate. 

      2. What are your observations concerning the true smokers and the true non-smokers? 

      3. What feasible methods would you employ to reduce the misclassification of exposure among the true                          smokers? 

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