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Behavioural Surveillance Surveys - The Wisdom of Whores

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A glance at this table suggests that older<br />

men were far more likely than younger men<br />

to have no non-regular partners in the last<br />

12 months, while younger men were more<br />

likely than older men to have two or more<br />

non-regular partners in that time frame.<br />

However, we also note that there are far more<br />

older men than younger men in the total<br />

sample, and indeed only a handful <strong>of</strong> the total<br />

sample (31 out <strong>of</strong> 562) are in the youngest age<br />

category <strong>of</strong> teenagers. <strong>The</strong> way to determine<br />

whether there is a statistically significant<br />

relationship between age (the explanatory<br />

variable) and non-regular sexual partnerships<br />

(the outcome variable) is to calculate a χ 2 value.<br />

<strong>The</strong> χ 2 value for this particular example is 40.8,<br />

with a p-value <strong>of</strong> less than 0.001. We can<br />

therefore conclude that age is significantly<br />

related to number <strong>of</strong> sexual partners in this<br />

population.<br />

Tests for trend within bivariate analysis<br />

If one variable in bivariate analysis is a<br />

variable that can be divided into ordered<br />

categories (such as the age categories in the<br />

example above), and the other variable has<br />

two possible values, it is possible to use a<br />

χ 2 test for trend.<br />

For example, if the category <strong>of</strong> numbers<br />

<strong>of</strong> non-regular partners in the above example<br />

were collapsed from four to just two (e.g. zero<br />

vs. one or more), it would be possible to<br />

determine if having more partners were<br />

significantly associated with falling age.<br />

<strong>The</strong> formula for this type <strong>of</strong> trend analysis<br />

is found in all basic statistical textbooks.<br />

In BSS, the most common test for trend is a<br />

test for trends over time. <strong>The</strong> formula can be<br />

found in any standard statistics textbook.<br />

Bivariate analysis with binary variables:<br />

a quick formula<br />

When each <strong>of</strong> the variables in a bivariate<br />

analysis is a binary variable with just two values<br />

(for example male or female, or condom use<br />

yes/no), then a quick formula can be used<br />

in calculating the Chi-square distribution.<br />

<strong>The</strong> variables are set up into a table as below,<br />

this version <strong>of</strong> the table is known as a<br />

“two by two table”. <strong>The</strong> table will look like this:<br />

A B E<br />

C D F<br />

Column totals G H N<br />

Row totals<br />

<strong>The</strong> quick calculation formula for this type<br />

<strong>of</strong> table is:<br />

χ 2 = (AD - BC) 2 *N<br />

EFGH<br />

Once the chi-square statistic has been<br />

calculated, the p-value can be found in a<br />

chi-square table <strong>of</strong> any standard statistics<br />

textbook and also contained in Appendix 5.<br />

With two by two tables, the total number <strong>of</strong><br />

respondents (i.e. N) should be greater than 40.<br />

<strong>The</strong> method is also valid if the number <strong>of</strong><br />

respondents lies between 20 and 40 and no<br />

single expected value is less than 5.<br />

B EHAV I OR A L S U R V EI L L A NC E SURV EY S CHAPTER 7<br />

79

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