Applied Biostatistics for the Health Sciences. Richard J. Rossi

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heart attacks, the probability of survival will be influenced by many factors including severity of heart attack, delay in treatment, age, and ability to change diet and lifestyle following a heart attack. Because each individual is different, the probability of survival is not going to be constant over the n individuals in the study, and hence, the binomial probability model does not apply.

      2.4.2 The Normal Probability Model

      The choice of a probability model for continuous variables is generally based on historical data rather than a particular set of conditions. Just as there are many discrete probability models, there are also many different probability models that can be used to model the distribution of a continuous variable. The most commonly used continuous probability model in statistics is the normal probability model.

      The normal probability model is often used to model distributions that are expected to be unimodal and symmetric, and the normal probability model forms the foundation for many of the classical statistical methods used in biostatistics. Moreover, the distribution of many natural phenomena can be modeled very well with the normal distribution. For example, the weights, heights, and IQs of adults are often modeled with normal distributions.

      Several properties of a normal distribution are listed below.

       PROPERTIES OF A NORMAL DISTRIBUTION

      A normal distribution

       is a bell- or mound-shaped distribution.

       is completely characterized by its mean and standard deviation. The mean determines the center of the distribution and the standard deviation determines the spread about the mean.

       has probabilities and percentiles that are determined by the mean and standard deviation.

       is symmetric about the mean.

       has mean, median, and mode that are equal (i.e., μ=μ~=M).

       has probability density function given by

       Example 2.33

      Figure 2.25 The approximate distribution of IQ scores with µ = 100 and σ = 15.

      The standard normal, which will be denoted by Z, is a normal distribution having mean 0 and standard deviation 1. The standard normal is used as the reference distribution from which the probabilities and percentiles associated with any normal distribution will be determined. The cumulative probabilities for a standard normal are given in Tables A.1 and A.2; because 99.95% of the standard normal distribution lies between the values −3.49 and 3.49, the standard normal values are only tabulated for z values between −3.49 and 3.49. Thus, when the value of a standard normal, say z, is between −3.49 and 3.49, the tabled value for z represents the cumulative probability of z, which is P(Z≤z) and will be denoted by Φ(z). For values of z below −3.50, Φ(z) will be taken to be 0 and for values of z above 3.50, Φ(z) will be taken to be 1. Tables A.1 and A.2 can be used to compute all of the probabilities associated with a standard normal.

      The values of z are referenced in Tables A.1 and A.2 by writing z=a.bc as z=a.b+0.0c. To locate a value of z in Table A.1 and A.2, first look up the value a.b in the left-most column of the table and then locate 0.0 c in the first row of the table. The value cross-referenced by a.b and 0.c in Tables A.1 and A.2 is Φ(z)=P(Z≤z). The rules for computing the probabilities for a standard normal are given below.

       COMPUTING STANDARD NORMAL PROBABILITIES

      1 For values of z between −3.49 and 3.49, the probability that Z≤z is read directly from the table. That is,

      2 For z≤−3.50 the probability that Z≤z is 0, and for z≥3.50 the probability that Z≤z is 1.

      3 For values of z between −3.49 and 3.49, the probability that Z≥z is

      4 For values of z between −3.49 and 3.49, the probability that a≤Z≤b is

      Figure 2.26 P(Z≤1.65).

       Example 2.35

      Figure 2.27 P(−1.35≤Z≤1.51).

      Figure 2.28 The areas representing P(Z≤1.51) and P(Z≤−1.35).

      Subtracting these probabilities yields P(−1.35≤Z≤1.51), and thus,

upper P left-parenthesis negative 1.35 less-than-or-equal-to upper Z less-than-or-equal-to 1.51 right-parenthesis equals normal upper Phi left-parenthesis 1.51 right-parenthesis minus normal upper Phi left-parenthesis negative 1.35 right-parenthesis equals 0.9345 minus 0.0885 equals 0.8640

       Example 2.36

      Using the standard normal tables given in Tables A.1 and A.2, determine the following probabilities for a standard normal distribution:

      1 P(Z≤−2.28)

      2 P(Z≤3.08)

      3 P(−1.21≤Z≤2.28)

      4 P(1.21≤Z≤6.28)

      5 P(−4.21≤Z≤0.84)

      1 P(Z≤−2.28)=Φ(−2.28)=0.0113

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