Question: Coffee drinkers are often smokers, so the data from the case-control study were stratified by smoking, as shown below: Average Coffee Consumption Never Smokers Ever

Coffee drinkers are often smokers, so the data from the case-control study were stratified by smoking, as shown below:

Average Coffee Consumption

Never Smokers

Ever Smokers

Cases

Controls

Cases

Controls

Total

5 cups

27

114

175

25

341

< 5 cups

31

76

67

85

259

Total

58

190

242

110

600

  1. Compute the OR for the association between average coffee consumption and liver cancer in never smokers and ever smokers:

Coffee drinkers are often smokers, so the data from the case-control study were stratified by smoking, as shown below:

Average Coffee Consumption

Never Smokers

Ever Smokers

Cases

Controls

Cases

Controls

Total

5 cups

27

114

175

25

341

< 5 cups

31

76

67

85

259

Total

58

190

242

110

600

  1. Is smoking a confounder, an effect modifier, or neither? Explain why.

  1. If appropriate, calculate the Mantel-Haenszel odds ratio. If it is not appropriate to calculate the Mantel-Haenszel odds ratio in this situation, what would you report?

  1. What are the potential sources of bias in this investigation?

  1. If cases and controls were misclassified according to their exposure status (coffee drinking), but misclassification was similar among cases and controls, what is the effect on the odds ratio?

  1. Suppose misclassification was not similar among cases and controls (for example, if cases were more likely to report coffee consumption as compared to controls), what is the effect on the odds ratio?

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