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| Rmd | 222d2c4 | Dave Tang | 2025-12-05 | Odds ratio |
Odds ratios are widely used to measure the strength of association between two variables, particularly in medical research, epidemiology, and case-control studies. Before understanding odds ratios, we need to understand the difference between probability and odds.
Probability and odds are related but different:
sick <- 2
healthy <- 8
total <- sick + healthy
probability <- sick / total
probability
[1] 0.2
odds <- sick / healthy
odds
[1] 0.25
In this example:
You can convert between probability (P) and odds using these formulas:
\[\text{Odds} = \frac{P}{1 - P}\]
\[P = \frac{\text{Odds}}{1 + \text{Odds}}\]
Convert probability to odds.
prob <- 0.2
odds_from_prob <- prob / (1 - prob)
odds_from_prob
[1] 0.25
# Convert odds back to probability
prob_from_odds <- odds_from_prob / (1 + odds_from_prob)
prob_from_odds
[1] 0.2
To build intuition, let’s see how odds change across different probabilities:
probs <- c(0.1, 0.2, 0.5, 0.8, 0.9)
odds_values <- probs / (1 - probs)
data.frame(
Probability = probs,
Odds = round(odds_values, 3),
Interpretation = c("1 to 9", "1 to 4", "1 to 1 (even)", "4 to 1", "9 to 1")
)
Probability Odds Interpretation
1 0.1 0.111 1 to 9
2 0.2 0.250 1 to 4
3 0.5 1.000 1 to 1 (even)
4 0.8 4.000 4 to 1
5 0.9 9.000 9 to 1
Notice that when P = 0.5, the odds are 1 (even odds). When P > 0.5, odds > 1; when P < 0.5, odds < 1.
An odds ratio (OR) compares the odds of an event between two groups. It answers the question: “How many times higher (or lower) are the odds of the outcome in one group compared to another?”
Interpreting odds ratio values:
Let’s work through a classic example examining the association between smoking and lung cancer. We have a sample of 200 people broken down into a 2x2 contingency table:
data <- matrix(
c(20, 80, 2, 98),
nrow = 2,
byrow = TRUE,
dimnames = list(
c("Smokers", "Non-smokers"),
c("Cancer", "No Cancer")
)
)
data
Cancer No Cancer
Smokers 20 80
Non-smokers 2 98
The general structure of a 2x2 table is:
| Disease+ | Disease- | |
|---|---|---|
| Exposed | a | b |
| Not Exposed | c | d |
In our example: a=20, b=80, c=2, d=98.
# Odds of cancer for smokers = a/b
odds_smokers <- data[1, 1] / data[1, 2]
odds_smokers
[1] 0.25
# Odds of cancer for non-smokers = c/d
odds_nonsmokers <- data[2, 1] / data[2, 2]
odds_nonsmokers
[1] 0.02040816
The odds ratio is simply the ratio of these two odds:
odds_ratio <- odds_smokers / odds_nonsmokers
odds_ratio
[1] 12.25
Interpretation: Smokers have 12.3 times the odds of developing lung cancer compared to non-smokers. This is a strong positive association.
For a 2x2 table, the odds ratio can also be calculated directly using the cross-product formula:
\[OR = \frac{a \times d}{b \times c}\]
Using the cross-product formula.
or_cross <- (data[1, 1] * data[2, 2]) / (data[1, 2] * data[2, 1])
or_cross
[1] 12.25
This gives the same result and is often more convenient for quick calculations.
A point estimate of the odds ratio alone doesn’t tell us how precise our estimate is. We need confidence intervals to understand the range of plausible values for the true odds ratio.
The fisher.test() function calculates the odds ratio
with a 95% confidence interval:
result <- fisher.test(data)
result
Fisher's Exact Test for Count Data
data: data
p-value = 5.091e-05
alternative hypothesis: true odds ratio is not equal to 1
95 percent confidence interval:
2.809877 110.218221
sample estimates:
odds ratio
12.12786
Key outputs:
Interpreting the confidence interval: Since the 95% CI does not include 1, we can conclude there is a statistically significant association between smoking and lung cancer at the 0.05 significance level.
Logistic regression is commonly used to model binary outcomes (yes/no, disease/no disease). The coefficients from logistic regression are log odds ratios, which can be converted to odds ratios by exponentiation.
Logistic regression models the log odds (also called logit) of the outcome:
\[\log\left(\frac{P}{1-P}\right) = \beta_0 + \beta_1 X_1 + \beta_2 X_2 + ...\]
The coefficients (\(\beta\)) represent the change in log odds for a one-unit increase in the predictor.
Let’s simulate data where disease risk depends on age and smoking status:
set.seed(1984)
n <- 200
age <- rnorm(n, mean = 50, sd = 15)
smoker <- rbinom(n, 1, 0.3)
# True model: log odds = -5 + 0.05*age + 2*smoker
disease <- rbinom(n, 1, plogis(-5 + 0.05*age + 2*smoker))
model <- glm(disease ~ age + smoker, family = binomial)
summary(model)
Call:
glm(formula = disease ~ age + smoker, family = binomial)
Coefficients:
Estimate Std. Error z value Pr(>|z|)
(Intercept) -4.53700 0.87994 -5.156 2.52e-07 ***
age 0.04302 0.01493 2.881 0.00396 **
smoker 1.83998 0.40800 4.510 6.49e-06 ***
---
Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
(Dispersion parameter for binomial family taken to be 1)
Null deviance: 188.56 on 199 degrees of freedom
Residual deviance: 157.34 on 197 degrees of freedom
AIC: 163.34
Number of Fisher Scoring iterations: 5
The model coefficients are log odds ratios. To get odds ratios, we exponentiate them:
or_coef <- exp(coef(model))
or_coef
(Intercept) age smoker
0.01070543 1.04395510 6.29641114
Interpretation:
For a complete picture, we should report odds ratios with confidence intervals:
# Get confidence intervals for coefficients
ci <- confint(model)
Waiting for profiling to be done...
# Combine into a nice table
or_table <- data.frame(
OR = exp(coef(model)),
Lower_CI = exp(ci[, 1]),
Upper_CI = exp(ci[, 2])
)
round(or_table, 3)
OR Lower_CI Upper_CI
(Intercept) 0.011 0.002 0.054
age 1.044 1.015 1.076
smoker 6.296 2.878 14.392
Key points about odds ratios:
sessionInfo()
R version 4.5.0 (2025-04-11)
Platform: x86_64-pc-linux-gnu
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