Information by Design
Lifestyle Survey Toolkit

Herefordshire Young Peoples Survey 2000

Synopsis:

Although we sampled nearly every Herefordshire school, these schools are in a statistical sense only a sample from a much larger population of Year 7, 9, or 11 children in Herefordshire. Because they are a sample, by chance alone, that sample could have a slightly different prevalence of x to the true population prevalence, the prevalence in the much larger population. Just because we see a difference between 1996 and 2000 in the prevalence of x, does not mean that the true prevalence, the prevalence in the much larger population, has really changed. We have used 95% confidence intervals (95%CI) to help show this. Our tables show the prevalence of x in 1996 and in 2000 and the difference between these with the 95%CIs of the difference. If the 95%CIs do not include zero, we can conclude that chance (variation because we sampled from a large population) is an unlikely cause of the difference and the prevalence of x might really have changed. If the 95%CIs do not include zero, we must conclude that chance is a potential cause of the difference seen and the true prevalence might not have changed.

However, the situation is more complicated than this. We have measured the prevalence of over 200 attitudes and behaviours. Even if the true prevalence of all of them were exactly the same in Herefordshire, it is almost certain that some prevalences would have 95%CIs that do not include zero and appear to have “really changed”. This is a complicated point. However, it is akin to the situation where you buy every ticket in a raffle. It is unlikely that any specific single ticket (e.g. number 27) in your hand will win, but certain that at least one of them will. By testing lots of differences, it is likely that by chance alone, you will find an unusual finding, which is all that the confidence intervals are trying to tell us. So, if you find that the prevalence of x has changed, look for related items y and z. If they have moved in the same direction, then you can be surer about the true change in x. If y and z have not changed, it could be that the “statistically significant” true change in x is simply an unusual occurrence, and not a true change at all.

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For further information please see: www.herefordshire.gov.uk