Community Medicine (PSM) · Biostatistics (Measures of Central Tendency, Tests of Significance, Sampling)

A study finds the median family income in a district to be Rs 18,000/month while the mean is Rs 32,000/month. The most appropriate interpretation is:

  • A The distribution is negatively skewed and median overestimates central tendency
  • B The distribution is symmetric and both measures are equally valid
  • C The distribution is positively skewed and median better represents central tendency
  • D The distribution is bimodal and neither measure is valid
Correct answer: C. The distribution is positively skewed and median better represents central tendency

Explanation

When mean > median, the distribution is positively (right) skewed, indicating a minority of high-income households pulling the mean upward. In skewed distributions, the median is a more robust measure of central tendency as it is not influenced by extreme values. Negative skew would show mean < median. A symmetric distribution would have mean ≈ median.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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