Community Medicine (PSM) · Epidemiology (Study Designs, Bias, Systematic Review, Measures of Association)

In a matched case-control study, 10 pairs are concordant for exposure, 20 pairs have only the case exposed, and 8 pairs have only the control exposed. What is the matched odds ratio?

  • A 1.25
  • B 2.50
  • C 2.00
  • D 3.50
Correct answer: B. 2.50

Explanation

In a matched case-control study, the Mantel-Haenszel matched OR = discordant pairs with case exposed / discordant pairs with control exposed = 20/8 = 2.5. Concordant pairs (where both or neither are exposed) do not contribute to the OR estimate. Options A, B, and D arise from incorrect application of the formula.

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

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