EXAMPLE 8.13

Gender and sexual maturity. In studies that look for a difference between genders, a major concern is whether or not apparent differences are due to other variables that are associated with gender. Because boys mature more slowly than girls, a study of adolescents that compares boys and girls of the same age may confuse a gender effect with an effect of sexual maturity. The “Tanner score” is a commonly used measure of sexual maturity.17 Subjects are asked to determine their score by placing a mark next to a rough drawing of an individual at their level of sexual maturity. There are five different drawings, so the score is an integer between 1 and 5.

A pilot study included 12 girls and 12 boys from a population that will be used for a large experiment. Four of the boys and three of the girls had Tanner scores of 4 or 5, a high level of sexual maturity. Let’s find a 95% confidence interval for the difference between the proportions of boys and girls who have high (4 or 5) Tanner scores in this population. The numbers of successes and failures in both groups are not all at least 10, so the large-sample approach is not recommended. On the other hand, the sample sizes are both at least 5, so the plus four method is appropriate.

The plus four estimate of the population proportion for boys is

For girls, the estimate is

Therefore, the estimate of the difference is

The standard error of is

= 0.1760

For 95% confidence, z* = 1.96 and the margin of error is

The confidence interval is

= (−0.274, 0.416)

With 95% confidence, we can say that the difference in the proportions is between −0.274 and 0.416. Alternatively, we can report that the difference in the proportions of boys and girls with high Tanner scores in this population is 7.1% with a 95% margin of error of 34.5%.