Past exam of the mathematics course of the University of Cambridge / 2010 / iii / Paper 34 / 1 / c

Write the logistic regression aswhere $A=1$ denotes elective exposure and $x$ contains the measured background predictors. At fixed $x$, changing $A$ from zero to one changes the log odds by $\beta$, so the adjusted odds ratio is $e^{\beta }$. If $\hat{V}$ is the estimated coefficient covariance matrix, thenUse the clinic-cluster sandwich covariance matrix if that is how within-clinic dependence is allowed for. The interval is first calculated on the coefficient scale and then exponentiated; one does not add and subtract a standard error directly from the odds ratio. This is a large-sample Wald confidence interval; profile-likelihood limits are another option when the likelihood shape warrants them. If exposure interacts with background variables, there is no single common conditional odds ratio: its logarithm includes the corresponding interaction terms.