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. 2022 Mar 1;191(8):1485–1495. doi: 10.1093/aje/kwac035

Table 2.

Example of Nondifferential Misclassification Across Adjacent and Nonadjacent Categories of a Multilevel Exposure Variable

Outcome Status (n)
Exposure Status D+ D Total (n) Risk a RR
Correctly classified data
 High 300 4,700 5,000 0.06 6.00
 Low 100 4,900 5,000 0.02 2.00
 None 50 4,950 5,000 0.01 1.00b
30% exposure misclassification across adjacent categories (high to low)c
 High 210 3,290 3,500 0.06 6.00
 Low 190 6,310 6,500 0.03 2.92
 None 50 4,950 5,000 0.01 1.00b
15% exposure misclassification across adjacent categories (high to low)d
 High 255 3,995 4,250 0.06 6.00
 Low 145 5,605 5,750 0.03 2.52
 None 50 4,950 5,000 0.01 1.00b
30% exposure misclassification across nonadjacent categories (high to none)e
 High 210 3,290 3,500 0.06 2.79
 Low 100 4,900 5,000 0.02 0.93
 None 140 6,360 6,500 0.02 1.00b
5% exposure misclassification across nonadjacent categories (high to none)f
 High 285 4,465 4,750 0.06 4.85
 Low 100 4,900 5,000 0.02 1.62
 None 65 5,185 5,250 0.01 1.00b

Abbreviation: RR, risk ratio.

a Risk = number in D+/total number.

b Referent.

c 30% of people with truly high exposure are misclassified as having low exposure. In this example, the RR for high exposure versus no exposure is unchanged, but the RR for low exposure versus no exposure is biased away from the null.

d 15% of people with truly high exposure are misclassified as having low exposure. In this example, the RR for high exposure versus no exposure is unchanged, but the RR for low exposure versus no exposure is biased away from the null.

e 30% of people with truly high exposure are misclassified as having no exposure. In this example, the RR for high exposure versus no exposure is biased towards the null, and the RR for low exposure versus no exposure crosses the null.

f 5% of people with truly high exposure are misclassified as having no exposure. In this example, the RRs for both high exposure versus no exposure and low exposure versus no exposure are biased towards the null.