The odds ratio is an important option for testing and quantifying the association between two raters making dichotomous ratings. It should probably be used more often with agreement data than it currently is.
The odds ratio can be understood with reference to a 2×2 crossclassification table:
Rater 1 | Rater 2 | ||
---|---|---|---|
+ | - | ||
+ | a | b | a + b |
- | c | d | c + d |
a + c | b + d | Total |
[a/(a+b)] / [b/(a+b)] OR = -----------------------, (1) [c/(c+d)] / [d/(c+d)]but this reduces to
a/b OR = -----, (2) c/dor, as OR is usually calculated,
ad OR = ----. (3) bcThe last equation shows that OR is equal to the simple crossproduct ratio of a 2×2 table.
In Equation (2), both the numerator and denominator are odds. The numerator, a/b, gives the odds of a positive versus negative rating by Rater 2 given that Rater 1's rating is positive. The denominator, c/d, gives the odds of a positive versus negative rating by Rater 2 given that Rater 1's rating is negative.
OR is the ratio of these two odds--hence its name, the odds ratio. It indicates how much the odds of Rater 2 making a positive rating increase for cases where Rater 1 makes a positive rating.
This alone would make the odds ratio a potentially useful way to assess
association between the ratings of two raters. However, it has some
other appealing features as well. Note that:
a/b a/c d/b d/c ad
OR = ----- = ----- = ----- = ----- = ----.
c/d b/d c/a b/a bc
From this we see that the odds ratio can be interpreted in various ways. Generally, it shows the relative increase in the odds of one rater making a given rating, given that the other rater made the same rating--the value is invariant regardless of whether one is concerned with a positive or negative rating, or which rater is the reference and which the comparison.
The odds ratio can be interpreted as a measure of the magnitude of association between the two raters. The concept of an odds ratio is also familiar from other statistical methods (e.g., logistic regression).
For example, Yule's Q is
OR - 1
Q = --------.
OR + 1
It is often more convenient to work with the log of the odds ratio than with the odds ratio itself. The formula for the standard error of log(OR) is very simple:
Confidence limits are calculated as:
Confidence limits for OR may be calculated as:
Alternatives are to estimate confidence intervals by the nonparametric bootstrap (for description, see the Raw agreement indices page) or to construct exact confidence intervals by considering all possible distributions of the cases in a 2×2 table.
Once one has used log OR or OR to assess association between raters, one
may then also perform a test of marginal homogeneity, such as the McNemar test.
 
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This method is probably more appropriate for nominal ratings than for ordered-category ratings. In either case, one might consider instead using Loglinear, association, or quasi-symmetry models.
Agresti A. Categorical data analysis. New York: Wiley, 1990.
Agresti A. An introduction to categorical data analysis. New York: Wiley, 1996.
Bishop YMM, Fienberg SE, Holland PW. Discrete nultivariate analysis: theory and practice. Cambridge, Massachusetts: MIT Press, 1975
Cook RJ, Farewell VT. Conditional inference for subject-specific and marginal agreement: two families of agreement measures. Canadian Journal of Statistics, 1995, 23, 333-344.
Fleiss JL. Statistical methods for rates and proportions, 2nd Ed. New York: John Wiley, 1981.
Khamis H. Association, measures of. In Armitage P, Colton T (eds.), The Encyclopedia of Biostatistics, Vol. 1, pp. 202-208. New York: Wiley, 1998.
Somes GW, O'Brien, KF. Odds ratio estimators. In Kotz L, Johnson NL (eds.), Encyclopedia of statistical sciences, Vol. 6, pp. 407-410. New York: Wiley, 1988.
Sprott DA, Vogel-Sprott MD. The use of the log-odds ratio to assess the reliability of dichotomous questionnaire data. Applied Psychological Measurement, 1987, 11, 307-316.
Last updated: 21 August 2006 (added counter)