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In 2000, the Journal of the American Medical Association (JAMA) published a study that examined pregnancies that resulted in the birth of twins. Births were classified as preterm with intervention (induced labor or cesarean), preterm without procedures, or term/post-term. Researchers also classified the pregnancies by the level of prenatal medical care the mother received (inadequate, adequate, or intensive). The data, from the years 1995-1997, are summarized in the table below. Figures are in thousands of births.

 Level of  Prenatal  Care)  Preterm  (induced or  cesarean)  Preterm  (without  procedures)  Term or  Post-Term  Total  Intensive 18152861 Adequate 464365154 Inadequate 12133863 Total 7671131278\begin{array}{l|ccc|r} \begin{array}{c} \text { Level of } \\ \text { Prenatal } \\ \text { Care) } \end{array}& \begin{array}{c} \text { Preterm } \\ \text { (induced or } \\ \text { cesarean) } \end{array} & \begin{array}{c} \text { Preterm } \\ \text { (without } \\ \text { procedures) } \end{array} & \begin{array}{c} \text { Term or } \\ \text { Post-Term } \end{array} & \text { Total } \\ \hline \text { Intensive } & 18 & 15 & 28 & \mathbf{61} \\ \text { Adequate } & 46 & 43 & 65 & \mathbf{154} \\ \text { Inadequate } & 12 & 13 & 38 & \mathbf{63} \\ \hline \text { Total } & \mathbf{76} & \mathbf{71} & \mathbf{131} & \mathbf{278} \end{array}

What percent of these mothers received inadequate medical care during their pregnancies?

Question

Is it true that an apple a day keeps the doctor away? A study designed and conducted by the National Health and Nutrition Examination Study (results published in the Journal of the American Medical Association) considered 8,399 American adults of whom 756 reported that they ate a small apple a day. The rest did not eat apples or ate them infrequently. The number of healthcare visits in the previous 36 months was recorded. Conduct a test to determine whether the adage is true.

Solution

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Let's define the following:

  • n1=756n_1=756 - is the sample size or the number of randomly selected American adults who ate a small apple a day
  • n2=7643n_2=7643 - is the sample size or the number of randomly selected American adults who don't eat an apple a day
  • xˉ1\bar{x}_1 - is the sample mean or the mean number of healthcare visits of 756756 American adults who ate a small apple a day
  • xˉ2\bar{x}_2 - is the sample mean or the number of healthcare visits of 76437643 American adults don't eat an apple a day
  • s12s_1^2 - is the sample variance or the variance of the number of healthcare visits of 756756 American adults who ate a small apple a day
  • s22s_2^2 - is the sample variance or the variance of the number of healthcare visits of 76437643 American adults don't eat an apple a day
  • ν1=ν2=ν_1=ν_2=\infty are the number of degrees of freedom by Sample 11 and Sample 22
  • α=0.05\alpha=0.05 - is the level of significance

Our goal for this part of the problem is to determine whether eating an apple a day decreases the number of healthcare visits of American adults.

How can we identify whether to apply equal or unequal variances t-tests?

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