A continuing debate in public health circles concerns the dangers of being exposed to dioxin, an environmental contaminant. A German study published in the October 19, 1991, issue of The Lancet, a British medical journal, considered records of workers at an herbicide manufacturing plant that made use of dioxin. A control group consisted of workers at a nearby gas supply company who had similar medical profiles.

The following data relating to the number of workers who had died from cancer were obtained.

Control group          Dioxin-exposed group

Sample size                           1583                      1242

Number dying from cancer   113                          123

Discuss the question: Is there a statistically significant difference in the rate of cancer deaths in the two groups?

Include the following points in your discussion:

  1. What does “statistical significance” mean in relation to this question
  2. Why isn’t it enough to say that “since there are more cancer deaths in the Dioxin group with a smaller sample, it is clear that exposure to Dioxin causes a higher probability of dying from cancer”
  3. Does the word “rate” indicate sample means or sample proportions?
  4. Construct a hypothesis test for this question
  5. Perform the hypothesis test analysis for a significance level of 1%
  6. What is the p-value for this test?