{"id":12669,"date":"2019-06-12T12:15:19","date_gmt":"2019-06-12T10:15:19","guid":{"rendered":"http:\/\/www.wjst.de\/blog\/?p=12669"},"modified":"2026-07-15T19:03:42","modified_gmt":"2026-07-15T17:03:42","slug":"how-to-interpret-an-odds-ratio-of-less-than-1","status":"publish","type":"post","link":"https:\/\/www.wjst.de\/blog\/sciencesurf\/2019\/06\/how-to-interpret-an-odds-ratio-of-less-than-1\/","title":{"rendered":"How to interpret an odds ratio of less than 1"},"content":{"rendered":"<p>In a recent paper \u00a0(<a href=\"https:\/\/publikationen.badw.de\/de\/045424636\/pdf\/CC%20BY-ND\/11%20von%20Mutius%20%28Die%20Rolle%20des%20Umweltmikrobioms%20in%20der%20Asthma-%20und%20Allergieentstehung%29\">see page 122<\/a> ) I have read that an odds ratio OR of 0.7 means a 30% risk reduction which is wrong.<\/p>\n<p>The OR is a measure of association not a risk ratio (which requires random sampling of the population and a slightly different formula).<\/p>\n<p>Let&#8217;s have a look on the following table to see why this is all wrong<\/p>\n\n<table id=\"tablepress-10\" class=\"tablepress tablepress-id-10\">\n<thead>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><\/td><th class=\"column-2\">Disease+<\/th><th class=\"column-3\">Disease-<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Exposure+<\/td><td class=\"column-2\">a=7<\/td><td class=\"column-3\">b=10<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Exposure-<\/td><td class=\"column-2\">c=10<\/td><td class=\"column-3\">d=10<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-10 from cache -->\n<p>The odds of an event is the number of those who experience the event divided by the number of those who do not.<\/p>\n<p>Comparing the odds in an exposed and a not exposed group results in the simple odds ratio OR formula.<\/p>\n<pre class=\"brush: php; title: ; notranslate\" title=\"\">\r\nOR = (a\/b) \/ (c\/d)\r\n<\/pre>\n<p>But the odds is not the risk. The risk (incidence proportion) of an event is the number who experience it divided by <em>everyone<\/em> in that group &#8211; those who do and those who do not.<\/p>\n<p>Risk for the exposed is 42.7%, for the unexposed 50%.<\/p>\n<pre class=\"brush: php; title: ; notranslate\" title=\"\">\r\n\r\nRR = ( a\/(a+b) \/ c\/c+b) )\r\n\r\n<\/pre>\n<p class=\"font-claude-response-body break-words whitespace-normal\">Note the denominators: for the odds it was <em>b<\/em> and <em>d<\/em> (only the disease-free), for the risk it is the whole row (<em>a+b<\/em> and <em>c+d<\/em>). That single change is the whole difference between the two measures.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\">The risk ratio is then RR= 0.82 and the risk reduction 18%.<\/p>\n\n<p>&nbsp;<\/p>\n<div class=\"bottom-note\">\n  <span class=\"mod1\">CC-BY-NC Science Surf , accessed 30.07.2026<\/span>\n <\/div>","protected":false},"excerpt":{"rendered":"<p>In a recent paper \u00a0(see page 122 ) I have read that an odds ratio OR of 0.7 means a 30% risk reduction which is wrong. The OR is a measure of association not a risk ratio (which requires random sampling of the population and a slightly different formula). Let&#8217;s have a look on the &hellip; <a href=\"https:\/\/www.wjst.de\/blog\/sciencesurf\/2019\/06\/how-to-interpret-an-odds-ratio-of-less-than-1\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">How to interpret an odds ratio of less than 1<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-12669","post","type-post","status-publish","format-standard","hentry","category-computer-software"],"_links":{"self":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/12669","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/comments?post=12669"}],"version-history":[{"count":28,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/12669\/revisions"}],"predecessor-version":[{"id":26569,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/12669\/revisions\/26569"}],"wp:attachment":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/media?parent=12669"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/categories?post=12669"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/tags?post=12669"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}