Estimating Prevalence Using an Imperfect Test. (23rd October 2011)

• Record Type: Journal Article
• Authors: Diggle, Peter J.
• Other Names: Schouten Leo J. Academic Editor.
• Is Part Of: Epidemiology research international. Volume 2011(2011)
• Publication Date: 2011-10-23
• Subjects: Epidemiology -- Periodicals; Epidemiology; Epidemiology; Epidemiology -- Periodicals; Periodical; Periodicals; 614.4
• DOI: 10.1155/2011/608719
• Languages: English
• ISSNs: 2090-2972

Abstract

Abstract : The standard estimate of prevalence is the proportion of positive results obtained from the application of a diagnostic test to a random sample of individuals drawn from the population of interest. When the diagnostic test is imperfect, this estimate is biased. We give simple formulae, previously described by Greenland (1996) for correcting the bias and for calculating confidence intervals for the prevalence when the sensitivity and specificity of the test are known. We suggest a Bayesian method for constructing credible intervals for the prevalence when sensitivity and specificity are unknown. We provideR code to implement the method.