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Abstract 


The effect of joint misclassification of polytomous risk factors and polytomous covariates in case-control studies upon estimation and power has been examined using computer simulation and mathematical models. It is concluded that non-differential misclassification of covariates may be as important as non-differential misclassification of exposure variables, and that the resultant bias of the relative risk estimate may be either toward or away from the null. It is pointed out that when a confounding variable is misclassified the calculated p value from the particular study will be incorrect and may either be too large or too small depending on the nature of the confounding.

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