McNemar's test - overview

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McNemar's test
$z$ test for the difference between two proportions
Independent variableIndependent/grouping variable
2 paired groupsOne categorical with 2 independent groups
Dependent variableDependent variable
One categorical with 2 independent groupsOne categorical with 2 independent groups
Null hypothesisNull hypothesis

Let's say that the scores on the dependent variable are scored 0 and 1. Then for each pair of scores, the data allow four options:

  1. First score of pair is 0, second score of pair is 0
  2. First score of pair is 0, second score of pair is 1 (switched)
  3. First score of pair is 1, second score of pair is 0 (switched)
  4. First score of pair is 1, second score of pair is 1
The null hypothesis H0 is that for each pair of scores, P(first score of pair is 0 while second score of pair is 1) = P(first score of pair is 1 while second score of pair is 0). That is, the probability that a pair of scores switches from 0 to 1 is the same as the probability that a pair of scores switches from 1 to 0.

Other formulations of the null hypothesis are:

  • H0: $\pi_1 = \pi_2$, where $\pi_1$ is the population proportion of ones for the first paired group and $\pi_2$ is the population proportion of ones for the second paired group
  • H0: for each pair of scores, P(first score of pair is 1) = P(second score of pair is 1)

H0: $\pi_1 = \pi_2$

Here $\pi_1$ is the population proportion of 'successes' for group 1, and $\pi_2$ is the population proportion of 'successes' for group 2.
Alternative hypothesisAlternative hypothesis

The alternative hypothesis H1 is that for each pair of scores, P(first score of pair is 0 while second score of pair is 1) $\neq$ P(first score of pair is 1 while second score of pair is 0). That is, the probability that a pair of scores switches from 0 to 1 is not the same as the probability that a pair of scores switches from 1 to 0.

Other formulations of the alternative hypothesis are:

  • H1: $\pi_1 \neq \pi_2$
  • H1: for each pair of scores, P(first score of pair is 1) $\neq$ P(second score of pair is 1)

H1 two sided: $\pi_1 \neq \pi_2$
H1 right sided: $\pi_1 > \pi_2$
H1 left sided: $\pi_1 < \pi_2$
AssumptionsAssumptions
  • Sample of pairs is a simple random sample from the population of pairs. That is, pairs are independent of one another
  • Sample size is large enough for $z$ to be approximately normally distributed. Rule of thumb:
    • Significance test: number of successes and number of failures are each 5 or more in both sample groups
    • Regular (large sample) 90%, 95%, or 99% confidence interval: number of successes and number of failures are each 10 or more in both sample groups
    • Plus four 90%, 95%, or 99% confidence interval: sample sizes of both groups are 5 or more
  • Group 1 sample is a simple random sample (SRS) from population 1, group 2 sample is an independent SRS from population 2. That is, within and between groups, observations are independent of one another
Test statisticTest statistic
$X^2 = \dfrac{(b - c)^2}{b + c}$
Here $b$ is the number of pairs in the sample for which the first score is 0 while the second score is 1, and $c$ is the number of pairs in the sample for which the first score is 1 while the second score is 0.
$z = \dfrac{p_1 - p_2}{\sqrt{p(1 - p)\Bigg(\dfrac{1}{n_1} + \dfrac{1}{n_2}\Bigg)}}$
Here $p_1$ is the sample proportion of successes in group 1: $\dfrac{X_1}{n_1}$, $p_2$ is the sample proportion of successes in group 2: $\dfrac{X_2}{n_2}$, $p$ is the total proportion of successes in the sample: $\dfrac{X_1 + X_2}{n_1 + n_2}$, $n_1$ is the sample size of group 1, and $n_2$ is the sample size of group 2.
Note: we could just as well compute $p_2 - p_1$ in the numerator, but then the left sided alternative becomes $\pi_2 < \pi_1$, and the right sided alternative becomes $\pi_2 > \pi_1.$
Sampling distribution of $X^2$ if H0 were trueSampling distribution of $z$ if H0 were true

If $b + c$ is large enough (say, > 20), approximately the chi-squared distribution with 1 degree of freedom.

If $b + c$ is small, the Binomial($n$, $P$) distribution should be used, with $n = b + c$ and $P = 0.5$. In that case the test statistic becomes equal to $b$.

Approximately the standard normal distribution
Significant?Significant?
For test statistic $X^2$:
  • Check if $X^2$ observed in sample is equal to or larger than critical value $X^{2*}$ or
  • Find $p$ value corresponding to observed $X^2$ and check if it is equal to or smaller than $\alpha$
If $b + c$ is small, the table for the binomial distribution should be used, with as test statistic $b$:
  • Check if $b$ observed in sample is in the rejection region or
  • Find two sided $p$ value corresponding to observed $b$ and check if it is equal to or smaller than $\alpha$
Two sided: Right sided: Left sided:
n.a.Approximate $C\%$ confidence interval for $\pi_1 - \pi_2$
-Regular (large sample):
  • $(p_1 - p_2) \pm z^* \times \sqrt{\dfrac{p_1(1 - p_1)}{n_1} + \dfrac{p_2(1 - p_2)}{n_2}}$
    where the critical value $z^*$ is the value under the normal curve with the area $C / 100$ between $-z^*$ and $z^*$ (e.g. $z^*$ = 1.96 for a 95% confidence interval)
With plus four method:
  • $(p_{1.plus} - p_{2.plus}) \pm z^* \times \sqrt{\dfrac{p_{1.plus}(1 - p_{1.plus})}{n_1 + 2} + \dfrac{p_{2.plus}(1 - p_{2.plus})}{n_2 + 2}}$
    where $p_{1.plus} = \dfrac{X_1 + 1}{n_1 + 2}$, $p_{2.plus} = \dfrac{X_2 + 1}{n_2 + 2}$, and the critical value $z^*$ is the value under the normal curve with the area $C / 100$ between $-z^*$ and $z^*$ (e.g. $z^*$ = 1.96 for a 95% confidence interval)
Equivalent toEquivalent to
When testing two sided: chi-squared test for the relationship between two categorical variables, where both categorical variables have 2 levels.
Example contextExample context
Does a tv documentary about spiders change whether people are afraid (yes/no) of spiders?Is the proportion of smokers different between men and women? Use the normal approximation for the sampling distribution of the test statistic.
SPSSSPSS
Analyze > Nonparametric Tests > Legacy Dialogs > 2 Related Samples...
  • Put the two paired variables in the boxes below Variable 1 and Variable 2
  • Under Test Type, select the McNemar test
SPSS does not have a specific option for the $z$ test for the difference between two proportions. However, you can do the chi-squared test instead. The $p$ value resulting from this chi-squared test is equivalent to the two sided $p$ value that would have resulted from the $z$ test. Go to:

Analyze > Descriptive Statistics > Crosstabs...
  • Put your independent (grouping) variable in the box below Row(s), and your dependent variable in the box below Column(s)
  • Click the Statistics... button, and click on the square in front of Chi-square
  • Continue and click OK
JamoviJamovi
Frequencies > Paired Samples - McNemar test
  • Put one of the two paired variables in the box below Rows and the other paired variable in the box below Columns
Jamovi does not have a specific option for the $z$ test for the difference between two proportions. However, you can do the chi-squared test instead. The $p$ value resulting from this chi-squared test is equivalent to the two sided $p$ value that would have resulted from the $z$ test. Go to:

Frequencies > Independent Samples - $\chi^2$ test of association
  • Put your independent (grouping) variable in the box below Rows, and your dependent variable in the box below Columns
Practice questionsPractice questions