Suppose that one of every 500 people in a certain population has a particular disease, which displays no symptoms. A blood test is available for screening for this disease. For a person who has this disease, the test always turns out positive. For a person who does not have the disease, however, there is a false positive rate--in other words, for such people, of the time the test will turn out negative, but of the time the test will turn out positive and will incorrectly indicate that the person has the disease. Let be the probability that a person who is chosen at random from this population and gets a positive test result actually has the disease. Which of the following is closest to ?
- A)
- B)
- C)
- D)
- E)
Answer
C
Key insight
Picture 500 people: 1 true positive and about 0.02 * 499 ≈ 10 false positives, so roughly 1 in 11 positive tests is real.
Solution
Imagine testing a group of people.
- Exactly person has the disease, and that person tests positive.
- The other are healthy, and of them test positive anyway: false positives.
So about people test positive, and only of them is actually sick:
Among the choices, is closest ( is noticeably farther).
The answer is .
Why this works
"Probability of disease given a positive test" restricts attention to the positive testers and asks what fraction of them are sick. Because healthy people vastly outnumber sick ones, even a small false-positive rate produces more false positives than true positives, which is why the answer is small. Choosing a concrete population (here , or to avoid decimals) makes Bayes' rule a matter of counting people.
Alternative approach
Formally, . With people the counts are whole: true positives and false positives, so .
The trap
Answering 98/99 or 49/99 by confusing 'positive given disease' with 'disease given positive', ignoring how rare the disease is.
Common mistakes
- Answering 98/99 or 49/99 by confusing 'positive given disease' with 'disease given positive', ignoring how rare the disease is.
- Rounding to is fine, but then choosing instead of because false positives plus true positive was miscounted as .
Techniques
Set up the equation/formula and compute; no special trick needed · Test small/specific values or special cases to find or verify the answer