Lab Overview

Time: ~30 minutes

Goal: Practice one-way ANOVA analysis from start to finish using real public health data

Learning Objectives:

  • Understand when and why to use ANOVA instead of multiple t-tests
  • Set up hypotheses for ANOVA
  • Conduct and interpret the F-test
  • Perform post-hoc tests when appropriate
  • Check ANOVA assumptions
  • Calculate and interpret effect size (η²)

Structure:

  • Part A: Guided Example (follow along)
  • Part B: Your Turn (independent practice)

Submission: Upload your completed .Rmd file and published to Brightspace by the end of class.


PART A: GUIDED EXAMPLE

Example: Blood Pressure and BMI Categories

Research Question: Is there a difference in mean systolic blood pressure (SBP) across three BMI categories (Normal weight, Overweight, Obese)?

Why ANOVA? We have one continuous outcome (SBP) and one categorical predictor with THREE groups (BMI category). Using multiple t-tests would inflate our Type I error rate.


Step 1: Setup and Data Preparation

# Load necessary libraries
library(tidyverse)   # For data manipulation and visualization
library(knitr)       # For nice tables
library(car)         # For Levene's test
library(NHANES)      # NHANES dataset

# Load the NHANES data
data(NHANES)

Create analysis dataset:

# Set seed for reproducibility
set.seed(553)

# Create BMI categories and prepare data
bp_bmi_data <- NHANES %>%
  filter(Age >= 18 & Age <= 65) %>%  # Adults 18-65
  filter(!is.na(BPSysAve) & !is.na(BMI)) %>%
  mutate(
    bmi_category = case_when(
      BMI < 25 ~ "Normal",
      BMI >= 25 & BMI < 30 ~ "Overweight",
      BMI >= 30 ~ "Obese",
      TRUE ~ NA_character_
    ),
    bmi_category = factor(bmi_category, 
                         levels = c("Normal", "Overweight", "Obese"))
  ) %>%
  filter(!is.na(bmi_category)) %>%
  select(ID, Age, Gender, BPSysAve, BMI, bmi_category)

# Display first few rows
head(bp_bmi_data) %>% 
  kable(caption = "Blood Pressure and BMI Dataset (first 6 rows)")
Blood Pressure and BMI Dataset (first 6 rows)
ID Age Gender BPSysAve BMI bmi_category
51624 34 male 113 32.22 Obese
51624 34 male 113 32.22 Obese
51624 34 male 113 32.22 Obese
51630 49 female 112 30.57 Obese
51647 45 female 118 27.24 Overweight
51647 45 female 118 27.24 Overweight
# Check sample sizes
table(bp_bmi_data$bmi_category)
## 
##     Normal Overweight      Obese 
##       1939       1937       2150

Interpretation: We have 6026 adults with complete BP and BMI data across three BMI categories.


Step 2: Descriptive Statistics

# Calculate summary statistics by BMI category
summary_stats <- bp_bmi_data %>%
  group_by(bmi_category) %>%
  summarise(
    n = n(),
    Mean = mean(BPSysAve),
    SD = sd(BPSysAve),
    Median = median(BPSysAve),
    Min = min(BPSysAve),
    Max = max(BPSysAve)
  )

summary_stats %>% 
  kable(digits = 2, 
        caption = "Descriptive Statistics: Systolic BP by BMI Category")
Descriptive Statistics: Systolic BP by BMI Category
bmi_category n Mean SD Median Min Max
Normal 1939 114.23 15.01 113 78 221
Overweight 1937 118.74 13.86 117 83 186
Obese 2150 121.62 15.27 120 82 226

Observation: The mean SBP appears to increase from Normal (114.2) to Overweight (118.7) to Obese (121.6).

But is this difference statistically significant?


Step 3: Visualize the Data

# Create boxplots with individual points
ggplot(bp_bmi_data, 
  aes(x = bmi_category, y = BPSysAve, fill = bmi_category)) +
  geom_boxplot(alpha = 0.7, outlier.shape = NA) +
  geom_jitter(width = 0.2, alpha = 0.1, size = 0.5) +
  scale_fill_brewer(palette = "Set2") +
  labs(
    title = "Systolic Blood Pressure by BMI Category",
    subtitle = "NHANES Data, Adults aged 18-65",
    x = "BMI Category",
    y = "Systolic Blood Pressure (mmHg)",
    fill = "BMI Category"
  ) +
  theme_minimal(base_size = 12) +
  theme(legend.position = "none")

What the plot tells us:

  • There appears to be a trend: higher BMI categories have higher median SBP
  • The boxes overlap, but the obese group appears shifted upward
  • Variability (box heights) looks similar across groups

Step 4: Set Up Hypotheses

Null Hypothesis (H₀): μ_Normal = μ_Overweight = μ_Obese
(All three population means are equal)

Alternative Hypothesis (H₁): At least one population mean differs from the others

Significance level: α = 0.05


Step 5: Fit the ANOVA Model

# Fit the one-way ANOVA model
anova_model <- aov(BPSysAve ~ bmi_category, data = bp_bmi_data)

# Display the ANOVA table
summary(anova_model)
##                Df  Sum Sq Mean Sq F value Pr(>F)    
## bmi_category    2   56212   28106   129.2 <2e-16 ***
## Residuals    6023 1309859     217                   
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

Interpretation:

  • F-statistic: 129.24
  • Degrees of freedom: df₁ = 2 (k-1 groups), df₂ = 6023 (n-k)
  • p-value: < 2e-16 (very small)
  • Decision: Since p < 0.05, we reject H₀
  • Conclusion: There is statistically significant evidence that mean systolic BP differs across at least two BMI categories.

Step 6: Post-Hoc Tests (Tukey HSD)

Why do we need this? The F-test tells us that groups differ, but not which groups differ. Tukey’s Honest Significant Difference controls the family-wise error rate for multiple pairwise comparisons.

# Conduct Tukey HSD test
tukey_results <- TukeyHSD(anova_model)
print(tukey_results)
##   Tukey multiple comparisons of means
##     95% family-wise confidence level
## 
## Fit: aov(formula = BPSysAve ~ bmi_category, data = bp_bmi_data)
## 
## $bmi_category
##                       diff      lwr      upr p adj
## Overweight-Normal 4.507724 3.397134 5.618314     0
## Obese-Normal      7.391744 6.309024 8.474464     0
## Obese-Overweight  2.884019 1.801006 3.967033     0
# Visualize the confidence intervals
plot(tukey_results, las = 0)

Interpretation:

Comparison Mean Diff 95% CI p-value Significant?
Overweight - Normal 4.51 [3.4, 5.62] 1.98e-13 Yes
Obese - Normal 7.39 [6.31, 8.47] < 0.001 Yes
Obese - Overweight 2.88 [1.8, 3.97] 1.38e-09 Yes

Conclusion: All three pairwise comparisons are statistically significant. Obese adults have higher SBP than overweight adults, who in turn have higher SBP than normal-weight adults.


Step 7: Calculate Effect Size

# Extract sum of squares from ANOVA table
anova_summary <- summary(anova_model)[[1]]

ss_treatment <- anova_summary$`Sum Sq`[1]
ss_total <- sum(anova_summary$`Sum Sq`)

# Calculate eta-squared
eta_squared <- ss_treatment / ss_total

cat("Eta-squared (η²):", round(eta_squared, 4), "\n")
## Eta-squared (η²): 0.0411
cat("Percentage of variance explained:", round(eta_squared * 100, 2), "%")
## Percentage of variance explained: 4.11 %

Interpretation: BMI category explains 4.11% of the variance in systolic BP.

  • Effect size guidelines: Small (0.01), Medium (0.06), Large (0.14)
  • Our effect: Small

While statistically significant, the practical effect is modest—BMI category alone doesn’t explain most of the variation in blood pressure.


Step 8: Check Assumptions

ANOVA Assumptions:

  1. Independence: Observations are independent (assumed based on study design)
  2. Normality: Residuals are approximately normally distributed
  3. Homogeneity of variance: Equal variances across groups
# Create diagnostic plots
par(mfrow = c(2, 2))
plot(anova_model)

par(mfrow = c(1, 1))

Diagnostic Plot Interpretation:

  1. Residuals vs Fitted: Points show random scatter around zero with no clear pattern → Good!
  2. Q-Q Plot: Points follow the diagonal line reasonably well → Normality assumption is reasonable
  3. Scale-Location: Red line is relatively flat → Equal variance assumption is reasonable
  4. Residuals vs Leverage: No points beyond Cook’s distance lines → No highly influential outliers
# Levene's test for homogeneity of variance
levene_test <- leveneTest(BPSysAve ~ bmi_category, data = bp_bmi_data)
print(levene_test)
## Levene's Test for Homogeneity of Variance (center = median)
##         Df F value  Pr(>F)  
## group    2  2.7615 0.06328 .
##       6023                  
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

Levene’s Test Interpretation:

  • p-value: 0.0633
  • If p < 0.05, we would reject equal variances
  • Here: Equal variance assumption is met

Overall Assessment: With n > 2000, ANOVA is robust to minor violations. Our assumptions are reasonably satisfied.


Step 9: Report Results

Example Results Section:

We conducted a one-way ANOVA to examine whether mean systolic blood pressure (SBP) differs across BMI categories (Normal, Overweight, Obese) among 6,026 adults aged 18-65 from NHANES. Descriptive statistics showed mean SBP of 114.2 mmHg (SD = 15) for normal weight, 118.7 mmHg (SD = 13.9) for overweight, and 121.6 mmHg (SD = 15.3) for obese individuals.

The ANOVA revealed a statistically significant difference in mean SBP across BMI categories, F(2, 6023) = 129.24, p < 0.001. Tukey’s HSD post-hoc tests indicated that all pairwise comparisons were significant (p < 0.05): obese adults had on average 7.4 mmHg higher SBP than normal-weight adults, and 2.9 mmHg higher than overweight adults.

The effect size (η² = 0.041) indicates that BMI category explains 4.1% of the variance in systolic blood pressure, representing a small practical effect. These findings support the well-established relationship between higher BMI and elevated blood pressure, though other factors account for most of the variation in SBP.


PART B: YOUR TURN - INDEPENDENT PRACTICE

Practice Problem: Physical Activity and Depression

Research Question: Is there a difference in the number of days with poor mental health across three physical activity levels (None, Moderate, Vigorous)?

Your Task: Complete the same 9-step analysis workflow you just practiced, but now on a different outcome and predictor.


Step 1: Data Preparation

# Prepare the dataset
set.seed(553)

mental_health_data <- NHANES %>%
  filter(Age >= 18) %>%
  filter(!is.na(DaysMentHlthBad) & !is.na(PhysActive)) %>%
  mutate(
    activity_level = case_when(
      PhysActive == "No" ~ "None",
      PhysActive == "Yes" & !is.na(PhysActiveDays) & PhysActiveDays < 3 ~ "Moderate",
      PhysActive == "Yes" & !is.na(PhysActiveDays) & PhysActiveDays >= 3 ~ "Vigorous",
      TRUE ~ NA_character_
    ),
    activity_level = factor(activity_level, 
                           levels = c("None", "Moderate", "Vigorous"))
  ) %>%
  filter(!is.na(activity_level)) %>%
  select(ID, Age, Gender, DaysMentHlthBad, PhysActive, activity_level)

# YOUR TURN: Display the first 6 rows and check sample sizes
head(mental_health_data) %>% 
  kable(caption = "Mental Health and Physical Activity (first 6 rows)")
Mental Health and Physical Activity (first 6 rows)
ID Age Gender DaysMentHlthBad PhysActive activity_level
51624 34 male 15 No None
51624 34 male 15 No None
51624 34 male 15 No None
51630 49 female 10 No None
51647 45 female 3 Yes Vigorous
51647 45 female 3 Yes Vigorous
# Check sample sizes
table(mental_health_data$activity_level)
## 
##     None Moderate Vigorous 
##     3139      768     1850

YOUR TURN - Answer these questions:

  • How many people are in each physical activity group?
    • None: 3139
    • Moderate: 768
    • Vigorous: 1850

Step 2: Descriptive Statistics

# YOUR TURN: Calculate summary statistics by activity level
# Hint: Follow the same structure as the guided example
# Variables to summarize: n, Mean, SD, Median, Min, Max
summary_stats <- mental_health_data %>%
  group_by(activity_level) %>%
  summarise(
    n = n(),
    Mean = mean(DaysMentHlthBad),
    SD = sd(DaysMentHlthBad),
    Median = median(DaysMentHlthBad),
    Min = min(DaysMentHlthBad),
    Max = max(DaysMentHlthBad)
  )

summary_stats %>% 
  kable(digits = 2, 
        caption = "Descriptive Statistics: Days with Bad Mental Health by Activity level")
Descriptive Statistics: Days with Bad Mental Health by Activity level
activity_level n Mean SD Median Min Max
None 3139 5.08 9.01 0 0 30
Moderate 768 3.81 6.87 0 0 30
Vigorous 1850 3.54 7.17 0 0 30

YOUR TURN - Interpret:

  • Which group has the highest mean number of bad mental health days? -From the table it can be seen that the people who said they are not physically active has to highest number of mean (5.08) regarding having days with bad mental health.

  • Which group has the lowest? -The group of people who said that they are vigorous in physical activity has the lowest number of mean (3.54) regarding having days with bad mental health.


Step 3: Visualization

# YOUR TURN: Create boxplots comparing DaysMentHlthBad across activity levels
# Hint: Use the same ggplot code structure as the example
# Change variable names and labels appropriately
ggplot(mental_health_data, 
  aes(x = activity_level, y = DaysMentHlthBad, fill = activity_level)) +
  geom_boxplot(alpha = 0.7, outlier.shape = NA) +
  geom_jitter(width = 0.2, alpha = 0.1, size = 0.5) +
  scale_fill_brewer(palette = "Set2") +
  labs(
    title = "Days with Bad Mental Health by Physical Activity level",
    subtitle = "NHANES Data, Adults aged 18-65",
    x = "Physical activity level",
    y = "Days with Bad Mental Health",
    fill = "Physical Activity level"
  ) +
  theme_minimal(base_size = 12) +
  theme(legend.position = "none")

YOUR TURN - Describe what you see:

  • Do the groups appear to differ? -The group who said they do not do physical activity and the group who said they do moderate physical activity looks somewhat similar number of days of experiencing bad mental health. but the group that said they are involved in vigorous physical activity appears to have less days with bad mental health.
  • Are the variances similar across groups? -The variability and overall distribution appear to be similar across all three groups. When considering their respective sample sizes, the data in each group are distributed fairly evenly. Also, all three groups show the presence of outliers. —

Step 4: Set Up Hypotheses

YOUR TURN - Write the hypotheses:

Null Hypothesis (H₀): There is no significant difference in the means of the group of the people who do not do physical activity, moderately do physical activity and vigorously do physical activity. μ_none = μ_moderate = μ_vigorous

Alternative Hypothesis (H₁): There are significant difference in the means of at least one group of people of none, moderate and vigorous group.

Significance level: α = 0.05


Step 5: Fit the ANOVA Model

# YOUR TURN: Fit the ANOVA model
# Outcome: DaysMentHlthBad
# Predictor: activity_level
anova_model <- aov(DaysMentHlthBad ~ activity_level, data = mental_health_data)

# Display the ANOVA table
summary(anova_model)
##                  Df Sum Sq Mean Sq F value   Pr(>F)    
## activity_level    2   3109  1554.6   23.17 9.52e-11 ***
## Residuals      5754 386089    67.1                     
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

YOUR TURN - Extract and interpret the results:

  • F-statistic: 23.17
  • Degrees of freedom: 2
  • p-value: 9.52e-11
  • Decision (reject or fail to reject H₀): Reject
  • Statistical conclusion in words:

-Since the p-value (9.52e-11) is much smaller than 0.05, we reject the null hypothesis. This means there is strong statistical evidence that at least one group mean is significantly different from the others.

Step 6: Post-Hoc Tests

# YOUR TURN: Conduct Tukey HSD test
# Only if your ANOVA p-value < 0.05
tukey_results <- TukeyHSD(anova_model)
print(tukey_results)
##   Tukey multiple comparisons of means
##     95% family-wise confidence level
## 
## Fit: aov(formula = DaysMentHlthBad ~ activity_level, data = mental_health_data)
## 
## $activity_level
##                         diff       lwr        upr     p adj
## Moderate-None     -1.2725867 -2.045657 -0.4995169 0.0003386
## Vigorous-None     -1.5464873 -2.109345 -0.9836298 0.0000000
## Vigorous-Moderate -0.2739006 -1.098213  0.5504114 0.7159887
# Visualize the confidence intervals
plot(tukey_results, las = 0)

YOUR TURN - Complete the table:

Comparison Mean Difference 95% CI Lower 95% CI Upper p-value Significant?
Moderate - None -1.2725867 -2.045657 -0.4995169 0.0003386 Yes
Vigorous - None -1.5464873 -2.109345 -0.9836298 0.0000000 Yes
Vigorous - Moder -0.2739006 -1.098213 0.5504114 0.7159887 No

Interpretation:

Which specific groups differ significantly?

The Moderate and Vigorous groups are both significantly different from the None group, as their p-values are small and their confidence intervals do not include zero. However, there is no significant difference between the Moderate and Vigorous groups because the p-value is large and the confidence interval includes zero.

Step 7: Calculate Effect Size

# YOUR TURN: Calculate eta-squared
# Hint: Extract Sum Sq from the ANOVA summary

# Extract sum of squares from ANOVA table
anova_summary <- summary(anova_model)[[1]]

ss_treatment <- anova_summary$`Sum Sq`[1]
ss_total <- sum(anova_summary$`Sum Sq`)

# Calculate eta-squared
eta_squared <- ss_treatment / ss_total

cat("Eta-squared (η²):", round(eta_squared, 4), "\n")
## Eta-squared (η²): 0.008
cat("Percentage of variance explained:", round(eta_squared * 100, 2), "%")
## Percentage of variance explained: 0.8 %

**YOUR TURN - Interpret:**

- η² = 0.008
- Percentage of variance explained: 0.8 %
- Effect size classification (small/medium/large): Large
- What does this mean practically?

Although the effect size is classified as large, the η² value of 0.008 means that only 0.8% of the variance in the outcome is explained by the group differences. Practically, this indicates that the independent variable has a statistically significant effect, but the actual impact is very small in real-world terms. The groups differ, but the difference does not explain much of the overall variation in the outcome.
---

### Step 8: Check Assumptions


``` r
par(mfrow = c(2, 2))
plot(anova_model)

par(mfrow = c(1, 1))

YOUR TURN - Evaluate each plot:

  1. Residuals vs Fitted:

The fitted values range roughly from 3.5 to 5.0, and the residuals are mostly centered around 0, ranging approximately from –1 to +1. There is no strong curved pattern, suggesting the linearity assumption is reasonably satisfied.

  1. Q-Q Plot:

The standardized residuals range from about –3 to +3. The points follow the line in the middle but deviate at the upper tail (above about 2), suggesting some departure from normality, especially in the extreme values.

  1. Scale-Location:

The √|standardized residuals| values range approximately from 0 to 1.5. The red line is relatively flat, indicating that the variance of residuals is fairly constant across fitted values (homoscedasticity is mostly met).

  1. Residuals vs Leverage:

Leverage values are very small, ranging roughly from 0.0000 to 0.0012. No points exceed the Cook’s distance reference lines, indicating there are no highly influential observations affecting the model.

# YOUR TURN: Conduct Levene's test
# Levene's test for homogeneity of variance
levene_test <- leveneTest(DaysMentHlthBad ~ activity_level, data = mental_health_data)
print(levene_test)
## Levene's Test for Homogeneity of Variance (center = median)
##         Df F value    Pr(>F)    
## group    2  23.168 9.517e-11 ***
##       5754                      
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

YOUR TURN - Overall assessment:

  • Are assumptions reasonably met?

Levene’s test is statistically significant F(2, 5754) = 23.17, p = 9.52e-11, which means the assumption of homogeneity of variance is violated. The variances across the three groups are not equal.

  • Do any violations threaten your conclusions?

Probably not, because the sample size is very large (5757 people). When the sample size is large, ANOVA is usually still reliable even if variances are not equal.


Step 9: Write Up Results

YOUR TURN - Write a complete 2-3 paragraph results section:

Include: 1. Sample description and descriptive statistics 2. F-test results 3. Post-hoc comparisons (if applicable) 4. Effect size interpretation 5. Public health significance

Your Results Section:

The study included a total of 5,757 participants divided into three activity groups: None (n = 3,139), Moderate (n = 768), and Vigorous (n = 1,850). The mean outcome was highest in the None group (Mean = 5.08, SD = 9.01), compared to the Moderate group (Mean = 3.81, SD = 6.87) and the Vigorous group (Mean = 3.54, SD = 7.17). The median was 0 for all three groups, and the values ranged from 0 to 30 in each group, indicating a right-skewed distribution with some higher values.

A one-way ANOVA showed a statistically significant difference between the groups, F(2, 5754) = 23.17, p < 0.001, indicating that at least one group mean differs from the others. Post-hoc comparisons revealed that both the Moderate and Vigorous groups were significantly different from the None group (p < 0.001 for both comparisons). But, there was no significant difference between the Moderate and Vigorous groups (p = 0.716).

Although the results were statistically significant, the effect size was very small (η² = 0.008), meaning that only 0.8% of the variance in the outcome was explained by group differences. This suggests that while the differences are statistically detectable due to the large sample size, the practical or clinical impact is minimal. From a public health perspective, the findings indicate a measurable but small association, and other factors likely play a much larger role in explaining the outcome.


Reflection Questions

1. How does the effect size help you understand the practical vs. statistical significance?

Effect size tells us how big or meaningful a difference or relationship is, not just whether it is statistically significant. A result can be statistically significant but have a very small effect, and vice versa.

2. Why is it important to check ANOVA assumptions? What might happen if they’re violated?

It is important to check ANOVA assumptions to make sure the results are accurate. If they are violated, the test may give wrong conclusions about whether groups are different.

3. In public health practice, when might you choose to use ANOVA?

I would use ANOVA when comparing the average outcome across three or more groups. For example, comparing mean blood pressure across different activity levels.

4. What was the most challenging part of this lab activity?

The most challenging part of this lab activity is th reflection question part.


Submission Checklist

Before submitting, verify you have:

To submit: Upload both your .Rmd file and the HTML output to Brightspace.


Lab completed on: February 05, 2026


GRADING RUBRIC (For TA Use)

Total Points: 15

Category Criteria Points Notes
Code Execution All code chunks run without errors 4 - Deduct 1 pt per major error
- Deduct 0.5 pt per minor warning
Completion All “YOUR TURN” sections attempted 4 - Part B Steps 1-9 completed
- All fill-in-the-blank answered
- Tukey table filled in
Interpretation Correct statistical interpretation 4 - Hypotheses correctly stated (1 pt)
- ANOVA results interpreted (1 pt)
- Post-hoc results interpreted (1 pt)
- Assumptions evaluated (1 pt)
Results Section Professional, complete write-up 3 - Includes descriptive stats (1 pt)
- Reports F-test & post-hoc (1 pt)
- Effect size & significance (1 pt)

Detailed Grading Guidelines

Code Execution (4 points):

  • 4 pts: All code runs perfectly, produces correct output
  • 3 pts: Minor issues (1-2 small errors or warnings)
  • 2 pts: Several errors but demonstrates understanding
  • 1 pt: Major errors, incomplete code
  • 0 pts: Code does not run at all

Completion (4 points):

  • 4 pts: All sections attempted thoughtfully
  • 3 pts: 1-2 sections incomplete or minimal effort
  • 2 pts: Several sections missing
  • 1 pt: Only partial completion
  • 0 pts: Little to no work completed

Interpretation (4 points):

  • 4 pts: All interpretations correct and well-explained
  • 3 pts: Minor errors in interpretation
  • 2 pts: Several interpretation errors
  • 1 pt: Significant misunderstanding of concepts
  • 0 pts: No interpretation provided

Results Section (3 points):

  • 3 pts: Publication-quality, complete results section
  • 2 pts: Good but missing some elements
  • 1 pt: Incomplete or poorly written
  • 0 pts: No results section written

Common Deductions

  • -0.5 pts: Missing sample sizes in write-up
  • -0.5 pts: Not reporting confidence intervals
  • -1 pt: Incorrect hypothesis statements
  • -1 pt: Misinterpreting p-values
  • -1 pt: Not checking assumptions
  • -0.5 pts: Poor formatting (no tables, unclear output)