Are the 20 questions designed to be items in a scale?
Are you sure that the response scale is severely discrepant from 
interval level?

Art
mac55 wrote:

> I have a questionnaire with about 20 questions that will result in
> ordered categorical variables.  I also have about 10 background
> questions related to demographics and background.  MY outcome is
> dichotomous.
> 
> How can I build a logistic regression model with so many ordinal
> categorical variables.  The amount of dummy variables required (about
> 3-4 per question) would make the model unstable.
> 
> My question is what is the best way to proceed with this data.  Can
> they be entered as continuous variables so long as there is a linear
> relationship with the log odds?  Or should I just build a model with
> the background questions and adjust the 20 variables with those
> factors.  Of course this will miss a fair amount of confounding and
> interaction.
> 
> I know a lot of this is vague without the clinical
> context.....sorry......
> 
> mcap

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