Some investigations of whether disease is related to birth order resul
t in a triangular table of counts of diseased individuals classified b
y birth order and sibship size. Here testing for an interaction corres
ponds to testing for quasi-independence of the classification factors.
We propose a Monte Carlo algorithm for estimating the significance le
vel of this test, which should be used when the asymptotic results are
suspect. We describe the procedure by using a classic triangular tabl
e classifying stroke patients. Unlike other researchers, we conclude t
hat there is moderate evidence for rejecting quasi-independence here.
Our main application concerns the relationship between neurosis and bi
rth order. Here there is strong evidence for rejecting quasi-independe
nce in favour of the uniform association model.