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1.
Biometrics ; 79(2): 734-746, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-35233778

RESUMO

In many longitudinal studies, the number and timing of measurements differ across study subjects. Statistical analysis of such data requires accounting for both the unbalanced study design and the unequal spacing of repeated measurements. This paper proposes a time-heterogeneous D-vine copula model that allows for time adjustment in the dependence structure of unequally spaced and potentially unbalanced longitudinal data. The proposed approach not only offers flexibility over its time-homogeneous counterparts but also allows for parsimonious model specifications at the tree or vine level for a given D-vine structure. It further provides a robust strategy to specify the joint distribution of non-Gaussian longitudinal data. The performance of the time-heterogeneous D-vine copula models are evaluated through simulation studies and by a real data application. Our findings suggest improved predictive performance of the proposed approach over the linear mixed-effects model and time-homogeneous D-vine copula model.


Assuntos
Modelos Estatísticos , Projetos de Pesquisa , Humanos , Simulação por Computador , Modelos Lineares , Estudos Longitudinais
2.
Stat Med ; 37(28): 4167-4184, 2018 12 10.
Artigo em Inglês | MEDLINE | ID: mdl-30039601

RESUMO

Longitudinal data occur frequently in practice such as medical studies and life sciences. Generalized linear mixed models (GLMMs) are commonly used to analyze such data. It is typically assumed that the random effects covariance matrix is constant among subjects in these models. In many situations, however, the correlation structure may differ among subjects and ignoring this heterogeneity can lead to biases in model parameters estimate. Recently, Lee et al developed a heterogeneous random effects covariance matrix for GLMMs for error-free covariates. Covariates measured with error also happen frequently in the longitudinal data set-up (eg, blood pressure and cholesterol level). Ignoring this issue in the data may produce bias in model parameters estimate and lead to wrong conclusions. In this paper, we propose an approach to properly model the random effects covariance matrix based on covariates in the class of GLMMs, where we also have covariates measured with error. The resulting parameters from the decomposition of random effects covariance matrix have a sensible interpretation and can be easily modeled without the concern of positive definiteness of the resulting estimator. The performance of the proposed approach is evaluated through simulation studies, which show that the proposed method performs very well in terms of bias, mean squared error, and coverage rate. An application of the proposed method is also provided using a longitudinal data from Manitoba follow-up study.


Assuntos
Viés , Estudos Longitudinais , Modelos Estatísticos , Adulto , Envelhecimento , Canadá/epidemiologia , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etiologia , Intervalos de Confiança , Humanos , Modelos Lineares , Masculino , Adulto Jovem
3.
BMC Public Health ; 14: 1007, 2014 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-25261299

RESUMO

BACKGROUND: In this paper, an attempt has been made to explore the relationship between height and occurrence of the non-communicable diseases such as diabetes and hypertension. METHODS: For the purpose of analysis, Bangladesh Demographic and Health Survey (BDHS), 2011 data was used. Bivariate analysis along with a Chi-square test was performed to examine association between height and diseases. To measure the impact of stature on diabetes and hypertension, three different logistic regression models (Model I: considering only quartiles of height, Model II: covariates of model I along with demographic variables and Model III: covariates of model II along with clinical variable) were considered. RESULTS: Occurrence of diabetes and hypertension was found to be inversely related with the height of participants. This inverse association was statistically significant for all three models. After controlling the demographic and clinical variables simultaneously, the odds ratio for highest quartile compared to the lowest quartile was 0.82 with 95% confidence interval (0.69, 0.98) for diabetes; whereas it was 0.72 with 95% confidence interval (0.55, 0.95) for hypertension. CONCLUSIONS: Findings of this paper indicate that persons with shorter stature are substantially more likely to develop diabetes as well as hypertension. The occurrence of non-communicable diseases like diabetes and hypertension can be reduced by controlling genetic and non-genetic (early-life and childhood) factors that may influence the height.


Assuntos
Estatura , Diabetes Mellitus/epidemiologia , Hipertensão/epidemiologia , Adulto , Bangladesh/epidemiologia , Pesos e Medidas Corporais , Feminino , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Fatores Socioeconômicos
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