Joint mean and covariance modeling of multiple health outcome measures

DOI10.1214/18-AOAS1187MaRDI QIDQ2415464zbMATH OpenWikidataFDO

Authors Xiaoyue Niu, Peter D. Hoff

Publication date 22 May 2019

Published in The Annals of Applied Statistics (Search for Journal in Brave)

Full work available at URL https://arxiv.org/abs/1311.2610, https://projecteuclid.org/euclid.aoas/1554861651

zbMATH Keywords

covariance regressionheterogeneous populationNHANESreference range

Mathematics Subject Classification ID

Applications of statistics to biology and medical sciences; meta analysis (62P10)

Abstract: Health exams determine a patient's health status by comparing the patient's measurement with a population reference range, a 95% interval derived from a homogeneous reference population. Similarly, most of the established relation among health problems are assumed to hold for the entire population. We use data from the 2009 - 2010 National Health and Nutrition Examination Survey (NHANES) on four major health problems in the U.S. and apply a joint mean and covariance model to study how the reference ranges and associations of those health outcomes could vary among subpopulations. We discuss guidelines for model selection and evaluation, using standard criteria such as AIC in conjunction with posterior predictive checks. The results from the proposed model can help identify subpopulations in which more data need to be collected to refine the reference range and to study the specific associations among those health problems.

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Cited in

(4)

• Joint modeling of cross‐sectional health outcomes and longitudinal predictors via mixtures of means and variances
• Reducing subspace models for large‐scale covariance regression
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