Document Type thesis Author Name Liu, Ning URN etd-0428103-145502 Title Bayesian Nonresponse Models for the Analysis of Data from Small Areas: An Application to BMD and Age in NHANES III Degree MS Department Mathematical Sciences Advisors Balgobin Nandram, Advisor Bogdan Vernescu, Department Head Keywords missing data Bayesian nonresponse Date of Presentation/Defense 2003-04-25 Availability unrestricted Abstract
We analyze data on bone mineral density (BMD) and age for white
females age 20+ in the third National Health and Nutrition Examination
Survey. For the sample the age of each individual is known, but some
individuals did not have their BMD measured, mainly because they did
not show up in the mobile examination centers. We have data from 35
counties, the small areas.
We use two types of models to analyze the data. In the ignorable nonresponse
model, BMD does not depend on whether an individual responds or not.
In the nonignorable nonresponse model, BMD is related to whether he/she
responds. We incorporate this relationship in our model by using a
Bayesian approach. We further divide these two types of models into
continuous and categorical data models. Our nonignorable nonresponse models have
one important feature: They are ``close' to the ignorable nonresponse model
thereby reducing the effects of the untestable assumptions so common
in nonresponse models. In the continuous data models, because the age
of all nonrespondents are known and there is a relation between BMD
and age, age is used as a covariate. In the
categorical data models BMD has three levels (normal, osteopenia,
osteoporosis) and age has two levels (younger than 50 years, at least
50 years). Thus, age is a supplemental margin for the $2 imes 3$
categorical table. Our research on the categorical models is much
deeper than on the continuous models.
Our models are hierarchical, a feature that allows a ``borrowing of
strength' across the counties. Individual inference for most of the
counties is unreliable because there is large variation. This
``borrowing of strength' is therefore necessary because it permits a
substantial reduction in variation.
The joint posterior density of the parameters for each model is complex.
Thus, we fit each model using Markov chain Monte Carlo methods to
obtain samples from the posterior density. These samples are used to
make inference about BMD and age, and the relation between BMD and age.
For the continuous data models, we show that there is an important relation
between BMD and age by using a deviance measure, and we show that the
nonignorable nonresponse models are to be preferred. For the categorical data models,
we are able to estimate the proportion of individuals in each BMD and
age cell of the categorical table, and we can assess the relation
between BMD and age using the Bayes factor. A sensitivity analysis
shows that there are differences, typically small, in inference that
permits different levels of association between BMD and age. A
simulation study shows that there is not much difference in inference
between the ignorable nonresponse models and the nonignorable
nonresponse models.
As expected, BMD depends on age and this inference can be obtained for
some small counties. For the data we use, there are virtually no young
individuals with osteoporosis. The nonignorable nonresponse models generalize the
ignorable nonresponse models, and therefore, allow broader inference.
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