Worcester Polytechnic Institute Electronic Theses and Dissertations Collection

Title page for ETD etd-0501102-110350


Document Typethesis
Author NameLiu, Jie
URNetd-0501102-110350
TitleNovel Bayesian Methods for Disease Mapping: An Application to Chronic Obstructive Pulmonary Disease
DegreeMS
DepartmentMathematical Sciences
Advisors
  • Balgobin Nandram, Advisor
  • Homer Walker, Department Head
  • Keywords
  • latent class model
  • poisson regression model
  • Metropolis-Hastings sampler
  • order restriction
  • disease mapping
  • Date of Presentation/Defense2002-04-24
    Availability unrestricted

    Abstract

    Mapping of mortality rates has been a valuable public health tool.

    We describe novel Bayesian methods for constructing maps which do

    not depend on a post stratification of the estimated rates. We also

    construct posterior modal maps rather than posterior mean maps. Our

    methods are illustrated using mortality data from chronic obstructive

    pulmonary diseases (COPD) in the continental United States.

    Poisson regression models have attracted much attention in the

    scientific community for their superiority in modeling rare events

    (including mortality counts from COPD). Christiansen and Morris (JASA 1997)

    described a hierarchical Bayesian model for heterogeneous Poisson

    counts under the exchangeability assumption. We extend this model

    to include latent classes (groups of similar Poisson rates

    unknown to an investigator).

    Also, it is standard practice

    to construct maps using quantiles (e.g., quintiles) of the estimated

    mortality rates. For example, based on quintiles, the mortality rates

    are cut into 5 equal size groups, each

    containing $20\%$ of the data, and a different color is applied

    to each of them

    on the map. A potential problem is that, this method assumes an equal

    number of data in each group, but this is often not the case.

    The latent class model produces a method to construct

    maps without using quantiles, providing a more natural

    representation of the colors.

    Typically, for rare events, the posterior densities of the rates are

    skewed, making the posterior mean map inappropriate and inaccurate.

    Thus, although it is standard practice

    to present the posterior mean maps, we also develop a method to

    provide the joint posterior modal map (i.e., the map with the highest

    posterior probability over the ensemble).

    For the COPD data, collected 1988-1992 over 798 health service areas,

    we use Markov chain Monte Carlo methods to fit the model, and

    an output analysis is used to construct the new maps.

    Files
  • jliu.pdf

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