Document Type thesis Author Name Liu, Jie URN etd-0501102-110350 Title Novel Bayesian Methods for Disease Mapping: An Application to Chronic Obstructive Pulmonary Disease Degree MS Department Mathematical 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/Defense 2002-04-24 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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