Abstract:
:This article discusses and extends statistical models to jointly analyse the spatial variation of rates of several diseases with common risk factors. We start with a review of methods for separate analyses of diseases, then move to ecological regression approaches, where the rates from one of the diseases enter as surrogate covariates for exposure. Finally, we propose a general framework for jointly modelling the variation of two or more diseases, some of which share latent spatial fields, but with possibly different risk gradients. In our application, we consider mortality data on oral, oesophagus, larynx and lung cancers for males in Germany, which all share smoking as a common risk factor. Furthermore, the first three cancers are also known to be related to excessive alcohol consumption. An empirical comparison of the different models based on a formal model criterion as well as on the posterior precision of the relative risk estimates strongly suggests that the joint modelling approach is a useful and valuable extension over individual analyses.
journal_name
Stat Methods Med Resjournal_title
Statistical methods in medical researchauthors
Held L,Natário I,Fenton SE,Rue H,Becker Ndoi
10.1191/0962280205sm389oasubject
Has Abstractpub_date
2005-02-01 00:00:00pages
61-82issue
1eissn
0962-2802issn
1477-0334journal_volume
14pub_type
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