A model for space-time cluster detection using spatial clusters with flexible temporal risk patterns.

Abstract:

:Maps of estimated disease rates over multiple time periods are useful tools for gaining etiologic insights regarding potential exposures associated with specific locations and times. In this paper, we describe an extension of the Gangnon-Clayton model for spatial clustering to spatio-temporal data. As in the purely spatial model, a large set of circular regions of varying radii centered at observed locations are considered as potential clusters, e.g. subregions with a different pattern of risk than the remainder of the study region. Within the spatio-temporal model, no specific parametric form is imposed on the temporal pattern of risk within each cluster. In addition to the clusters, the proposed model incorporates spatial and spatio-temporal heterogeneity effects and can readily accommodate regional covariates. Inference is performed in a Bayesian framework using MCMC. Although formal inferences about the number of clusters could be obtained using a reversible jump MCMC algorithm, we use local Bayes factors from models with a fixed, but overly large, number of clusters to draw inferences about both the number and the locations of the clusters. We illustrate the approach with two applications of the model to data on female breast cancer mortality in Japan and evaluate its operating characteristics in a simulation study.

journal_name

Stat Med

journal_title

Statistics in medicine

authors

Gangnon RE

doi

10.1002/sim.3984

subject

Has Abstract

pub_date

2010-09-30 00:00:00

pages

2325-37

issue

22

eissn

0277-6715

issn

1097-0258

journal_volume

29

pub_type

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