A Bayesian two part model applied to analyze risk factors of adult mortality with application to data from Namibia.

Despite remarkable gains in life expectancy and declining mortality in the 21st century, in many places mostly in developing countries, adult mortality has increased in part due to HIV/AIDS or continued abject poverty levels. Moreover many factors including behavioural, socio-economic and demographi...

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Main Author: Lawrence N Kazembe
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3774685?pdf=render
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author Lawrence N Kazembe
author_facet Lawrence N Kazembe
author_sort Lawrence N Kazembe
collection DOAJ
description Despite remarkable gains in life expectancy and declining mortality in the 21st century, in many places mostly in developing countries, adult mortality has increased in part due to HIV/AIDS or continued abject poverty levels. Moreover many factors including behavioural, socio-economic and demographic variables work simultaneously to impact on risk of mortality. Understanding risk factors of adult mortality is crucial towards designing appropriate public health interventions. In this paper we proposed a structured additive two-part random effects regression model for adult mortality data. Our proposal assumed two processes: (i) whether death occurred in the household (prevalence part), and (ii) number of reported deaths, if death did occur (severity part). The proposed model specification therefore consisted of two generalized linear mixed models (GLMM) with correlated random effects that permitted structured and unstructured spatial components at regional level. Specifically, the first part assumed a GLMM with a logistic link and the second part explored a count model following either a Poisson or negative binomial distribution. The model was used to analyse adult mortality data of 25,793 individuals from the 2006/2007 Namibian DHS data. Inference is based on the Bayesian framework with appropriate priors discussed.
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spelling doaj.art-41fe8f8a51594471b9c4e1496858bd232022-12-22T01:08:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0189e7350010.1371/journal.pone.0073500A Bayesian two part model applied to analyze risk factors of adult mortality with application to data from Namibia.Lawrence N KazembeDespite remarkable gains in life expectancy and declining mortality in the 21st century, in many places mostly in developing countries, adult mortality has increased in part due to HIV/AIDS or continued abject poverty levels. Moreover many factors including behavioural, socio-economic and demographic variables work simultaneously to impact on risk of mortality. Understanding risk factors of adult mortality is crucial towards designing appropriate public health interventions. In this paper we proposed a structured additive two-part random effects regression model for adult mortality data. Our proposal assumed two processes: (i) whether death occurred in the household (prevalence part), and (ii) number of reported deaths, if death did occur (severity part). The proposed model specification therefore consisted of two generalized linear mixed models (GLMM) with correlated random effects that permitted structured and unstructured spatial components at regional level. Specifically, the first part assumed a GLMM with a logistic link and the second part explored a count model following either a Poisson or negative binomial distribution. The model was used to analyse adult mortality data of 25,793 individuals from the 2006/2007 Namibian DHS data. Inference is based on the Bayesian framework with appropriate priors discussed.http://europepmc.org/articles/PMC3774685?pdf=render
spellingShingle Lawrence N Kazembe
A Bayesian two part model applied to analyze risk factors of adult mortality with application to data from Namibia.
PLoS ONE
title A Bayesian two part model applied to analyze risk factors of adult mortality with application to data from Namibia.
title_full A Bayesian two part model applied to analyze risk factors of adult mortality with application to data from Namibia.
title_fullStr A Bayesian two part model applied to analyze risk factors of adult mortality with application to data from Namibia.
title_full_unstemmed A Bayesian two part model applied to analyze risk factors of adult mortality with application to data from Namibia.
title_short A Bayesian two part model applied to analyze risk factors of adult mortality with application to data from Namibia.
title_sort bayesian two part model applied to analyze risk factors of adult mortality with application to data from namibia
url http://europepmc.org/articles/PMC3774685?pdf=render
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