The Mantel-Haenszel procedure revisited: models and generalizations.

Several statistical methods have been developed for adjusting the Odds Ratio of the relation between two dichotomous variables X and Y for some confounders Z. With the exception of the Mantel-Haenszel method, commonly used methods, notably binary logistic regression, are not symmetrical in X and Y....

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Main Authors: Vaclav Fidler, Nico Nagelkerke
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3596394?pdf=render
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author Vaclav Fidler
Nico Nagelkerke
author_facet Vaclav Fidler
Nico Nagelkerke
author_sort Vaclav Fidler
collection DOAJ
description Several statistical methods have been developed for adjusting the Odds Ratio of the relation between two dichotomous variables X and Y for some confounders Z. With the exception of the Mantel-Haenszel method, commonly used methods, notably binary logistic regression, are not symmetrical in X and Y. The classical Mantel-Haenszel method however only works for confounders with a limited number of discrete strata, which limits its utility, and appears to have no basis in statistical models. Here we revisit the Mantel-Haenszel method and propose an extension to continuous and vector valued Z. The idea is to replace the observed cell entries in strata of the Mantel-Haenszel procedure by subject specific classification probabilities for the four possible values of (X,Y) predicted by a suitable statistical model. For situations where X and Y can be treated symmetrically we propose and explore the multinomial logistic model. Under the homogeneity hypothesis, which states that the odds ratio does not depend on Z, the logarithm of the odds ratio estimator can be expressed as a simple linear combination of three parameters of this model. Methods for testing the homogeneity hypothesis are proposed. The relationship between this method and binary logistic regression is explored. A numerical example using survey data is presented.
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spelling doaj.art-69b9693bc42648208fc9265f41986b262022-12-21T18:24:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0183e5832710.1371/journal.pone.0058327The Mantel-Haenszel procedure revisited: models and generalizations.Vaclav FidlerNico NagelkerkeSeveral statistical methods have been developed for adjusting the Odds Ratio of the relation between two dichotomous variables X and Y for some confounders Z. With the exception of the Mantel-Haenszel method, commonly used methods, notably binary logistic regression, are not symmetrical in X and Y. The classical Mantel-Haenszel method however only works for confounders with a limited number of discrete strata, which limits its utility, and appears to have no basis in statistical models. Here we revisit the Mantel-Haenszel method and propose an extension to continuous and vector valued Z. The idea is to replace the observed cell entries in strata of the Mantel-Haenszel procedure by subject specific classification probabilities for the four possible values of (X,Y) predicted by a suitable statistical model. For situations where X and Y can be treated symmetrically we propose and explore the multinomial logistic model. Under the homogeneity hypothesis, which states that the odds ratio does not depend on Z, the logarithm of the odds ratio estimator can be expressed as a simple linear combination of three parameters of this model. Methods for testing the homogeneity hypothesis are proposed. The relationship between this method and binary logistic regression is explored. A numerical example using survey data is presented.http://europepmc.org/articles/PMC3596394?pdf=render
spellingShingle Vaclav Fidler
Nico Nagelkerke
The Mantel-Haenszel procedure revisited: models and generalizations.
PLoS ONE
title The Mantel-Haenszel procedure revisited: models and generalizations.
title_full The Mantel-Haenszel procedure revisited: models and generalizations.
title_fullStr The Mantel-Haenszel procedure revisited: models and generalizations.
title_full_unstemmed The Mantel-Haenszel procedure revisited: models and generalizations.
title_short The Mantel-Haenszel procedure revisited: models and generalizations.
title_sort mantel haenszel procedure revisited models and generalizations
url http://europepmc.org/articles/PMC3596394?pdf=render
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