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Marginal regression models for clustered count data based on zero-inflated Conway-Maxwell-Poisson distribution with applications
Journal article   Peer reviewed

Marginal regression models for clustered count data based on zero-inflated Conway-Maxwell-Poisson distribution with applications

Hyoyoung Choo-Wosoba, Steven M Levy and Somnath Datta
Biometrics, Vol.72(2), pp.606-618
06/2016
DOI: 10.1111/biom.12436
PMCID: PMC4948193
PMID: 26575079
url
https://www.ncbi.nlm.nih.gov/pmc/articles/4948193View
Open Access

Abstract

Community water fluoridation is an important public health measure to prevent dental caries, but it continues to be somewhat controversial. The Iowa Fluoride Study (IFS) is a longitudinal study on a cohort of Iowa children that began in 1991. The main purposes of this study (http://www.dentistry.uiowa.edu/preventive-fluoride-study) were to quantify fluoride exposures from both dietary and nondietary sources and to associate longitudinal fluoride exposures with dental fluorosis (spots on teeth) and dental caries (cavities). We analyze a subset of the IFS data by a marginal regression model with a zero-inflated version of the Conway-Maxwell-Poisson distribution for count data exhibiting excessive zeros and a wide range of dispersion patterns. In general, we introduce two estimation methods for fitting a ZICMP marginal regression model. Finite sample behaviors of the estimators and the resulting confidence intervals are studied using extensive simulation studies. We apply our methodologies to the dental caries data. Our novel modeling incorporating zero inflation, clustering, and overdispersion sheds some new light on the effect of community water fluoridation and other factors. We also include a second application of our methodology to a genomic (next-generation sequencing) dataset that exhibits underdispersion.
Confidence Intervals Data Interpretation, Statistical Genomics Humans Models, Statistical Biometry - methods Regression Analysis Computer Simulation Fluoridation Poisson Distribution High-Throughput Nucleotide Sequencing Drinking Water Cluster Analysis

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