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Maximizing power in seroepidemiological studies through the use of the proportional odds model
Journal article   Open access   Peer reviewed

Maximizing power in seroepidemiological studies through the use of the proportional odds model

Ana W Capuano, Jeffrey D Dawson and Gregory C Gray
Influenza and other respiratory viruses, Vol.1(3), pp.87-93
05/2007
DOI: 10.1111/j.1750-2659.2007.00014.x
PMCID: PMC2174695
PMID: 18176626
url
https://doi.org/10.1111/j.1750-2659.2007.00014.xView
Published (Version of record) Open Access

Abstract

Epidemiological studies of zoonotic influenza and other infectious diseases often rely upon analysis of levels of antibody titer. In most of these studies, the antibody titer data are dichotomized based on a chosen cut-point and analyzed with a traditional binary logistic regression. However, cut-points are often arbitrary, particularly those selected for rare diseases or for infections for which serologic assays are imperfect. Alternatively,the data can be left in the original form, as ordinal levels of antibody titer, and analyzed using the proportional odds model. We show why this approach yields superior power to detect risk factors. Additionally, we illustrate the advantages of using the proportional odds model with the analyses of zoonotic influenza antibody titer data.
Seroepidemiologic Studies Animals Models, Statistical Communicable Diseases - epidemiology Humans Risk Factors

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