Segregation indices for disease clustering.

Spatial clustering has important implications in various fields. In particular, disease clustering is of major public concern in epidemiology. In this article, we propose the use of two distance-based segregation indices to test the significance of disease clustering among subjects whose locations a...

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Publicado en:Statistics in Medicine Vol. 33; no. 10; pp. 1662 - 1685
Autor principal: Ceyhan, Elvan
Formato: research Journal Article
Publicado: Wiley-Blackwell May2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Segregation indices for disease clustering.
      aug:
        au: Ceyhan, Elvan
        affil: Department of Mathematics, Koç University, Sariyer, 34450, Istanbul, Turkey.
      sug:
        subj:
          Cluster Analysis
          Epidemiological Research
          Models, Statistical
          Child
          Computer Simulation
          Great Britain
          Leukemia Epidemiology
          Liver Diseases Epidemiology
          Child: 6-12 years
      ab: Spatial clustering has important implications in various fields. In particular, disease clustering is of major public concern in epidemiology. In this article, we propose the use of two distance-based segregation indices to test the significance of disease clustering among subjects whose locations are from a homogeneous or an inhomogeneous population. We derive the asymptotic distributions of the segregation indices and compare them with other distance-based disease clustering tests in terms of empirical size and power by extensive Monte Carlo simulations. The null pattern we consider is the random labeling (RL) of cases and controls to the given locations. Along this line, we investigate the sensitivity of the size of these tests to the underlying background pattern (e.g., clustered or homogenous) on which the RL is applied, the level of clustering and number of clusters, or to differences in relative abundances of the classes. We demonstrate that differences in relative abundances have the highest influence on the empirical sizes of the tests. We also propose various non-RL patterns as alternatives to the RL pattern and assess the empirical power performances of the tests under these alternatives. We observe that the empirical size of one of the indices is more robust to the differences in relative abundances, and this index performs comparable with the best performers in literature in terms of power. We illustrate the methods on two real-life examples from epidemiology.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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