An extended random-effects approach to modeling repeated, overdispersed count data

Non-Gaussian outcomes are often modeled using members of the so-called exponential family. The Poisson model for count data falls within this tradition. The family in general, and the Poisson model in particular, are at the same time convenient since mathematically elegant, but in need of extension since often somewhat restrictive. Two of the main rationales for existing extensions are (1) the occurrence of overdispersion, in the sense that the variability in the data is not adequately captured by the model's prescribed mean-variance link, and (2) the accommodation of data hierarchies owing to, for example, repeatedly measuring the outcome on the same subject, recording information from various members of the same family, etc. There is a variety of overdispersion models for count data, such as, for example, the negative-binomial model. Hierarchies are often accommodated through the inclusion of subject-specific, random effects. Though not always, one conventionally assumes such random effects to be normally distributed. While both of these issues may occur simultaneously, models accommodating them at once are less than common. This paper proposes a generalized linear model, accommodating overdispersion and clustering through two separate sets of random effects, of gamma and normal type, respectively. This is in line with the proposal by Booth et al. (Stat Model 3:179-181, 2003). The model extends both classical overdispersion models for count data (Breslow, Appl Stat 33:38-44, 1984), in particular the negative binomial model, as well as the generalized linear mixed model (Breslow and Clayton, J Am Stat Assoc 88:9-25, 1993). Apart from model formulation, we briefly discuss several estimation options, and then settle for maximum likelihood estimation with both fully analytic integration as well as hybrid between analytic and numerical integration. The latter is implemented in the SAS procedure NLMIXED. The methodology is applied to data from a study in epileptic seizures.     

Functional Form for the Zero-Inflated Generalized Poisson Regression Model

The generalized Poisson (GP) regression is an increasingly popular approach for modeling overdispersed as well as underdispersed count data. Several parameterizations have been performed for the GP regression, and the two well known models, the GP-1 and the GP-2, have been applied. The GP-P regression, which has been recently proposed, has the advantage of nesting the GP-1 and the GP-2 parametrically, besides allowing the statistical tests of the GP-1 and the GP-2 against a more general alternative. In several cases, count data often have excessive number of zero outcomes than are expected in the Poisson. This zero-inflation phenomenon is a specific cause of overdispersion, and the zero-inflated Poisson (ZIP) regression model has been proposed. However, if the data continue to suggest additional overdispersion, the zero-inflated negative binomial (ZINB-1 and ZINB-2) and the zero-inflated generalized Poisson (ZIGP-1 and ZIGP-2) regression models have been considered as alternatives. This article proposes a functional form of the ZIGP which mixes a distribution degenerate at zero with a GP-P distribution. The suggested model has the advantage of nesting the ZIP and the two well known ZIGP (ZIGP-1 and ZIGP-2) regression models, besides allowing the statistical tests of the ZIGP-1 and the ZIGP-2 against a more general alternative. The ZIP and the functional form of the ZIGP regression models are fitted, compared and tested on two sets of count data; the Malaysian insurance claim data and the German healthcare data.     

Dynamic generalized linear models with application to environmental epidemiology

Summary. We propose modelling short-term pollutant exposure effects on health by using dynamic generalized linear models. The time series of count data are modelled by a Poisson distribution having mean driven by a latent Markov process; estimation is performed by the extended Kalman filter and smoother. This modelling strategy allows us to take into account possible overdispersion and time-varying effects of the covariates. These ideas are illustrated by reanalysing data on the relationship between daily non-accidental deaths and air pollution in the city of Birmingham, Alabama.     

A score test for overdispersion in Poisson regression based on the generalized Poisson-2 model

Overdispersion is a common phenomenon in Poisson modeling. The generalized Poisson (GP) regression model accommodates both overdispersion and underdispersion in count data modeling, and is an increasingly popular platform for modeling overdispersed count data. The Poisson model is one of the special cases in the collection of models which may be specified by GP regression. Thus, we may derive a test of overdispersion which compares the equi-dispersion Poisson model within the context of the more general GP regression model. The score test has an advantage over the likelihood ratio test (LRT) and over the Wald test in that the score test only requires that the parameter of interest be estimated under the null hypothesis (the Poisson model). Herein, we propose a score test for overdispersion based on the GP model (specifically the GP-2 model) and compare the power of the test with the LRT and Wald tests. A simulation study indicates the proposed score test based on asymptotic standard normal distribution is more appropriate in practical applications.     

LOG-LINEAR MODELS FOR MEAN AND DISPERSION IN MIXED POISSON REGRESSION MODELS

This paper is concerned with the analysis of repeated measures count data overdispersed relative to a Poisson distribution, with the overdispersion possibly heterogeneous. To accommodate the overdispersion, the Poisson random variable is compounded with a gamma random variable, and both the mean of the Poisson and the variance of the gamma are modelled using log linear models. Maximum likelihood estimates (MLE) are then obtained. The paper also gives extended quasi-likelihood estimates for a more general class of compounding distributions which are shown to be approximations to the MLEs obtained for the gamma case. The theory is illustrated by modelling the determination of asbestos fibre intensity on membrane filters mounted on microscope slides.     

Score Tests for Zero-Inflation in Overdispersed Count Data

The negative binomial (NB) model and the generalized Poisson (GP) model are common alternatives to Poisson models when overdispersion is present in the data. Having accounted for initial overdispersion, we may require further investigation as to whether there is evidence for zero-inflation in the data. Two score statistics are derived from the GP model for testing zero-inflation. These statistics, unlike Wald-type test statistics, do not require that we fit the more complex zero-inflated overdispersed models to evaluate zero-inflation. A simulation study illustrates that the developed score statistics reasonably follow a χ² distribution and maintain the nominal level. Extensive simulation results also indicate the power behavior is different for including a continuous variable than a binary variable in the zero-inflation (ZI) part of the model. These differences are the basis from which suggestions are provided for real data analysis. Two practical examples are presented in this article. Results from these examples along with practical experience lead us to suggest performing the developed score test before fitting a zero-inflated NB model to the data.     

Marginal zero-inflated regression models for count data

Data sets with excess zeroes are frequently analyzed in many disciplines. A common framework used to analyze such data is the zero-inflated (ZI) regression model. It mixes a degenerate distribution with point mass at zero with a non-degenerate distribution. The estimates from ZI models quantify the effects of covariates on the means of latent random variables, which are often not the quantities of primary interest. Recently, marginal zero-inflated Poisson (MZIP; Long et al. [A marginalized zero-inflated Poisson regression model with overall exposure effects. Stat. Med. 33 (2014), pp. 5151–5165]) and negative binomial (MZINB; Preisser et al., 2016) models have been introduced that model the mean response directly. These models yield covariate effects that have simple interpretations that are, for many applications, more appealing than those available from ZI regression. This paper outlines a general framework for marginal zero-inflated models where the latent distribution is a member of the exponential dispersion family, focusing on common distributions for count data. In particular, our discussion includes the marginal zero-inflated binomial (MZIB) model, which has not been discussed previously. The details of maximum likelihood estimation via the EM algorithm are presented and the properties of the estimators as well as Wald and likelihood ratio-based inference are examined via simulation. Two examples presented illustrate the advantages of MZIP, MZINB, and MZIB models for practical data analysis.     

Geographically Weighted Negative Binomial Regression—incorporating overdispersion

Global regression assumes that a single model adequately describes all parts of a study region. However, the heterogeneity in the data may be sufficiently strong that relationships between variables can not be spatially constant. In addition, the factors involved are often sufficiently complex that it is difficult to identify them in the form of explanatory variables. As a result Geographically Weighted Regression (GWR) was introduced as a tool for the modeling of non-stationary spatial data. Using kernel functions, the GWR methodology allows the model parameters to vary spatially and produces non-parametric surfaces of their estimates. To model count data with overdispersion, it is more appropriate to use a negative binomial distribution instead of a Poisson distribution. Therefore, we propose the Geographically Weighted Negative Binomial Regression (GWNBR) method for the modeling of data with overdispersion. The results obtained using simulated and real data show the superiority of this method for the modeling of non-stationary count data with overdispersion compared with competing models, such as global regressions, e.g., Poisson and negative binomial and Geographically Weighted Poisson Regression (GWPR). Moreover, we illustrate that these competing models are special cases of the more robust model GWNBR.     

Estimating infant mortality in Colombia: some overdispersion modelling approaches

It is common to fit generalized linear models with binomial and Poisson responses, where the data show a variability that is greater than the theoretical variability assumed by the model. This phenomenon, known as overdispersion, may spoil inferences about the model by considering significant parameters associated with variables that have no significant effect on the dependent variable. This paper explains some methods to detect overdispersion and presents and evaluates three well-known methodologies that have shown their usefulness in correcting this problem, using random mean models, quasi-likelihood methods and a double exponential family. In addition, it proposes some new Bayesian model extensions that have proved their usefulness in correcting the overdispersion problem. Finally, using the information provided by the National Demographic and Health Survey 2005, the departmental factors that have an influence on the mortality of children under 5 years and female postnatal period screening are determined. Based on the results, extensions that generalize some of the aforementioned models are also proposed, and their use is motivated by the data set under study. The results conclude that the proposed overdispersion models provide a better statistical fit of the data.     

On pseudo-values for regression analysis in competing risks models

For regression on state and transition probabilities in multi-state models Andersen et al. (Biometrika 90:15–27, 2003) propose a technique based on jackknife pseudo-values. In this article we analyze the pseudo-values suggested for competing risks models and prove some conjectures regarding their asymptotics (Klein and Andersen, Biometrics 61:223–229, 2005). The key is a second order von Mises expansion of the Aalen-Johansen estimator which yields an appropriate representation of the pseudo-values. The method is illustrated with data from a clinical study on total joint replacement. In the application we consider for comparison the estimates obtained with the Fine and Gray approach (J Am Stat Assoc 94:496–509, 1999) and also time-dependent solutions of pseudo-value regression equations.     

Random Effects Modeling and the Zero-Inflated Poisson Distribution

Overdispersion due to a large proportion of zero observations in data sets is a common occurrence in many applications of many fields of research; we consider such scenarios in count panel (longitudinal) data. A well-known and widely implemented technique for handling such data is that of random effects modeling, which addresses the serial correlation inherent in panel data, as well as overdispersion. To deal with the excess zeros, a zero-inflated Poisson distribution has come to be canonical, which relaxes the equal mean-variance specification of a traditional Poisson model and allows for the larger variance characteristic of overdispersed data. A natural proposal then to approach count panel data with overdispersion due to excess zeros is to combine these two methodologies, deriving a likelihood from the resulting conditional probability. In performing simulation studies, we find that this approach in fact poses problems of identifiability. In this article, we construct and explain in full detail why a model obtained from the marriage of two classical and well-established techniques is unidentifiable and provide results of simulation studies demonstrating this effect. A discussion on alternative methodologies to resolve the problem is provided in the conclusion.     

Testing overdispersion in the zero-inflated Poisson model

The zero-inflated negative binomial (ZINB) model is used to account for commonly occurring overdispersion detected in data that are initially analyzed under the zero-inflated Poisson (ZIP) model. Tests for overdispersion (Wald test, likelihood ratio test [LRT], and score test) based on ZINB model for use in ZIP regression models have been developed. Due to similarity to the ZINB model, we consider the zero-inflated generalized Poisson (ZIGP) model as an alternate model for overdispersed zero-inflated count data. The score test has an advantage over the LRT and the Wald test in that the score test only requires that the parameter of interest be estimated under the null hypothesis. This paper proposes score tests for overdispersion based on the ZIGP model and illustrates that the derived score statistics are exactly the same as the score statistics under the ZINB model. A simulation study indicates the proposed score statistics are preferred to other tests for higher empirical power. In practice, based on the approximate mean–variance relationship in the data, the ZINB or ZIGP model can be considered, and a formal score test based on asymptotic standard normal distribution can be employed for assessing overdispersion in the ZIP model. We provide an example to illustrate the procedures for data analysis.     

A Semi-Nonparametric Approach to Model Panel Count Data

In count data models, overdispersion of the dependent variable can be incorporated into the model if a heterogeneity term is added into the mean parameter of the Poisson distribution. We use a nonparametric estimation for the heterogeneity density based on a squared Kth-order polynomial expansion, that we generalize for panel data. A numerical illustration using an insurance dataset is discussed. Even if some statistical analyses showed no clear differences between these new models and the standard Poisson with gamma random effects, we show that the choice of the random effects distribution has a significant influence for interpreting our results.     

Creating a reference to a complex emergency situation using time series methods: war in Guinea-Bissau 1998-1999

Impacts of complex emergencies or relief interventions have often been evaluated by absolute mortality compared to international standardized mortality rates. A better evaluation would be to compare with local baseline mortality of the affected populations. A projection of population-based survival data into time of emergency or intervention based on information from before the emergency may create a local baseline reference. We find a log-transformed Gaussian time series model where standard errors of the estimated rates are included in the variance to have the best forecasting capacity. However, if time-at-risk during the forecasted period is known then forecasting might be done using a Poisson time series model with overdispersion. Whatever, the standard error of the estimated rates must be included in the variance of the model either in an additive form in a Gaussian model or in a multiplicative form by overdispersion in a Poisson model. Data on which the forecasting is based must be modelled carefully concerning not only calendar-time trends but also periods with excessive frequency of events (epidemics) and seasonal variations to eliminate residual autocorrelation and to make a proper reference for comparison, reflecting changes over time during the emergency. Hence, when modelled properly it is possible to predict a reference to an emergency-affected population based on local conditions. We predicted childhood mortality during the war in Guinea-Bissau 1998-1999. We found an increased mortality in the first half-year of the war and a mortality corresponding to the expected one in the last half-year of the war.     

Hierarchical overdispersed Poisson model with macrolevel autocorrelation

We review Bayesian analysis of hierarchical non-standard Poisson regression models with an emphasis on microlevel heterogeneity and macrolevel autocorrelation. For the former case, we confirm that negative binomial regression usually accounts for microlevel heterogeneity (overdispersion) satisfactorily; for the latter case, we apply the simple first-order Markov transition model to conveniently capture the macrolevel autocorrelation which often arises from temporal and/or spatial count data, rather than attaching complex random effects directly to the regression parameters. Specifically, we extend the hierarchical (multilevel) Poisson model into negative binomial models with macrolevel autocorrelation using restricted gamma mixture with unit mean and Markov transition covariate created from preceding residuals. We prove a mild sufficient condition for posterior propriety under flat prior for the interesting fixed effects. Our methodology is implemented by analyzing the Baltic sea peracarids diurnal activity data published in the marine biology and ecology literature.     

Generalized Score Test of Homogeneity Based on Correlated Random Effects Models

We present a family of tests based on correlated random effects models which provides a synthesis and a generalization of recent work on homogeneity testing. In these models each subject has a particular random effect, but the random effects between subjects are correlated. We derive the general form of the score statistic for testing that the random effects have a variance equal to 0. We apply this result to both parametric and semi-parametric models. In both cases we show that under certain conditions the score statistic has an asymptotic normal distribution. We consider several applications of this theory, including overdispersion, heterogeneity between groups, spatial correlations and genetic linkage.     

Score tests for heterogeneity and overdispersion in zero‐inflated Poisson and binomial regression models

Hall (2000) has described zero‐inflated Poisson and binomial regression models that include random effects to account for excess zeros and additional sources of heterogeneity in the data. The authors of the present paper propose a general score test for the null hypothesis that variance components associated with these random effects are zero. For a zero‐inflated Poisson model with random intercept, the new test reduces to an alternative to the overdispersion test of Ridout, Demério & Hinde (2001). The authors also examine their general test in the special case of the zero‐inflated binomial model with random intercept and propose an overdispersion test in that context which is based on a beta‐binomial alternative.     

A nonlinear regression model with skew-normal errors

In this paper we have discussed inference aspects of the skew-normal nonlinear regression models following both, a classical and Bayesian approach, extending the usual normal nonlinear regression models. The univariate skew-normal distribution that will be used in this work was introduced by Sahu et al. (Can J Stat 29:129–150, 2003), which is attractive because estimation of the skewness parameter does not present the same degree of difficulty as in the case with Azzalini (Scand J Stat 12:171–178, 1985) one and, moreover, it allows easy implementation of the EM-algorithm. As illustration of the proposed methodology, we consider a data set previously analyzed in the literature under normality.     

Disaggregated spatial modelling for areal unit categorical data

Summary.  We consider joint spatial modelling of areal multivariate categorical data assuming a multiway contingency table for the variables, modelled by using a log-linear model, and connected across units by using spatial random effects. With no distinction regarding whether variables are response or explanatory, we do not limit inference to conditional probabilities, as in customary spatial logistic regression. With joint probabilities we can calculate arbitrary marginal and conditional probabilities without having to refit models to investigate different hypotheses. Flexible aggregation allows us to investigate subgroups of interest; flexible conditioning enables not only the study of outcomes given risk factors but also retrospective study of risk factors given outcomes. A benefit of joint spatial modelling is the opportunity to reveal disparities in health in a richer fashion, e.g. across space for any particular group of cells, across groups of cells at a particular location, and, hence, potential space–group interaction. We illustrate with an analysis of birth records for the state of North Carolina and compare with spatial logistic regression.