A pooled Bayes test of independence for sparse contingency tables from small areas

We study the association between bone mineral density (BMD) and body mass index (BMI) when contingency tables are constructed from the several U.S. counties, where BMD has three levels (normal, osteopenia and osteoporosis) and BMI has four levels (underweight, normal, overweight and obese). We use the Bayes factor (posterior odds divided by prior odds or equivalently the ratio of the marginal likelihoods) to construct the new test. Like the chi-squared test and Fisher's exact test, we have a direct Bayes test which is a standard test using data from each county. In our main contribution, for each county techniques of small area estimation are used to borrow strength across counties and a pooled test of independence of BMD and BMI is obtained using a hierarchical Bayesian model. Our pooled Bayes test is computed by performing a Monte Carlo integration using random samples rather than Gibbs samples. We have seen important differences among the pooled Bayes test, direct Bayes test and the Cressie-Read test that allows for some degree of sparseness, when the degree of evidence against independence is studied. As expected, we also found that the direct Bayes test is sensitive to the prior specifications but the pooled Bayes test is not so sensitive. Moreover, the pooled Bayes test has competitive power properties, and it is superior when the cell counts are small to moderate.