With competing risks data, one often needs to assess the treatment and covariate effects on the cumulative incidence function. Fine and Gray proposed a proportional hazards regression model for the subdistribution of a competing risk with the assumption that the censoring distribution and the covariates are independent. Covariate‐dependent censoring sometimes occurs in medical studies. In this paper, we study the proportional hazards regression model for the subdistribution of a competing risk with proper adjustments for covariate‐dependent censoring. We consider a covariate‐adjusted weight function by fitting the Cox model for the censoring distribution and using the predictive probability for each individual. Our simulation study shows that the covariate‐adjusted weight estimator is basically unbiased when the censoring time depends on the covariates, and the covariate‐adjusted weight approach works well for the variance estimator as well. We illustrate our methods with bone marrow transplant data from the Center for International Blood and Marrow Transplant Research. Here, cancer relapse and death in complete remission are two competing risks. 相似文献
Rapid changes in China over the past two decades have led to significant problems associated with population migration and changing social attitudes, including a growing sex industry and concurrent increases in STIs and HIV. This article reports results of an exploratory study of microbicide acceptability and readiness and current HIV prevention efforts among female sex workers in two rural and one urban town in Hainan and Guangxi Provinces in southern China. The study focused on these women's knowledge and cultural understandings of options for protecting themselves from exposure to STIs and HIV, and the potential viability and acceptability of woman-initiated prevention methods. We report on ethnographic elicitation interviews conducted with women working within informal sex-work establishments (hotels, massage and beauty parlors, roadside restaurants, boarding houses). We discuss implications of these findings for further promotion of woman-initiated prevention methods such as microbicides and female condoms among female sex workers in China. 相似文献
To maximize the ecological services of urban forests, a better understanding of the effects of urbanization on urban forest characteristics, landscape metrics, and their associations is needed for landscape-related regulations in space-limited green infrastructure of metropolitan regions. In this study, Harbin, a typical fast-growing provincial-capital city in Northeast China, is used as a case study. Based on remote sensing images, field surveys, and correlation and variation partitioning analyses, we conclude that landscape characteristics and forest attributes have large variations among different urbanization intensity (UI) regions. Forest patch density (PD), landscape shape index, woody plants species richness, and the Shannon–Wiener index (H′) increased linearly, while stem section area and tree height decreased linearly with the increasing of UIs. UI had a greater influence on tree size and forest community attributes than the forest landscape pattern. Accordingly, any landscape regulation on forest attributes should be implemented according to UIs. In addition, Euclidean nearest neighbor distance(ENN-MN), mean perimeter-area ratio (PARA-MN), fractal dimension index(FRAC-MN), and PD could probably indicate forest attributes the most, e.g., the increase of PARA-MN may be accompanied with taller trees in low and heavy UI regions, but lower woody plants species evenness in low and medium UI regions. More diversified woody plants species, and afforested areas should be advocated in a low UI region, while in a heavy UI region, the conservation of large trees should be implemented. Our results highlight that the implementation of urban forest management should vary according to different urbanization regions to maximize ecological services.
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