Subject-specific odds ratios in binomial GLMMs with continuous response

In a regression context, the dichotomization of a continuous outcome variable is often motivated by the need to express results in terms of the odds ratio, as a measure of association between the response and one or more risk factors. Starting from the recent work of Moser and Coombs (Stat Med 23:1843–1860, 2004) in this article we explore in a mixed model framework the possibility of obtaining odds ratio estimates from a regression linear model without the need of dichotomizing the response variable. It is shown that the odds ratio estimators derived from a linear mixed model outperform those from a binomial generalized linear mixed model, especially when the data exhibit high levels of heterogeneity.