Dengue fever (DF) is one of the world's most disabling mosquito-borne diseases, with a variety of approaches available to model its spatial and temporal dynamics. This paper aims to identify and compare the different spatial and spatio-temporal Bayesian modelling methods that have been applied to DF and examine influential covariates that have been reportedly associated with the risk of DF. A systematic search was performed in December 2017, using Web of Science, Scopus, ScienceDirect, PubMed, ProQuest and Medline (via Ebscohost) electronic databases. The search was restricted to refereed journal articles published in English from January 2000 to November 2017. Thirty-one articles met the inclusion criteria. Using a modified quality assessment tool, the median quality score across studies was 14/16. The most popular Bayesian statistical approach to dengue modelling was a generalised linear mixed model with spatial random effects described by a conditional autoregressive prior. A limited number of studies included spatio-temporal random effects. Temperature and precipitation were shown to often influence the risk of dengue. Developing spatio-temporal random-effect models, considering other priors, using a dataset that covers an extended time period, and investigating other covariates would help to better understand and control DF transmission.
Spatial models are becoming more popular in time-to-event data analysis. Commonly, the intrinsic conditional autoregressive prior is placed on an area level frailty term to allow for correlation between areas. We considered a range of Bayesian Weibull and Cox semiparametric spatial models to describe a dataset on hospitalisation of dengue. This paper aimed to extend these two models, to evaluate the suitability of these models for estimation and prediction of the length of stay, compare different spatial priors, and determine factors that significantly affect the duration of hospital stay for dengue fever patients in the case study location, namely Wahidin hospital in Makassar, Indonesia. We compared two different models with three different spatial priors with respect to goodness of fit and generalisability. For all models considered, the Leroux prior was preferred over the intrinsic conditional autoregressive and independent priors, but Cox and Weibull versions had similar predictive performance, model fit, and results. Age and platelet count were negatively associated with the length of stay, while red blood cell count was positively associated with the length of stay of dengue patients at this hospital. Using appropriate Bayesian spatial survival models enables identification of factors that substantively affect the length of stay.
A range of Bayesian models have been used to describe spatial and temporal patterns of disease in areal unit data. In this study, we applied two Bayesian spatio-temporal conditional autoregressive (ST CAR) models, one of which allows discontinuities in risk between neighbouring areas (creating 'groups'), to examine dengue fever patterns. Data on annual (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017) and monthly (January 2013 -December 2017) dengue cases and climatic factors over 14 geographic areas were obtained for Makassar, Indonesia. Combinations of covariates and model formulations were compared considering credible intervals, overall goodness of fit, and the grouping structure. For annual data, an ST CAR localised model incorporating average humidity provided the best fit, while for monthly data, a single-group ST CAR autoregressive model incorporating rainfall and average humidity was preferred. Using appropriate Bayesian spatio-temporal models enables identification of different groups of areas and the impact of climatic covariates which may help inform policy decisions.
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