2019
DOI: 10.1080/01621459.2019.1609480
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Modeling Bronchiolitis Incidence Proportions in the Presence of Spatio-Temporal Uncertainty

Abstract: Bronchiolitis (inflammation of the lower respiratory tract) in infants is primarily due to viral infection and is the single most common cause of infant hospitalization in the United States. To increase epidemiological understanding of bronchiolitis (and, subsequently, develop better prevention strategies), this research analyzes data on infant bronchiolitis cases from the U.S. Military Health System between the years 2003-2013 in Norfolk, Virginia, USA. For privacy reasons, child home addresses, birth dates, … Show more

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Cited by 5 publications
(6 citation statements)
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“…This data limitation requires more rigorous statistical methods to address the spatial uncertainty issue directly during estimation. Similar problems have been confronted in other research areas (e.g., Zimmerman et al, 2007;Chakraborty and Gelfand, 2010;Fanshawe and Diggle, 2011;Heaton et al, 2019), yet these solutions may not be suitable here. First, many of these models rely on restrictive models of the spatial…”
Section: Results For Nigeriamentioning
confidence: 90%
“…This data limitation requires more rigorous statistical methods to address the spatial uncertainty issue directly during estimation. Similar problems have been confronted in other research areas (e.g., Zimmerman et al, 2007;Chakraborty and Gelfand, 2010;Fanshawe and Diggle, 2011;Heaton et al, 2019), yet these solutions may not be suitable here. First, many of these models rely on restrictive models of the spatial…”
Section: Results For Nigeriamentioning
confidence: 90%
“…Accounting for this uncertainty could be of scientific interest. However, a clear method to account for this uncertainty is not directly available, but various methods have been proposed (see, e.g., Heaton et al 2018a).…”
Section: Discussionmentioning
confidence: 99%
“…For this research, we treated the modeled values of X 1 (s, t) and X 2 (s, t) as known. Notably, the uncertainty of these predictions could be accounted for using methods similar to Heaton et al (2018a). However, implementing such an approach would not only be computationally cumbersome but also introduce further identifiability issues in our model due to the product of the kernel with these values in Eq.…”
Section: Spatiotemporal Model For Soil Water Contentmentioning
confidence: 99%
“…The regionalization used in this research shown in Figure was chosen as a trade‐off between the ability to capture important features in spatial variability of the bronchiolitis season, the degree of statistical learning of the change point model, and computational tractability. While our regionalization was useful here to discover spatial variations in the seasonal pattern of bronchiolitis over a large spatial domain, this partition is likely too large to be able to estimate other important drivers of the bronchiolitis seasons such as pollution levels that operate at finer spatial scales . In this regard, further research is warranted on the choice of regionalization so that these important factors could be included in a regression model for the peak bronchiolitis rates, or, potentially, a spatial partition could be learned from the data via some form of a Dirichlet process mixture model, but this avenue is left open for future research.…”
Section: Discussionmentioning
confidence: 99%
“…Because p ( s ) is unknown, the integral in is also unknown. Heaton et al treat p ( s ) as an additional unknown parameter estimated from the data, but doing so here would require calculating at each iteration of our MCMC algorithm that vastly increases the computation required for model inference. Alternatively, p ( s ) could be approximated by some known population distribution (eg, from the US census) so that calculation of could be done outside the MCMC algorithm.…”
Section: A Spatio‐temporal Change Point Modelmentioning
confidence: 99%