观测数据下计数结果的暴露效应及其在监禁女性中的应用
Exposure Effects on Count Outcomes with Observational Data, with Application to Incarcerated Women
AI总结:
本文针对计数结局的因果推断问题,提出可处理过度离散等问题的三类因果均值比估计量,经模拟比较后应用于监禁女性的HIV研究数据。
摘要:
因果推断方法可用于利用观测研究数据估计点暴露或治疗对目标结局的效应。例如,在Women's Interagency HIV Study(妇女机构间HIV研究)中,研究者关注监禁对监禁后性伴侣数量及吸烟数量的影响。在这类结局为计数的场景中,待估量通常为因果均值比,即暴露下的反事实均值计数与未暴露下的反事实均值计数的比值。本文考虑了基于治疗权重逆概率、参数g公式和双稳健估计的因果均值比估计量,每种方法均可处理测量结局中的过度离散、零膨胀和堆聚问题。研究通过模拟比较了这些方法,并将其应用于Women's Interagency HIV Study的数据。
英文摘要:
Causal inference methods can be applied to estimate the effect of a point exposure or treatment on an outcome of interest using data from observational studies. For example, in the Women's Interagency HIV Study, it is of interest to understand the effects of incarceration on the number of sexual partners and the number of cigarettes smoked after incarceration. In settings like this where the outcome is a count, the estimand is often the causal mean ratio, i.e., the ratio of the counterfactual mean count under exposure to the counterfactual mean count under no exposure. This paper considers estimators of the causal mean ratio based on inverse probability of treatment weights, the parametric g-formula, and doubly robust estimation, each of which can account for overdispersion, zero-inflation, and heaping in the measured outcome. Methods are compared in simulations and are applied to data from the Women's Interagency HIV Study.
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