Comparison of subject-specific and population averaged models for count data from cluster-unit intervention trials
Comparison of subject-specific and population averaged models for count data from cluster-unit intervention trials
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DOI:
10.1177/0962280206071931
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发表时间:
2007-01-01
影响因子:
2.3
通讯作者:
Wolfson, Mark
中科院分区:
文献类型:
--
作者:
Young, Mary L.;Preisser, John S.;Wolfson, Mark
Maximum likelihood estimation techniques for subject-specific (SS) generalized linear mixed models and generalized estimating equations for marginal or population-averaged (PA) models are often used for the analysis of cluster-unit intervention trials. Although both classes of procedures account for the presence of within-cluster correlations, the interpretations of fixed effects including intervention effect parameters differ in SS and PA models. Furthermore, closed-form mathematical expressions relating SS and PA parameters from the two respective approaches are generally lacking. This paper investigates the special case of correlated Poisson responses where, for a log-linear model with normal random effects, exact relationships are available. Equivalent PA model representations of two SS models commonly used in the analysis of nested cross-sectional cluster trials with count data are derived. The mathematical results are illustrated with count data from a large non-randomized cluster trial to reduce underage drinking. Knowledge of relationships among parameters in the respective mean and covariance models is essential to understanding empirical comparisons of the two approaches.