Multiplicative Models and Cohort Analysis
本文介绍了三种队列分析方法,用于解释变量对死亡率乘法效应的统计模型,并通过冶炼工人呼吸系统癌症死亡数据展示了这些方法在估计砷暴露相对风险中的效果。
Abstract Three methods of cohort analysis are presented for a statistical model wherein the explanatory or exposure variables act multiplicatively on age × calendar year specific death rates. The first method, which assumes that the baseline rates are known from national vital statistics, is a multiple regression analysis of the standardized mortality ratio. The second method is a variant of Cox's proportional hazards analysis in which the baseline rates are treated as unknown nuisance parameters. The third method consists of case-control sampling from the risk sets formed in the course of applying Cox's model. It requires substantially less computation than do the other two. In illustrative analysis of respiratory cancer deaths among a cohort of smelter workers, all three approaches yield roughly equivalent estimates of the relative risk associated with arsenic exposure. The discussion centers on the tradeoff between efficiency and bias in the selection of a particular method of analysis, and on practical issues that arise in applications. Key Words: Case-control studiesCohort studiesEfficiencyNonlinear regressionProportional hazardsProportional mortality ratioStandardized mortality ratio