罕见疾病结局的时空准实验方法:改革汽油对儿童血液癌症的影响

Spatio-temporal quasi-experimental methods for rare disease outcomes: the impact of reformulated gasoline on childhood haematologic cancer

Journal of the Royal Statistical Society. Series A: Statistics in Society · 2024
被引 2
ABS 3

中文导读

研究开发了贝叶斯时空矩阵补全方法,用于准实验设计中罕见结局的因果推断,并应用于评估交通相关空气污染对儿童白血病和淋巴瘤的影响。

Abstract

Although some pollutants emitted in vehicle exhaust, such as benzene, are known to cause leukaemia in adults with high exposure levels, less is known about the relationship between traffic-related air pollution (TRAP) and childhood haematologic cancer. In the 1990s, the US EPA enacted the reformulated gasoline program in select areas of the U.S., which drastically reduced ambient TRAP in affected areas. This created an ideal quasi-experiment to study the effects of TRAP on childhood haematologic cancers. However, existing methods for quasi-experimental analyses can perform poorly when outcomes are rare and unstable, as with childhood cancer incidence. We develop Bayesian spatio-temporal matrix completion methods to conduct causal inference in quasi-experimental settings with rare outcomes. Selective information sharing across space and time enables stable estimation, and the Bayesian approach facilitates uncertainty quantification. We evaluate the methods through simulations and apply them to estimate the causal effects of TRAP on childhood leukaemia and lymphoma.

流行病学环境健康儿童癌症因果推断