Logistic Regression: A Self-learning Text, Third Edition (Statistics in the Health Sciences)

(vip2019) #1

Model 1:AR1 correlation structure


Variable Coefficient


Empirical
Std Err

Wald
p-value

INTERCEPT 1.3978 1.1960 0.2425
BIRTHWGT 0.0005 0.0003 0.1080
GENDER 0.0024 0.5546 0.9965
DIARRHEA 0.2214 0.8558 0.7958


Effect of DIARRHEA:


dOR¼expð 0 : 2214 Þ¼ 1 : 25


95 %CI ¼exp½ 0 : 2214  1 : 96 ð 0 : 8558 ފ
¼ð 0 : 23 ; 6 : 68 Þ

Working correlation matrix: 9 9


AR1 working correlation matrix


(99 matrix: only three columns shown)
COL1 COL2 ... COL9


ROW1 1.0000 0.5254 ... 0.0058
ROW2 0.5254 1.0000 ... 0.0110
ROW3 0.2760 0.5254 ... 0.0210
ROW4 0.1450 0.2760 ... 0.0400
ROW5 0.0762 0.1450 ... 0.0762
ROW6 0.0400 0.0762 ... 0.1450
ROW7 0.0210 0.0400 ... 0.2760
ROW8 0.0110 0.0210 ... 0.5254
ROW9 0.0058 0.0110 ... 1.0000


Estimated correlations:


^r¼ 0 : 5254 for responses 1 month
apart (e.g., first and second)


^r¼ 0 : 2760 for responses 2 months
apart (e.g., first and third,
seventh and ninth)


The parameter estimates forModel 1(autore-
gressive – AR1 correlation structure) are pre-
sented on the left. Odds ratio estimates are
obtained andinterpretedin a similar manner
as in a standard logistic regression.

For example, the estimated odds ratio for the
effect of diarrhea symptoms on the outcome
(a low weight-for-height z-score) is exp
(0.2214)¼1.25. The 95% confidence interval
can be calculated as exp[0.2214  1.96
(0.8558)], yielding a confidence interval of
(0.23, 6.68).

The working correlation matrix for each of
these models contains nine rows and nine col-
umns, representing an estimate for the month-
to-month correlation between each infant’s
responses. Even though some infants did not
contribute nine responses, the fact that each
infant contributed up to nine responses
accounts for the dimensions of the working
correlation matrix.

The working correlation matrix for Model 1 is
shown on the left. We present only columns 1,
2, and 9. However, all nine columns follow the
same pattern.

The second-row, first-column entry of 0.5254
for the AR1 model is the estimate of the corre-
lation between the first and second month
measurements. Similarly, the third-row, first-
column entry of 0.2760 is the estimate of the
correlation between the first and third month
measurements, which is assumed to be the
same as the correlation betweenanytwo mea-
surements that are 2 months apart (e.g., row 7,
column 9). It is a property of the AR1 correla-
tion structure that the correlation gets weaker
as the measurements are further apart in time.

Presentation: II. Example 1: Infant Care Study 545
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