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Georgia Papadogeorgou

Publications and source records attributed to Georgia Papadogeorgou.

At least 19 recordsLinked to original sources

Identification and efficient estimation of compliance and network causal effects in cluster-randomized trials

Treatment noncompliance is pervasive in infectious disease cluster-randomized trials. Although all individuals within a cluster are assigned the same treatment condition, the treatment uptake status may vary across individuals due to noncompliance. We propose a semiparametric framework to evaluate the individual compliance effect and network assignment effect within principal stratum exhibiting different patterns of noncompliance. The individual compliance effect captures the portion of the treatment effect attributable to changes in treatment receipt, while the network assignment effect reflects the pure impact of treatment assignment and spillover among individuals within the same cluster. Unlike prior efforts which either empirically identify or interval identify these estimands, we characterize new structural assumptions for nonparametric point identification. We then develop semiparametrically efficient estimators that combine data-adaptive machine learning methods with efficient influence functions to enable more robust inference. Additionally, we introduce sensitivity analysis methods to study the impact under assumption violations, and apply the proposed methods to reanalyze a cluster-randomized trial in Kenya that evaluated the impact of school-based mass deworming on disease transmission.

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Low-rank Covariate Balancing Estimators under Interference

A key methodological challenge in observational studies with interference between units is twofold: (1) each unit's outcome may depend on many others' treatments, and (2) treatment assignments may exhibit complex dependencies across units. We develop a general statistical framework for constructing robust causal effect estimators to address these challenges. We first show that, without restricting the patterns of interference, the standard inverse probability weighting (IPW) estimator is the only uniformly unbiased estimator when the propensity score is known. In contrast, no estimator has such a property if the propensity score is unknown. We then introduce a \emph{low-rank structure} of potential outcomes as a broad class of structural assumptions about interference. This framework encompasses common assumptions such as anonymous, nearest-neighbor, and additive interference, while flexibly allowing for more complex study-specific interference assumptions. Under this low-rank assumption, we show how to construct an unbiased weighting estimator for a large class of causal estimands. The proposed weighting estimator does not require knowledge of true propensity scores and is therefore robust to unknown treatment assignment dependencies that often exist in observational studies. If the true propensity score is known, we can obtain an unbiased estimator that is more efficient than the IPW estimator by leveraging a low-rank structure. We establish the finite sample and asymptotic properties of the proposed weighting estimator, develop a data-driven procedure to select among candidate low-rank structures, and validate our approach through simulation and empirical studies.

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Causal Inference when Intervention Units and Outcome Units Differ

We study causal inference in settings characterized by interference with a bipartite structure. There are two distinct sets of units: intervention units to which an intervention can be applied and outcome units on which the outcome of interest can be measured. Outcome units may be affected by interventions on some, but not all, intervention units, as captured by a bipartite graph. Examples of this setting can be found in analyses of the impact of pollution abatement in plants on health outcomes for individuals, or the effect of transportation network expansions on regional economic activity. We introduce and discuss a variety of old and new causal estimands for these bipartite settings. We do not impose restrictions on the functional form of the exposure mapping and the potential outcomes, thus allowing for heterogeneity, non-linearity, non-additivity, and potential interactions in treatment effects. We propose unbiased weighting estimators for these estimands from a design-based perspective, based on the knowledge of the bipartite network under general experimental designs. We derive their variance and prove consistency for increasing number of outcome units. Using the Chinese high-speed rail construction study, analyzed in Borusyak and Hull [2023], we discuss non-trivial positivity violations that depend on the estimands, the adopted experimental design, and the structure of the bipartite graph.

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Spatial vertical regression for spatial panel data: Evaluating the effect of the Florentine tramway's first line on commercial vitality

Synthetic control methods are commonly used in panel data settings to evaluate the effect of an intervention. In many of these cases, the treated and control units correspond to spatial units such as regions or neighborhoods. Our approach addresses the challenge of understanding how an intervention applied at specific locations influences the surrounding area. Traditional synthetic control applications may struggle with defining the effective area of impact, the extent of treatment propagation across space, and the variation of effects with distance from the treatment sites. To address these challenges, we introduce Spatial Vertical Regression (SVR) within the Bayesian paradigm. This innovative approach allows us to accurately predict the outcomes in varying proximities to the treatment sites, while meticulously accounting for the spatial structure inherent in the data. Specifically, rooted on the vertical regression framework of the synthetic control method, SVR employs a Gaussian process to ensure that the imputation of missing potential outcomes for areas of different distance around the treatment sites is spatially coherent, reflecting the expectation that nearby areas experience similar outcomes and have similar relationships to control areas. This approach is particularly pertinent to our study on the Florentine tramway's first line construction. We study its influence on the local commercial landscape, focusing on how business prevalence varies at different distances from the tram stops.

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Effective treatment allocation strategies under partial interference

Interference occurs when the potential outcomes of a unit depend on the treatment of others. Interference can be highly heterogeneous, where treating certain individuals might have a larger effect on the population's overall outcome. A better understanding of how covariates explain this heterogeneity may lead to more effective interventions. In the presence of clusters of units, we assume that interference occurs within clusters but not across them. We define novel causal estimands under hypothetical, stochastic treatment allocation strategies that fix the marginal treatment probability in a cluster and vary how the treatment probability depends on covariates, such as a unit's network position and characteristics. We illustrate how these causal estimands can shed light on the heterogeneity of interference and on the network and covariate profile of influential individuals. For experimental settings, we develop standardized weighting estimators for our novel estimands and derive their asymptotic distribution. We design an inferential procedure for testing the null hypothesis of interference homogeneity with respect to covariates. We validate the performance of the estimator and inferential procedure through simulations.We then apply the novel estimators to a clustered experiment in China to identify the important characteristics that drive heterogeneity in the effect of providing information sessions on insurance uptake.

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Spatiotemporal causal inference with arbitrary spillover and carryover effects: Airstrikes and insurgent violence in the Iraq War

Social scientists now routinely draw on high-frequency, high-granularity ''microlevel'' data to estimate the causal effects of subnational interventions. To date, most researchers aggregate these data into panels, often tied to large-scale administrative units. This approach has two limitations. First, data (over)aggregation obscures valuable spatial and temporal information, heightening the risk of mistaken inferences. Second, existing panel approaches either ignore spatial spillover and temporal carryover effects completely or impose overly restrictive assumptions. We introduce a general methodological framework and an accompanying open-source R package, geocausal, that enable spatiotemporal causal inference with arbitrary spillover and carryover effects. Using this framework, we demonstrate how to define and estimate causal quantities of interest, explore heterogeneous treatment effects, conduct causal mediation analysis, and perform data visualization. We apply our methodology to the Iraq War (2003-11), where we reexamine long-standing questions about the effects of airstrikes on insurgent violence.

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Estimating Heterogeneous Treatment Effects for Spatio-Temporal Causal Inference

Scholars from diverse fields increasingly rely on high-frequency spatio-temporal data. Yet, causal inference with these data remains challenging due to spatial spillover and temporal carryover effects. We develop methods to estimate heterogeneous treatment effects by allowing for arbitrary spatial and temporal causal dependencies. We focus on common settings where the treatment and outcomes are time-varying spatial point patterns and where moderators are either spatial or spatio-temporal variables. We define causal estimands based on stochastic interventions where researchers specify counterfactual distributions of treatment events. We propose the Hajek-type estimator of the conditional average treatment effect (CATE) as a function of spatio-temporal moderator variables, and establish its asymptotic normality as the number of time periods increases. We then introduce a statistical test of no heterogeneous treatment effects. Through simulations, we evaluate the finite-sample performance of the proposed CATE estimator and its inferential properties. Our motivating application examines the heterogeneous effects of US airstrikes on insurgent violence in Iraq. Drawing on declassified spatio-temporal data, we examine how prior aid distributions moderate airstrike effects. Contrary to expectations from counterinsurgency theories, we find that prior aid distribution, along with greater amounts of aid per capita, is associated with increased insurgent attacks following airstrikes.

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Bipartite causal inference with interference, time series data, and a random network

In bipartite causal inference with interference, interventional units might receive treatment or control, and they might affect the outcome of outcome units through their connections on a bipartite network. We study bipartite causal inference with interference based on observational data across time and a changing bipartite network. Under an exposure mapping framework, we define the immediate and carryover causal effects for each outcome unit, representing contrasts of potential outcomes under different values of the immediately preceding and past exposures, respectively, averaged over time. We establish unconfoundedness of the exposure received by outcome units based on unconfoundedness assumptions on the interventional units' treatment assignment and the random network, hence respecting the bipartite structure of the problem. Our results hold for binary, continuous, and multivariate exposure mappings. In the special case of binary exposure and carryover mappings, we propose algorithms for the immediate and carryover causal effects that combine matching and covariate balancing. We show that the bias of the resulting estimators is bounded. In our motivating study, we find some evidence that smoke from wildfires has an immediate impact on reducing transportation by bicycle in San Francisco.

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Addressing selection bias in cluster randomized experiments via weighting

In cluster randomized experiments, individuals are often recruited after the cluster treatment assignment, and data are typically only available for the recruited sample. Post-randomization recruitment can lead to selection bias, inducing systematic differences between the overall and the recruited populations, and between the recruited intervention and control arms. In this setting, we define causal estimands for the overall and the recruited populations. We prove, under the assumption of ignorable recruitment, that the average treatment effect on the recruited population can be consistently estimated from the recruited sample using inverse probability weighting. Generally we cannot identify the average treatment effect on the overall population. Nonetheless, we show, via a principal stratification formulation, that one can use weighting of the recruited sample to identify treatment effects on two meaningful subpopulations of the overall population: individuals who would be recruited into the study regardless of the assignment, and individuals who would be recruited into the study under treatment but not under control. We develop an estimation strategy and a sensitivity analysis approach for checking the ignorable recruitment assumption. The proposed methods are applied to the ARTEMIS cluster randomized trial, where removing co-payment barriers increases the persistence of P2Y12 inhibitor among the always-recruited population.

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Spatial causal inference in the presence of unmeasured confounding and interference

This manuscript unites causal inference and spatial statistics, presenting novel insights for causal inference in spatial data analysis, and drawing from tools in spatial statistics to estimate causal effects. We introduce spatial causal graphs to highlight that spatial confounding and interference can be entangled, in that investigating the presence of one can lead to wrongful conclusions in the presence of the other. Moreover, we show that spatial dependence in the exposure variable can render standard analyses invalid. To remedy these issues, we propose a Bayesian parametric approach based on tools commonly-used in spatial statistics. This approach simultaneously accounts for interference and mitigates bias from local and neighborhood unmeasured spatial confounding. From a Bayesian perspective, we show that incorporating an exposure model is necessary. Under a specific model formulation, we prove that all parameters are identifiable including the causal effects, even in the presence of unmeasured confounding. We illustrate the approach with a simulation study. We evaluate the effect of local and neighboring sulfur dioxide emissions from power plants on county-level cardiovascular mortality from observational spatial data in the United States, where unmeasured spatial confounding and interference might be present simultaneously.

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Covariate-informed latent interaction models: Addressing geographic & taxonomic bias in predicting bird-plant interactions

Reductions in natural habitats urge that we better understand species' interconnection and how biological communities respond to environmental changes. However, ecological studies of species' interactions are limited by their geographic and taxonomic focus which can distort our understanding of interaction dynamics. We focus on bird-plant interactions that refer to situations of potential fruit consumption and seed dispersal. We develop an approach for predicting species' interactions that accounts for errors in the recorded interaction networks, addresses the geographic and taxonomic biases of existing studies, is based on latent factors to increase flexibility and borrow information across species, incorporates covariates in a flexible manner to inform the latent factors, and uses a meta-analysis data set from 85 individual studies. We focus on interactions among 232 birds and 511 plants in the Atlantic Forest, and identify 5% of pairs of species with an unrecorded interaction, but posterior probability that the interaction is possible over 80%. Finally, we develop a permutation-based variable importance procedure for latent factor network models and identify that a bird's body mass and a plant's fruit diameter are important in driving the presence of species interactions, with a multiplicative relationship that exhibits both a thresholding and a matching behavior.

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Bayesian inference for aggregated Hawkes processes

The Hawkes process, a self-exciting point process, has a wide range of applications in modeling earthquakes, social networks and stock markets. The established estimation process requires that researchers have access to the exact time stamps and spatial information. However, available data are often rounded or aggregated. We develop a Bayesian estimation procedure for the parameters of a Hawkes process based on aggregated data. Our approach is developed for temporal, spatio-temporal, and mutually exciting Hawkes processes where data are available over discrete time periods and regions. We show theoretically that the parameters of the Hawkes process are identifiable from aggregated data under general specifications. We demonstrate the method on simulated data under various model specifications in the presence of one or more interacting processes, and under varying coarseness of data aggregation. Finally, we examine the internal and cross-excitation effects of airstrikes and insurgent violence events from February 2007 to June 2008, with some data aggregated by day.

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Evaluating Federal Policies Using Bayesian Time Series Models: Estimating the Causal Impact of the Hospital Readmissions Reduction Program

Researchers are often faced with evaluating the effect of a policy or program that was simultaneously initiated across an entire population of units at a single point in time, and its effects over the targeted population can manifest at any time period afterwards. In the presence of data measured over time, Bayesian time series models have been used to impute what would have happened after the policy was initiated, had the policy not taken place, in order to estimate causal effects. However, the considerations regarding the definition of the target estimands, the underlying assumptions, the plausibility of such assumptions, and the choice of an appropriate model have not been thoroughly investigated. In this paper, we establish useful estimands for the evaluation of large-scale policies. We discuss that imputation of missing potential outcomes relies on an assumption which, even though untestable, can be partially evaluated using observed data. We illustrate an approach to evaluate this key causal assumption and facilitate model elicitation based on data from the time interval before policy initiation and using classic statistical techniques. As an illustration, we study the Hospital Readmissions Reduction Program (HRRP), a US federal intervention aiming to improve health outcomes for patients with pneumonia, acute myocardial infraction, or congestive failure admitted to a hospital. We evaluate the effect of the HRRP on population mortality among the elderly across the US and in four geographic subregions, and at different time windows. We find that the HRRP increased mortality from pneumonia and acute myocardial infraction across at least one geographical region and time horizon, and is likely to have had a detrimental effect on public health.

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Causal Inference with Spatio-temporal Data: Estimating the Effects of Airstrikes on Insurgent Violence in Iraq

Many causal processes have spatial and temporal dimensions. Yet the classic causal inference framework is not directly applicable when the treatment and outcome variables are generated by spatio-temporal point processes. We extend the potential outcomes framework to these settings by formulating the treatment point process as a stochastic intervention. Our causal estimands include the expected number of outcome events in a specified area under a particular stochastic treatment assignment strategy. Our methodology allows for arbitrary patterns of spatial spillover and temporal carryover effects. Using martingale theory, we show that the proposed estimator is consistent and asymptotically normal as the number of time periods increases. We propose a sensitivity analysis for the possible existence of unmeasured confounders, and extend it to the Hajek estimator. Simulation studies are conducted to examine the estimators' finite sample performance. Finally, we illustrate the proposed methods by estimating the effects of American airstrikes on insurgent violence in Iraq from February 2007 to July 2008. Our analysis suggests that increasing the average number of daily airstrikes for up to one month may result in more insurgent attacks. We also find some evidence that airstrikes can displace attacks from Baghdad to new locations up to 400 kilometers away

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Clarifying Selection Bias in Cluster Randomized Trials: Estimands and Estimation

In cluster randomized trials, patients are typically recruited after clusters are randomized, and the recruiters and patients may not be blinded to the assignment. This often leads to differential recruitment and consequently systematic differences in baseline characteristics of the recruited patients between intervention and control arms, inducing post-randomization selection bias. We rigorously define causal estimands in the presence of selection bias. We elucidate the conditions under which standard covariate adjustment methods can validly estimate these estimands. We further discuss the additional data and assumptions necessary for estimating causal effects when such conditions are not met. Adopting the principal stratification framework in causal inference, we clarify there are two average treatment effect (ATE) estimands in cluster randomized trials: one for the overall population and one for the recruited population. We derive the analytical formula of the two estimands in terms of principal-stratum-specific causal effects. Using simulation studies, we assess the empirical performance of the multivariable regression adjustment method under different data generating processes leading to selection bias. When treatment effects are heterogeneous across principal strata, the ATE on the overall population generally differs from the ATE on the recruited population. An intention-to-treat analysis of the recruited sample leads to biased estimates of both ATEs. In the presence of post-randomization selection and without additional data on the non-recruited subjects, the ATE on the recruited population is estimable only when the treatment effects are homogenous between principal strata, and the ATE on the overall population is generally not estimable. The extent to which covariate adjustment can remove selection bias depends on the degree of effect heterogeneity across principal strata.

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Soft Tensor Regression

Statistical methods relating tensor predictors to scalar outcomes in a regression model generally vectorize the tensor predictor and estimate the coefficients of its entries employing some form of regularization, use summaries of the tensor covariate, or use a low dimensional approximation of the coefficient tensor. However, low rank approximations of the coefficient tensor can suffer if the true rank is not small. We propose a tensor regression framework which assumes a soft version of the parallel factors (PARAFAC) approximation. In contrast to classic PARAFAC, where each entry of the coefficient tensor is the sum of products of row-specific contributions across the tensor modes, the soft tensor regression (Softer) framework allows the row-specific contributions to vary around an overall mean. We follow a Bayesian approach to inference, and show that softening the PARAFAC increases model flexibility, leads to improved estimation of coefficient tensors, more accurate identification of important predictor entries, and more precise predictions, even for a low approximation rank. From a theoretical perspective, we show that employing Softer leads to a weakly consistent posterior distribution of the coefficient tensor, irrespective of the true or approximation tensor rank, a result that is not true when employing the classic PARAFAC for tensor regression. In the context of our motivating application, we adapt Softer to symmetric and semi-symmetric tensor predictors and analyze the relationship between brain network characteristics and human traits.soft

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Discussion of the manuscript: Spatial+ a novel approach to spatial confounding

I congratulate Dupont, Wood and Augustin (DWA hereon) for providing an easy-to-implement method for estimation in the presence of spatial confounding, and for addressing some of the complicated aspects on the topic. The method regresses the covariate of interest on spatial basis functions and uses the residuals of this model in an outcome regression. The authors show that, if the covariate is not completely spatial, this approach leads to consistent estimation of the conditional association between the exposure and the outcome. Below I discuss conceptual and operational issues that are fundamental to inference in spatial settings: (i) the target quantity and its interpretability, (ii) the non-spatial aspect of covariates and their relative spatial scales, and (iii) the impact of spatial smoothing. While DWA provide some insights on these issues, I believe that the audience might benefit from a deeper discussion. In what follows, I focus on the setting where a researcher is interested in interpreting the relationship between a given covariate and an outcome. I refer to the covariate of interest as the exposure to differentiate it from the rest.

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Propensity Score Weighting for Causal Subgroup Analysis

A common goal in comparative effectiveness research is to estimate treatment effects on pre-specified subpopulations of patients. Though widely used in medical research, causal inference methods for such subgroup analysis remain underdeveloped, particularly in observational studies. In this article, we develop a suite of analytical methods and visualization tools for causal subgroup analysis. First, we introduce the estimand of subgroup weighted average treatment effect and provide the corresponding propensity score weighting estimator. We show that balancing covariates within a subgroup bounds the bias of the estimator of subgroup causal effects. Second, we design a new diagnostic graph -- the Connect-S plot -- for visualizing the subgroup covariate balance. Finally, we propose to use the overlap weighting method to achieve exact balance within subgroups. We further propose a method that combines overlap weighting and LASSO, to balance the bias-variance tradeoff in subgroup analysis. Extensive simulation studies are presented to compare the proposed method with several existing methods. We apply the proposed methods to the Patient-centered Results for Uterine Fibroids (COMPARE-UF) registry data to evaluate alternative management options for uterine fibroids for relief of symptoms and quality of life.

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