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James Stamey

Publications and source records attributed to James Stamey.

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Modeling Misclassification in Spousal Violence Reporting: Evidence from Bayesian Quantile Regression

Quantile regression extends regression analysis beyond the conditional mean, providing a richer characterization of covariate effects across the outcome distribution. For sensitive binary outcomes, however, misclassification due to underreporting can substantially bias inference. We propose a Bayesian quantile regression framework for misclassified binary outcomes that introduces a latent true response and explicitly models false negative and false positive reporting errors. Estimation is performed through a novel Markov chain Monte Carlo (MCMC) algorithm. Simulation studies under varying prior specifications and misclassification rates demonstrate improved performance over models that ignore misclassification. We apply the method to self-reported spousal violence data, examining associations with employment status and household wealth while adjusting for socio-demographic factors. The results indicate that underreporting exceeds overreporting across quantiles and that accounting for misclassification can change substantive conclusions.

stat.ME

Real Effect or Bias? Best Practices for Evaluating the Robustness of Real-World Evidence through Quantitative Sensitivity Analysis for Unmeasured Confounding

The assumption of no unmeasured confounders is a critical but unverifiable assumption required for causal inference yet quantitative sensitivity analyses to assess robustness of real-world evidence remains underutilized. The lack of use is likely in part due to complexity of implementation and often specific and restrictive data requirements required for application of each method. With the advent of sensitivity analyses methods that are broadly applicable in that they do not require identification of a specific unmeasured confounder, along with publicly available code for implementation, roadblocks toward broader use are decreasing. To spur greater application, here we present a best practice guidance to address the potential for unmeasured confounding at both the design and analysis stages, including a set of framing questions and an analytic toolbox for researchers. The questions at the design stage guide the research through steps evaluating the potential robustness of the design while encouraging gathering of additional data to reduce uncertainty due to potential confounding. At the analysis stage, the questions guide researchers to quantifying the robustness of the observed result and providing researchers with a clearer indication of the robustness of their conclusions. We demonstrate the application of the guidance using simulated data based on a real-world fibromyalgia study, applying multiple methods from our analytic toolbox for illustration purposes.

stat.ME