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Kelly K. Ferguson

Publications and source records attributed to Kelly K. Ferguson.

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Mediation with External Summary Statistic Information (MESSI)

Environmental health studies are increasingly measuring endogenous omics data ($\boldsymbol{M}$) to study intermediary biological pathways by which an exogenous exposure ($\boldsymbol{A}$) affects a health outcome ($\boldsymbol{Y}$), given confounders ($\boldsymbol{C}$). Mediation analysis is frequently carried out to understand such mechanisms. If intermediary pathways are of interest, then there is likely literature establishing statistical and biological significance of the total effect, defined as the effect of $\boldsymbol{A}$ on $\boldsymbol{Y}$ given $\boldsymbol{C}$. For mediation models with continuous outcomes and mediators, we show that leveraging external summary-level information on the total effect improves estimation efficiency of the natural direct and indirect effects. Moreover, the efficiency gain depends on the asymptotic partial $R^2$ between the outcome ($\boldsymbol{Y}\mid\boldsymbol{M},\boldsymbol{A},\boldsymbol{C}$) and total effect ($\boldsymbol{Y}\mid\boldsymbol{A},\boldsymbol{C}$) models, with smaller (larger) values benefiting direct (indirect) effect estimation. We robustify our estimation procedure to incongenial external information by assuming the total effect follows a random distribution. This framework allows shrinkage towards the external information if the total effects in the internal and external populations agree. We illustrate our methodology using data from the Puerto Rico Testsite for Exploring Contamination Threats, where Cytochrome p450 metabolites are hypothesized to mediate the effect of phthalate exposure on gestational age at delivery. External information on the total effect comes from a recently published pooled analysis of 16 studies. The proposed framework blends mediation analysis with emerging data integration techniques.

stat.ME

A Hierarchical Integrative Group LASSO (HiGLASSO) Framework for Analyzing Environmental Mixtures

Environmental health studies are increasingly measuring multiple pollutants to characterize the joint health effects attributable to exposure mixtures. However, the underlying dose-response relationship between toxicants and health outcomes of interest may be highly nonlinear, with possible nonlinear interaction effects. Existing penalized regression methods that account for exposure interactions either cannot accommodate nonlinear interactions while maintaining strong heredity or are computationally unstable in applications with limited sample size. In this paper, we propose a general shrinkage and selection framework to identify noteworthy nonlinear main and interaction effects among a set of exposures. We design hierarchical integrative group LASSO (HiGLASSO) to (a) impose strong heredity constraints on two-way interaction effects (hierarchical), (b) incorporate adaptive weights without necessitating initial coefficient estimates (integrative), and (c) induce sparsity for variable selection while respecting group structure (group LASSO). We prove sparsistency of the proposed method and apply HiGLASSO to an environmental toxicants dataset from the LIFECODES birth cohort, where the investigators are interested in understanding the joint effects of 21 urinary toxicant biomarkers on urinary 8-isoprostane, a measure of oxidative stress. An implementation of HiGLASSO is available in the higlasso R package, accessible through the Comprehensive R Archive Network.

stat.ME

A quantile-based g-computation approach to addressing the effects of exposure mixtures

Exposure mixtures frequently occur in data across many domains, particularly in the fields of environmental and nutritional epidemiology. Various strategies have arisen to answer questions about mixtures, including methods such as weighted quantile sum (WQS) regression that estimate a joint effect of the mixture components.We demonstrate a new approach to estimating the joint effects of a mixture: quantile g-computation. This approach combines the inferential simplicity of WQS regression with the flexibility of g-computation, a method of causal effect estimation. We use simulations to examine whether quantile g-computation and WQS regression can accurately and precisely estimate effects of mixtures in common scenarios. We examine the bias, confidence interval coverage, and bias-variance tradeoff of quantile g-computation and WQS regression, and how these quantities are impacted by the presence of non-causal exposures, exposure correlation, unmeasured confounding, and non-linear effects. Quantile g-computation, unlike WQS regression allows inference on mixture effects that is unbiased with appropriate confidence interval coverage at sample sizes typically encountered in epidemiologic studies and when the assumptions of WQS regression are not met. Further, WQS regression can magnify bias from unmeasured confounding that might occur if important components of the mixture are omitted. Unlike inferential approaches that examine effects of individual exposures, methods like quantile g-computation that can estimate the effect of a mixture are essential for understanding effects of potential public health actions that act on exposure sources. Our approach may serve to help bridge gaps between epidemiologic analysis and interventions such as regulations on industrial emissions or mining processes, dietary changes, or consumer behavioral changes that act on multiple exposures simultaneously.

stat.ME