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Laura Forastiere

Publications and source records attributed to Laura Forastiere.

25 records · Page 2Linked to original sources

Bipartite Interference and Air Pollution Transport: Estimating Health Effects of Power Plant Interventions

Evaluating air quality interventions is confronted with the challenge of interference since interventions at a particular pollution source likely impact air quality and health at distant locations and air quality and health at any given location are likely impacted by interventions at many sources. The structure of interference in this context is dictated by complex atmospheric processes governing how pollution emitted from a particular source is transformed and transported across space, and can be cast with a bipartite structure reflecting the two distinct types of units: 1) interventional units on which treatments are applied or withheld to change pollution emissions; and 2) outcome units on which outcomes of primary interest are measured. We propose new estimands for bipartite causal inference with interference that construe two components of treatment: a "key-associated" (or "individual") treatment and an "upwind" (or "neighborhood") treatment. Estimation is carried out using a semi-parametric adjustment approach based on joint propensity scores. A reduced-complexity atmospheric model is deployed to characterize the structure of the interference network by modeling the movement of air parcels through time and space. The new methods are deployed to evaluate the effectiveness of installing flue-gas desulfurization scrubbers on 472 coal-burning power plants (the interventional units) in reducing Medicare hospitalizations among 21,577,552 Medicare beneficiaries residing across 25,553 ZIP codes in the United States (the outcome units).

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Estimating Causal Effects of HIV Prevention Interventions with Interference in Network-based Studies among People Who Inject Drugs

Evaluating causal effects in the presence of interference is challenging in network-based studies of hard-to-reach populations. Like many such populations, people who inject drugs (PWID) are embedded in social networks and often exert influence on others in their network. In our setting, the study design is observational with a non-randomized network-based HIV prevention intervention. Information is available on each participant and their connections that confer possible HIV risk through injection and sexual behaviors. We considered two inverse probability weighted (IPW) estimators to quantify the population-level effects of non-randomized interventions on subsequent health outcomes. We demonstrated that these two IPW estimators are consistent, asymptotically normal, and derived a closed-form estimator for the asymptotic variance, while allowing for overlapping interference sets (groups of individuals in which the interference is assumed possible). A simulation study was conducted to evaluate the finite-sample performance of the estimators. We analyzed data from the Transmission Reduction Intervention Project, which ascertained a network of PWID and their contacts in Athens, Greece, from 2013 to 2015. We evaluated the effects of community alerts on HIV risk behavior in this observed network, where the links between participants were defined by using substances or having unprotected sex together. In the study, community alerts were distributed to inform people of recent HIV infections among individuals in close proximity in the observed network. The estimates of the risk differences for spillover using either IPW estimator demonstrated a protective effect. The results suggest that HIV risk behavior can be mitigated by exposure to a community alert when an increased risk of HIV is detected in the network.

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Causal Effects with Hidden Treatment Diffusion on Observed or Partially Observed Networks

In randomized experiments, interactions between units might generate a treatment diffusion process. This is common when the treatment of interest is an actual object or product that can be shared among peers (e.g., flyers, booklets, videos). For instance, if the intervention of interest is an information campaign realized through the distribution of a video to targeted individuals, some of these treated individuals might share the video they received with their friends. Such a phenomenon is usually unobserved, causing a misallocation of individuals in the two treatment arms: some of the initially untreated units might have actually received the treatment by diffusion. Treatment misclassification can, in turn, introduce a bias in the estimation of the causal effect. Inspired by a recent field experiment on the effect of different types of school incentives aimed at encouraging students to attend cultural events, we present a novel approach to deal with a hidden diffusion process on observed or partially observed networks.Specifically, we develop a simulation-based sensitivity analysis that assesses the robustness of the estimates against the possible presence of a treatment diffusion. We simulate several diffusion scenarios within a plausible range of sensitivity parameters and we compare the treatment effect which is estimated in each scenario with the one that is obtained while ignoring the diffusion process. Results suggest that even a treatment diffusion parameter of small size may lead to a significant bias in the estimation of the treatment effect.

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Estimating Causal Effects Under Interference Using Bayesian Generalized Propensity Scores

In most real-world systems units are interconnected and can be represented as networks consisting of nodes and edges. For instance, in social systems individuals can have social ties, family or financial relationships. In settings where some units are exposed to a treatment and its effect spills over connected units, estimating both the direct effect of the treatment and spillover effects presents several challenges. First, assumptions on the way and the extent to which spillover effects occur along the observed network are required. Second, in observational studies, where the treatment assignment is not under the control of the investigator, confounding and homophily are potential threats to the identification and estimation of causal effects on networks. Here, we make two structural assumptions: i) neighborhood interference, which assumes interference operates only through a function of the immediate neighbors' treatments ii) unconfoundedness of the individual and neighborhood treatment, which rules out the presence of unmeasured confounding variables, including those driving homophily. Under these assumptions we develop a new covariate-adjustment estimator for treatment and spillover effects in observational studies on networks. Estimation is based on a generalized propensity score that balances individual and neighborhood covariates across units under different levels of individual treatment and of exposure to neighbors' treatment. Adjustment for propensity score is performed using a penalized spline regression. Inference capitalizes on a three-step Bayesian procedure which allows to take into account the uncertainty in the propensity score estimation and avoiding model feedback. Finally, correlation of interacting units is taken into account using a community detection algorithm and incorporating random effects in the outcome model.

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Identification and estimation of treatment and interference effects in observational studies on networks

Causal inference on a population of units connected through a network often presents technical challenges, including how to account for interference. In the presence of local interference, for instance, potential outcomes of a unit depend on its treatment as well as on the treatments of other local units, such as its neighbors according to the network. In observational studies, a further complication is that the typical unconfoundedness assumption must be extended - say, to include the treatment of neighbors, and indi- vidual and neighborhood covariates - to guarantee identification and valid inference. Here, we propose new estimands that define treatment and interference effects. We then derive analytical expressions for the bias of a naive estimator that wrongly assumes away interference. The bias depends on the level of interference but also on the degree of association between individual and neighborhood treatments. We propose an extended unconfoundedness assumption that accounts for interference, and we develop new covariate-adjustment methods that lead to valid estimates of treatment and interference effects in observational studies on networks. Estimation is based on a generalized propensity score that balances individual and neighborhood covariates across units under different levels of individual treatment and of exposure to neighbors' treatment. We carry out simulations, calibrated using friendship networks and covariates in a nationally representative longitudinal study of adolescents in grades 7-12, in the United States, to explore finite-sample performance in different realistic settings.

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More Powerful Multiple Testing in Randomized Experiments with Non-Compliance

Two common concerns raised in analyses of randomized experiments are (i) appropriately handling issues of non-compliance, and (ii) appropriately adjusting for multiple tests (e.g., on multiple outcomes or subgroups). Although simple intention-to-treat (ITT) and Bonferroni methods are valid in terms of type I error, they can each lead to a substantial loss of power; when employing both simultaneously, the total loss may be severe. Alternatives exist to address each concern. Here we propose an analysis method for experiments involving both features that merges posterior predictive $p$-values for complier causal effects with randomization-based multiple comparisons adjustments; the results are valid familywise tests that are doubly advantageous: more powerful than both those based on standard ITT statistics and those using traditional multiple comparison adjustments. The operating characteristics and advantages of our method are demonstrated through a series of simulated experiments and an analysis of the United States Job Training Partnership Act (JTPA) Study, where our methods lead to different conclusions regarding the significance of estimated JTPA effects.

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Posterior Predictive P-values with Fisher Randomization Tests in Noncompliance Settings: Test Statistics vs Discrepancy Variables

In randomized experiments with noncompliance, tests may focus on compliers rather than on the overall sample. Rubin (1998) put forth such a method, and argued that testing for the complier average causal effect and averaging permutation based p-values over the posterior distribution of the compliance status could increase power, as compared to general intent-to-treat tests. The general scheme is to repeatedly do a two-step process of imputing missing compliance statuses and conducting a permutation test with the completed data. In this paper, we explore this idea further, comparing the use of discrepancy measures, which depend on unknown but imputed parameters, to classical test statistics and exploring different approaches for imputing the unknown compliance statuses. We also examine consequences of model misspecification in the imputation step, and discuss to what extent this additional modeling undercuts the permutation test's model independence. We find that, especially for discrepancy measures, modeling choices can impact both power and validity. In particular, imputing missing compliance statuses assuming the null can radically reduce power, but not doing so can jeopardize validity. Fortunately, covariates predictive of compliance status can mitigate these results. Finally, we compare this overall approach to Bayesian model-based tests, that is tests that are directly derived from posterior credible intervals, under both correct and incorrect model specification. We find that adding the permutation step in an otherwise Bayesian approach improves robustness to model specification without substantial loss of power.

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