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Le Bao

Publications and source records attributed to Le Bao.

At least 19 recordsLinked to original sources

Mixture-based Nonparametric Estimation of Spatial Covariance Functions with Applications to HIV Key Population Size Estimation across Sub-Saharan Africa

Consistent data on the sizes of key populations, such as female sex workers (FSWs), are often scarce, particularly at the sub-national level. Accurate size estimates are critical to effectively allocate resources and achieve HIV targets. Since FSW population sizes may be spatially correlated across areas, models that account for spatial dependence can improve estimation. An important component of such models is the covariance function, which characterizes the spatial dependence structure of the underlying process. In this work, we study spatial covariance functions to estimate FSW population sizes in Sub-Saharan Africa (SSA). Many spatial models rely on parametric covariance functions. However, parametric estimation can suffer from model mis-specification, potentially leading to inefficient or biased predictions. We therefore develop a robust non-parametric approach for estimating the covariance function of a stationary isotropic process in $\mathbb{R}^d$. We focus on a class of covariance functions that are valid in all dimensions, which includes popular kernels such as the exponential and Mat\'{e}rn kernels. Leveraging the fact that such covariance functions can be represented as infinite mixtures of scaled Gaussian kernels, we propose two estimation methods: weighted least squares and nonparametric maximum likelihood estimation to estimate the mixing measure of scaled Gaussian kernels. We also develop computationally efficient methods to solve these optimization problems using non-negative least squares and second-order descent updates. We evaluate the proposed methods through simulations and apply them to estimate the FSW population sizes at the sub-national level in SSA.

stat.ME

A Bayesian Multi-State Data Integration Approach for Estimating County-level Prevalence of Opioid Misuse in the United States

Drug overdose deaths, including from opioids, remain a significant public health threat to the United States (US). To abate the harms of opioid misuse, understanding its prevalence at the local level is crucial for stakeholders in communities to develop response strategies that effectively use limited resources. Although there exist several state-specific studies that provide county-level prevalence estimates, such estimates are not widely available across the country, as the datasets used in these studies are not always readily available in other states, which, therefore, has limited the wider applications of existing models. To fill this gap, we propose a Bayesian multi-state data integration approach that fully utilizes publicly available data sources to estimate county-level opioid misuse prevalence for all counties in the US. The hierarchical structure jointly models opioid misuse prevalence and overdose death outcomes, leverages existing county-level prevalence estimates in limited states and state-level estimates from national surveys, and accounts for heterogeneity across counties and states with counties' covariates and mixed effects. Furthermore, our parsimonious and generalizable modeling framework employs horseshoe+ prior to flexibly shrink coefficients and prevent overfitting, ensuring adaptability as new county-level prevalence data in additional states become available. Using real-world data, our model shows high estimation accuracy through cross-validation and provides nationwide county-level estimates of opioid misuse for the first time.

stat.AP

Estimating Global HIV Prevalence in Key Populations: A Cross-Population Hierarchical Modeling Approach

Key populations at high risk of HIV infection are critical for understanding and monitoring HIV epidemics, but global estimation is hampered by sparse, uneven data. We analyze data from 199 countries for female sex workers (FSW), men who have sex with men (MSM), and people who inject drugs (PWID) over 2011-2021, and introduce a cross-population hierarchical model that borrows strength across countries, years, and populations. The model combines region- and population-specific means with country random effects, temporal dependence, and cross-population correlations in a Gaussian Markov random-field formulation on the log-prevalence scale. In 5-fold cross-validation, the approach outperforms a regional-median baseline and reduced variants (65 percent reduction in cross-validated MSE) with well-calibrated posterior predictive coverage (93 percent). We map the 2021 prevalence and quantify the change between 2011 and 2021 using posterior prevalence ratios to identify countries with substantial increases or decreases. The framework yields globally comparable and uncertainty-quantified country-by-year prevalence estimates, enhancing evidence for resource allocation and targeted interventions for marginalized populations where routine data are limited.

stat.AP

Shiny-MAGEC: A Bayesian R Shiny Application for Meta-analysis of Censored Adverse Events

Accurate assessment of adverse event (AE) incidence is critical in clinical cancer research for drug safety evaluation and regulatory approval. While meta-analysis serves as an essential tool to comprehensively synthesize the evidence across multiple studies, incomplete AE reporting in clinical trials remains a persistent challenge. In particular, AEs occurring below study-specific reporting thresholds are often omitted from publications, leading to left-censored data. Failure to account for these censored AE counts can result in biased AE incidence estimates. We present an R Shiny application that implements a one-stage Bayesian meta-analysis model specifically designed to incorporate censored AE data into the estimation process. This interactive tool provides a user-friendly interface for researchers to conduct AE meta-analyses and estimate the AE incidence probability following the bias-correction methods proposed by Qi et al. (2024). It also enables direct comparisons between models that either incorporate or ignore censoring, highlighting the biases introduced by conventional approaches. This tutorial demonstrates the Shiny application's functionality through an illustrative example on meta-analysis of PD-1/PD-L1 inhibitor safety and highlights the importance of this tool in improving AE risk assessment. Ultimately, the new Shiny app facilitates more accurate and transparent drug safety evaluations. The Shiny-MAGEC app is available at: https://zihanzhou98.shinyapps.io/Shiny-MAGEC/.

stat.ME

A Decentralized Proximal Gradient Tracking Algorithm for Composite Optimization on Riemannian Manifolds

This paper focuses on minimizing a smooth function combined with a nonsmooth regularization term on a compact Riemannian submanifold embedded in the Euclidean space under a decentralized setting. Typically, there are two types of approaches at present for tackling such composite optimization problems. The first, subgradient-based approaches, rely on subgradient information of the objective function to update variables, achieving an iteration complexity of $\mathcal{O}(\epsilon^{-4}\log^2(\epsilon^{-2}))$. The second, smoothing approaches, involve constructing a smooth approximation of the nonsmooth regularization term, resulting in an iteration complexity of $\mathcal{O}(\epsilon^{-4})$. This paper proposes a proximal gradient type algorithm that fully exploits the composite structure. The global convergence to a stationary point is established with a significantly improved iteration complexity of $\mathcal{O}(\epsilon^{-2})$. To validate the effectiveness and efficiency of our proposed method, we present numerical results in real-world applications, showcasing its superior performance.

math.OC

Dynamic Models Augmented by Hierarchical Data: An Application Of Estimating HIV Epidemics At Sub-National And Sub-Population Level

Dynamic models have been successfully used in producing estimates of HIV epidemics at the national level due to their epidemiological nature and their ability to estimate prevalence, incidence, and mortality rates simultaneously. Recently, HIV interventions and policies have required more information at sub-national levels to support local planning, decision making and resource allocation. Unfortunately, many areas lack sufficient data for deriving stable and reliable results, and this is a critical technical barrier to more stratified estimates. One solution is to borrow information from other areas within the same country. However, directly assuming hierarchical structures within the HIV dynamic models is complicated and computationally time-consuming. In this paper, we propose a simple and innovative way to incorporate hierarchical information into the dynamical systems by using auxiliary data. The proposed method efficiently uses information from multiple areas within each country without increasing the computational burden. As a result, the new model improves predictive ability and uncertainty assessment.

stat.ME

A Likelihood Approach to Incorporating Self-Report Data in HIV Recency Classification

Estimating new HIV infections is significant yet challenging due to the difficulty in distinguishing between recent and long-term infections. We demonstrate that HIV recency status (recent v.s. long-term) could be determined from the combination of self-report testing history and biomarkers, which are increasingly available in bio-behavioral surveys. HIV recency status is partially observed, given the self-report testing history. For example, people who tested positive for HIV over one year ago should have a long-term infection. Based on the nationally representative samples collected by the Population-based HIV Impact Assessment (PHIA) Project, we propose a likelihood-based probabilistic model for HIV recency classification. The model incorporates both labeled and unlabeled data and integrates the mechanism of how HIV recency status depends on biomarkers and the mechanism of how HIV recency status, together with the self-report time of the most recent HIV test, impacts the test results, via a set of logistic regression models. We compare our method to logistic regression and the binary classification tree (current practice) on Malawi, Zimbabwe, and Zambia PHIA data, as well as on simulated data. Our model obtains more efficient and less biased parameter estimates and is relatively robust to potential reporting error and model misspecification.

stat.AP

A Correlated Network Scale-up Model: Finding the Connection Between Subpopulations

Aggregated relational data (ARD), formed from "How many X's do you know?" questions, is a powerful tool for learning important network characteristics with incomplete network data. Compared to traditional survey methods, ARD is attractive as it does not require a sample from the target population and does not ask respondents to self-reveal their own status. This is helpful for studying hard-to-reach populations like female sex workers who may be hesitant to reveal their status. From December 2008 to February 2009, the Kiev International Institute of Sociology (KIIS) collected ARD from 10,866 respondents to estimate the size of HIV-related groups in Ukraine. To analyze this data, we propose a new ARD model which incorporates respondent and group covariates in a regression framework and includes a bias term that is correlated between groups. We also introduce a new scaling procedure utilizing the correlation structure to further reduce biases. The resulting size estimates of those most-at-risk of HIV infection can improve the HIV response efficiency in Ukraine. Additionally, the proposed model allows us to better understand two network features without the full network data: 1. What characteristics affect who respondents know, and 2. How is knowing someone from one group related to knowing people from other groups. These features can allow researchers to better recruit marginalized individuals into the prevention and treatment programs. Our proposed model and several existing NSUM models are implemented in the networkscaleup R package.

stat.AP

Causal Structural Learning on MPHIA Individual Dataset

The Population-based HIV Impact Assessment (PHIA) is an ongoing project that conducts nationally representative HIV-focused surveys for measuring national and regional progress toward UNAIDS' 90-90-90 targets, the primary strategy to end the HIV epidemic. We believe the PHIA survey offers a unique opportunity to better understand the key factors that drive the HIV epidemics in the most affected countries in sub-Saharan Africa. In this article, we propose a novel causal structural learning algorithm to discover important covariates and potential causal pathways for 90-90-90 targets. Existing constrained-based causal structural learning algorithms are quite aggressive in edge removal. The proposed algorithm preserves more information about important features and potential causal pathways. It is applied to the Malawi PHIA (MPHIA) data set and leads to interesting results. For example, it discovers age and condom usage to be important for female HIV awareness; the number of sexual partners to be important for male HIV awareness; and knowing the travel time to HIV care facilities leads to a higher chance of being treated for both females and males. We further compare and validate the proposed algorithm using BIC and using Monte Carlo simulations, and show that the proposed algorithm achieves improvement in true positive rates in important feature discovery over existing algorithms.

stat.ME

Information Borrowing in Regression Models

Model development often takes data structure, subject matter considerations, model assumptions, and goodness of fit into consideration. To diagnose issues with any of these factors, it can be helpful to understand regression model estimates at a more granular level. We propose a new method for decomposing point estimates from a regression model via weights placed on data clusters. The weights are informed only by the model specification and data availability and thus can be used to explicitly link the effects of data imbalance and model assumptions to actual model estimates. The weight matrix has been understood in linear models as the hat matrix in the existing literature. We extend it to Bayesian hierarchical regression models that incorporate prior information and complicated dependence structures through the covariance among random effects. We show that the model weights, which we call borrowing factors, generalize shrinkage and information borrowing to all regression models. In contrast, the focus of the hat matrix has been mainly on the diagonal elements indicating the amount of leverage. We also provide metrics that summarize the borrowing factors and are practically useful. We present the theoretical properties of the borrowing factors and associated metrics and demonstrate their usage in two examples. By explicitly quantifying borrowing and shrinkage, researchers can better incorporate domain knowledge and evaluate model performance and the impacts of data properties such as data imbalance or influential points.

stat.ME

The Value of Information in Retrospect

In the course of any statistical analysis, it is necessary to consider issues of data quality and model appropriateness. Value of information methods were initially put forward in the middle of the twentieth century in order to provide a framework for choosing between potential sources of information. However, since their genesis, value of information methods have been largely neglected by statisticians. In this paper we review and extend existing value of information methods and recommend the use of three quantities for identifying influential and outlying data: an influence measure previously suggested by \cite{kempthorne1986}, a related quantity known as the expected value of sample information that is used to gauge how much influence we would expect a portion of the data to have, and the ratio of these two quantities which serves as a comparison between observed influence and expected influence. We study the basic theoretical properties of those quantities and illustrate our proposed approach using two datasets. A data set containing employment rates and other economic factors in U.S. first presented by \cite{longley} is used to provide an example in the case of linear regression. HIV surveillance data collected from prenatal clinics have been the main source of information for monitoring the HIV epidemic in low and middle income countries. A data set providing information about HIV prevalence in Swaziland is used as an example in the case of generalized linear mixed models.

stat.ME

A Bayesian hierarchical modeling approach to combining multiple data sources: A case study in size estimation

To combat the HIV/AIDS pandemic effectively, targeted interventions among certain key populations play a critical role. Examples of such key populations include sex workers, people who inject drugs, and men who have sex with men. While having accurate estimates for the size of these key populations is important, any attempt to directly contact or count members of these populations is difficult. As a result, indirect methods are used to produce size estimates. Multiple approaches for estimating the size of such populations have been suggested but often give conflicting results. It is therefore necessary to have a principled way to combine and reconcile these estimates. To this end, we present a Bayesian hierarchical model for estimating the size of key populations that combines multiple estimates from different sources of information. The proposed model makes use of multiple years of data and explicitly models the systematic error in the data sources used. We use the model to estimate the size of people who inject drugs in Ukraine. We evaluate the appropriateness of the model and compare the contribution of each data source to the final estimates.

stat.AP

Modeling the Marked Presence-only Data: A Case Study of Estimating the Female Sex Worker Size in Malawi

Certain subpopulations like female sex workers (FSW), men who have sex with men (MSM), and people who inject drugs (PWID) often have higher prevalence of HIV/AIDS and are difficult to map directly due to stigma, discrimination, and criminalization. Fine-scale mapping of those populations contributes to the progress towards reducing the inequalities and ending the AIDS epidemic. In 2016 and 2017, the PLACE surveys were conducted at 3,290 venues in 20 out of the total 28 districts in Malawi to estimate the FSW sizes. These venues represent a presence-only data set where, instead of knowing both where people live and do not live (presence-absence data), only information about visited locations is available. In this study, we develop a Bayesian model for presence-only data and utilize the PLACE data to estimate the FSW size and uncertainty interval at a $1.5 \times 1.5$-km resolution for all of Malawi. The estimates can also be aggregated to any desirable level (city/district/region) for implementing targeted HIV prevention and treatment programs in FSW communities, which have been successful in lowering the incidence of HIV and other sexually transmitted infections.

stat.AP

Thirty Years of The Network Scale up Method

Estimating the size of hard-to-reach populations is an important problem for many fields. The Network Scale-up Method (NSUM) is a relatively new approach to estimate the size of these hard-to-reach populations by asking respondents the question, "How many X's do you know," where X is the population of interest (e.g. "How many female sex workers do you know?"). The answers to these questions form Aggregated Relational Data (ARD). The NSUM has been used to estimate the size of a variety of subpopulations, including female sex workers, drug users, and even children who have been hospitalized for choking. Within the Network Scale-up methodology, there are a multitude of estimators for the size of the hidden population, including direct estimators, maximum likelihood estimators, and Bayesian estimators. In this article, we first provide an in-depth analysis of ARD properties and the techniques to collect the data. Then, we comprehensively review different estimation methods in terms of the assumptions behind each model, the relationships between the estimators, and the practical considerations of implementing the methods. Finally, we provide a summary of the dominant methods and an extensive list of the applications, and discuss the open problems and potential research directions in this area.

stat.ME

Probabilistic HIV Recency Classification -- A Logistic Regression without Labeled Individual Level Training Data

Accurate HIV incidence estimation based on individual recent infection status (recent vs long-term infection) is important for monitoring the epidemic, targeting interventions to those at greatest risk of new infection, and evaluating existing programs of prevention and treatment. Starting from 2015, the Population-based HIV Impact Assessment (PHIA) individual-level surveys are implemented in the most-affected countries in sub-Saharan Africa. PHIA is a nationally-representative HIV-focused survey that combines household visits with key questions and cutting-edge technologies such as biomarker tests for HIV antibody and HIV viral load which offer the unique opportunity of distinguishing between recent infection and long-term infection, and providing relevant HIV information by age, gender, and location. In this article, we propose a semi-supervised logistic regression model for estimating individual level HIV recency status. It incorporates information from multiple data sources -- the PHIA survey where the true HIV recency status is unknown, and the cohort studies provided in the literature where the relationship between HIV recency status and the covariates are presented in the form of a contingency table. It also utilizes the national level HIV incidence estimates from the epidemiology model. Applying the proposed model to Malawi PHIA data, we demonstrate that our approach is more accurate for the individual level estimation and more appropriate for estimating HIV recency rates at aggregated levels than the current practice -- the binary classification tree (BCT).

stat.ME

Automating Document Classification with Distant Supervision to Increase the Efficiency of Systematic Reviews

Objective: Systematic reviews of scholarly documents often provide complete and exhaustive summaries of literature relevant to a research question. However, well-done systematic reviews are expensive, time-demanding, and labor-intensive. Here, we propose an automatic document classification approach to significantly reduce the effort in reviewing documents. Methods: We first describe a manual document classification procedure that is used to curate a pertinent training dataset and then propose three classifiers: a keyword-guided method, a cluster analysis-based refined method, and a random forest approach that utilizes a large set of feature tokens. As an example, this approach is used to identify documents studying female sex workers that are assumed to contain content relevant to either HIV or violence. We compare the performance of the three classifiers by cross-validation and conduct a sensitivity analysis on the portion of data utilized in training the model. Results: The random forest approach provides the highest area under the curve (AUC) for both receiver operating characteristic (ROC) and precision/recall (PR). Analyses of precision and recall suggest that random forest could facilitate manually reviewing 20\% of the articles while containing 80\% of the relevant cases. Finally, we found a good classifier could be obtained by using a relatively small training sample size. Conclusions: In sum, the automated procedure of document classification presented here could improve both the precision and efficiency of systematic reviews, as well as facilitating live reviews, where reviews are updated regularly.

cs.CL

Approximate Cross-validated Mean Estimates for Bayesian Hierarchical Regression Models

We introduce a novel procedure for obtaining cross-validated predictive estimates for Bayesian hierarchical regression models (BHRMs). Bayesian hierarchical models are popular for their ability to model complex dependence structures and provide probabilistic uncertainty estimates, but can be computationally expensive to run. Cross-validation (CV) is therefore not a common practice to evaluate the predictive performance of BHRMs. Our method circumvents the need to re-run computationally costly estimation methods for each cross-validation fold and makes CV more feasible for large BHRMs. By conditioning on the variance-covariance parameters, we shift the CV problem from probability-based sampling to a simple and familiar optimization problem. In many cases, this produces estimates which are equivalent to full CV. We provide theoretical results and demonstrate its efficacy on publicly available data and in simulations.

stat.ML

Evaluating the relative contribution of data sources in a Bayesian analysis with the application of estimating the size of hard to reach populations

When using multiple data sources in an analysis, it is important to understand the influence of each data source on the analysis and the consistency of the data sources with each other and the model. We suggest the use of a retrospective value of information framework in order to address such concerns. Value of information methods can be computationally difficult. We illustrate the use of computational methods that allow these methods to be applied even in relatively complicated settings. In illustrating the proposed methods, we focus on an application in estimating the size of hard to reach populations. Specifically, we consider estimating the number of injection drug users in Ukraine by combining all available data sources spanning over half a decade and numerous sub-national areas in the Ukraine. This application is of interest to public health researchers as this hard to reach population that plays a large role in the spread of HIV. We apply a Bayesian hierarchical model and evaluate the contribution of each data source in terms of absolute influence, expected influence, and level of surprise. Finally we apply value of information methods to inform suggestions on future data collection.

stat.AP