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Mary R. Boland

Publications and source records attributed to Mary R. Boland.

4 recordsLinked to original sources

Quantifying patient and neighborhood risks for stillbirth and preterm birth in Philadelphia with a Bayesian spatial model

Stillbirth and preterm birth are major public health challenges. Using a Bayesian spatial model, we quantified patient-specific and neighborhood risks of stillbirth and preterm birth in the city of Philadelphia. We linked birth data from electronic health records at Penn Medicine hospitals from 2010 to 2017 with census-tract-level data from the United States Census Bureau. We found that both patient-level characteristics (e.g. self-identified race/ethnicity) and neighborhood-level characteristics (e.g. violent crime) were significantly associated with patients' risk of stillbirth or preterm birth. Our neighborhood analysis found that higher-risk census tracts had 2.68 times the average risk of stillbirth and 2.01 times the average risk of preterm birth compared to lower-risk census tracts. Higher neighborhood rates of women in poverty or on public assistance were significantly associated with greater neighborhood risk for these outcomes, whereas higher neighborhood rates of college-educated women or women in the labor force were significantly associated with lower risk. Several of these neighborhood associations were missed by the patient-level analysis. These results suggest that neighborhood-level analyses of adverse pregnancy outcomes can reveal nuanced relationships and, thus, should be considered by epidemiologists. Our findings can potentially guide place-based public health interventions to reduce stillbirth and preterm birth rates.

stat.AP

Scalable high-dimensional Bayesian varying coefficient models with unknown within-subject covariance

Nonparametric varying coefficient (NVC) models are useful for modeling time-varying effects on responses that are measured repeatedly for the same subjects. When the number of covariates is moderate or large, it is desirable to perform variable selection from the varying coefficient functions. However, existing methods for variable selection in NVC models either fail to account for within-subject correlations or require the practitioner to specify a parametric form for the correlation structure. In this paper, we introduce the nonparametric varying coefficient spike-and-slab lasso (NVC-SSL) for Bayesian high-dimensional NVC models. Through the introduction of functional random effects, our method allows for flexible modeling of within-subject correlations without needing to specify a parametric covariance function. We further propose several scalable optimization and Markov chain Monte Carlo (MCMC) algorithms. For variable selection, we propose an Expectation Conditional Maximization (ECM) algorithm to rapidly obtain maximum a posteriori (MAP) estimates. Our ECM algorithm scales linearly in the total number of observations $N$ and the number of covariates $p$. For uncertainty quantification, we introduce an approximate MCMC algorithm that also scales linearly in both $N$ and $p$. We demonstrate the scalability, variable selection performance, and inferential capabilities of our method through simulations and a real data application. These algorithms are implemented in the publicly available R package NVCSSL on the Comprehensive R Archive Network.

stat.ME

A Robust Bayesian Copas Selection Model for Quantifying and Correcting Publication Bias

The validity of conclusions from meta-analysis is potentially threatened by publication bias. Most existing procedures for correcting publication bias assume normality of the study-specific effects that account for between-study heterogeneity. However, this assumption may not be valid, and the performance of these bias correction procedures can be highly sensitive to departures from normality. Further, there exist few measures to quantify the magnitude of publication bias based on selection models. In this paper, we address both of these issues. First, we explore the use of heavy-tailed distributions for the study-specific effects within a Bayesian hierarchical framework. The deviance information criterion (DIC) is used to determine the appropriate distribution to use for conducting the final analysis. Second, we develop a new measure to quantify the magnitude of publication bias based on Hellinger distance. Our measure is easy to interpret and takes advantage of the estimation uncertainty afforded naturally by the posterior distribution. We illustrate our proposed approach through simulation studies and meta-analyses on lung cancer and antidepressants. To assess the prevalence of publication bias, we apply our method to 1500 meta-analyses of dichotomous outcomes in the Cochrane Database of Systematic Reviews. Our methods are implemented in the publicly available R package RobustBayesianCopas.

stat.ME

Spike-and-Slab Group Lassos for Grouped Regression and Sparse Generalized Additive Models

We introduce the spike-and-slab group lasso (SSGL) for Bayesian estimation and variable selection in linear regression with grouped variables. We further extend the SSGL to sparse generalized additive models (GAMs), thereby introducing the first nonparametric variant of the spike-and-slab lasso methodology. Our model simultaneously performs group selection and estimation, while our fully Bayes treatment of the mixture proportion allows for model complexity control and automatic self-adaptivity to different levels of sparsity. We develop theory to uniquely characterize the global posterior mode under the SSGL and introduce a highly efficient block coordinate ascent algorithm for maximum a posteriori (MAP) estimation. We further employ de-biasing methods to provide uncertainty quantification of our estimates. Thus, implementation of our model avoids the computational intensiveness of Markov chain Monte Carlo (MCMC) in high dimensions. We derive posterior concentration rates for both grouped linear regression and sparse GAMs when the number of covariates grows at nearly exponential rate with sample size. Finally, we illustrate our methodology through extensive simulations and data analysis.

stat.ME