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Raffaella Piccarreta

Publications and source records attributed to Raffaella Piccarreta.

5 recordsLinked to original sources

Clustering Longitudinal Life-Course Sequences Using Mixtures of Exponential-Distance Models

Sequence analysis is an increasingly popular approach for analysing life courses represented by ordered collections of activities experienced by subjects over time. Here, we analyse a survey data set containing information on the career trajectories of a cohort of Northern Irish youths tracked between the ages of 16 and 22. We propose a novel, model-based clustering approach suited to the analysis of such data from a holistic perspective, with the aims of estimating the number of typical career trajectories, identifying the relevant features of these patterns, and assessing the extent to which such patterns are shaped by background characteristics. Several criteria exist for measuring pairwise dissimilarities among categorical sequences. Typically, dissimilarity matrices are employed as input to heuristic clustering algorithms. The family of methods we develop instead clusters sequences directly using mixtures of exponential-distance models. Basing the models on weighted variants of the Hamming distance metric permits closed-form expressions for parameter estimation. Simultaneously allowing the component membership probabilities to depend on fixed covariates and accommodating sampling weights in the clustering process yields new insights on the Northern Irish data. In particular, we find that school examination performance is the single most important predictor of cluster membership.

stat.ME

A quantitative assessment of epidemiological parameters to model COVID- 19 burden

Solid estimates describing the clinical course of SARS-CoV-2 infections are still lacking due to under-ascertainment of asymptomatic and mild-disease cases. In this work, we quantify age-specific probabilities of transitions between stages defining the natural history of SARS-CoV-2 infection from 1,965 SARS-CoV-2 positive individuals identified in Italy between March and April 2020 among contacts of confirmed cases. Infected contacts of cases were confirmed via RT-PCR tests as part of contact tracing activities or retrospectively via IgG serological tests and followed-up for symptoms and clinical outcomes. In addition, we provide estimates of time intervals between key events defining the clinical progression of cases as obtained from a larger sample, consisting of 95,371 infections ascertained between February and July 2020. We found that being older than 60 years of age was associated with a 39.9% (95%CI: 36.2-43.6%) likelihood of developing respiratory symptoms or fever >= 37.5 °C after SARS-CoV-2 infection; the 22.3% (95%CI: 19.3-25.6%) of the infections in this age group required hospital care and the 1% (95%CI: 0.4-2.1%) were admitted to an intensive care unit (ICU). The corresponding proportions in individuals younger than 60 years were estimated at 27.9% (95%CI: 25.4-30.4%), 8.8% (95%CI: 7.3-10.5%) and 0.4% (95%CI: 0.1-0.9%), respectively. The infection fatality ratio (IFR) ranged from 0.2% (95%CI: 0.0-0.6%) in individuals younger than 60 years to 12.3% (95%CI: 6.9-19.7%) for those aged 80 years or more; the case fatality ratio (CFR) in these two age classes was 0.6% (95%CI: 0.1-2%) and 19.2% (95% CI: 10.9-30.1%), respectively. The median length of stay in hospital was 10 (IQR 3-21) days; the length of stay in ICU was 11 (IQR 6-19) days. The obtained estimates could be instrumental to refine mathematical modeling work supporting public health decisions.

q-bio.PE

Colombian Women's Life Patterns: A Multivariate Density Regression Approach

Women in Colombia face difficulties related to the patriarchal traits of their societies and well-known conflict afflicting the country since 1948. In this critical context, our aim is to study the relationship between baseline socio-demographic factors and variables associated to fertility, partnership patterns, and work activity. To best exploit the explanatory structure, we propose a Bayesian multivariate density regression model, which can accommodate mixed responses with censored, constrained, and binary traits. The flexible nature of the models allows for nonlinear regression functions and non-standard features in the errors, such as asymmetry or multi-modality. The model has interpretable covariate-dependent weights constructed through normalization, allowing for combinations of categorical and continuous covariates. Computational difficulties for inference are overcome through an adaptive truncation algorithm combining adaptive Metropolis-Hastings and sequential Monte Carlo to create a sequence of automatically truncated posterior mixtures. For our study on Colombian women's life patterns, a variety of quantities are visualised and described, and in particular, our findings highlight the detrimental impact of family violence on women's choices and behaviors.

stat.AP

Infection fatality ratio of SARS-CoV-2 in Italy

We analyzed 5,484 close contacts of COVID-19 cases from Italy, all of them tested for SARS-CoV-2 infection. We found an infection fatality ratio of 2.2% (95%CI 1.69-2.81%) and identified male sex, age >70 years, cardiovascular comorbidities, and infection early in the epidemics as risk factors for death.

q-bio.PE

Probability of symptoms and critical disease after SARS-CoV-2 infection

We quantified the probability of developing symptoms (respiratory or fever \geq 37.5 °C) and critical disease (requiring intensive care or resulting in death) of SARS-CoV-2 positive subjects. 5,484 contacts of SARS-CoV-2 index cases detected in Lombardy, Italy were analyzed, and positive subjects were ascertained via nasal swabs and serological assays. 73.9% of all infected individuals aged less than 60 years did not develop symptoms (95% confidence interval: 71.8-75.9%). The risk of symptoms increased with age. 6.6% of infected subjects older than 60 years had critical disease, with males at significantly higher risk.

q-bio.PE