Simultaneous modeling of detection rate and exposure concentration using semi-continuous models to identify exposure determinants when left-censored data may be a true zero

J Expo Sci Environ Epidemiol. 2021 Nov;31(6):1047-1056. doi: 10.1038/s41370-021-00331-7. Epub 2021 May 18.

Abstract

Background: Most methods for treating left-censored data assume the analyte is present but not quantified. Biased estimates may result if the analyte is absent such that the unobserved data represents a mixed exposure distribution with an unknown proportion clustered at zero.

Objective: We used semi-continuous models to identify time and industry trends in 52,457 OSHA inspection lead sample results.

Method: The first component of the semi-continuous model predicted the probability of detecting concentrations ≥ 0.007 mg/m3 (highest estimated detection limit, 62% of measurements). The second component predicted the median concentration of measurements ≥ 0.007 mg/m3. Both components included a random-effect for industry and fixed-effects for year, industry group, analytical method, and other variables. We used the two components together to predict median industry- and time-specific lead concentrations.

Results: The probabilities of detectable concentrations and the median detected concentrations decreased with year; both were also lower for measurements analyzed for multiple (vs. one) metals and for those analyzed by inductively-coupled plasma (vs. atomic absorption spectroscopy). The covariance was 0.30 (standard error = 0.06), confirming the two components were correlated.

Significance: We identified determinants of exposure in data with over 60% left-censored, while accounting for correlated relationships and without assuming a distribution for the censored data.

Keywords: left-censored data; occupational lead exposure; statistical modeling.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Humans
  • Industry
  • Lead
  • Models, Statistical*
  • Occupational Exposure* / analysis

Substances

  • Lead