Hierarchical regression for epidemiologic analyses of multiple exposures

Environ Health Perspect. 1994 Nov;102 Suppl 8(Suppl 8):33-9. doi: 10.1289/ehp.94102s833.

Abstract

Many epidemiologic investigations are designed to study the effects of multiple exposures. Most of these studies are analyzed either by fitting a risk-regression model with all exposures forced in the model, or by using a preliminary-testing algorithm, such as stepwise regression, to produce a smaller model. Research indicates that hierarchical modeling methods can outperform these conventional approaches. These methods are reviewed and compared to two hierarchical methods, empirical-Bayes regression and a variant here called "semi-Bayes" regression, to full-model maximum likelihood and to model reduction by preliminary testing. The performance of the methods in a problem of predicting neonatal-mortality rates are compared. Based on the literature to date, it is suggested that hierarchical methods should become part of the standard approaches to multiple-exposure studies.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Algorithms
  • Bayes Theorem
  • Environmental Exposure / statistics & numerical data*
  • Forecasting
  • Humans
  • Infant Mortality
  • Infant, Newborn
  • Likelihood Functions
  • Models, Statistical*
  • Regression Analysis
  • Risk
  • United States / epidemiology