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Fitting generalized estimating equation (GEE ... - Stata

13/16/2001 Nicholas Horton, BU SPH1 Fitting generalized estimating equation (GEE) regression models in StataNicholas of Epidemiology and BiostatisticsBoston University School of Public Health3/16/2001 Nicholas Horton, BU SPH2 Outline Regression models for clustered or longitudinal data Brief review of GEEs mean model working correlation matrix Stata GEE implementation Example: Mental health service utilization Summary and conclusions23/16/2001 Nicholas Horton, BU SPH3 Regression models for clustered or longitudinal data Longitudinal, repeated measures, or clustered data commonly encountered Correlations between observations on a given subject may exist, and need to be accounted for If outcomes are multivariate normal, then established methods of analysis are available (Laird and Ware, Biometrics, 1982) If outcomes are binary or counts, likelihood based inference less tractable3/16/2001 Nicholas Horton, BU SPH4 generalized estimating equations Described by Liang and Zeger (Biometrika, 1986) and Zeger and Liang (Biometrics, 1986)

Ł These methods not yet implemented in standard software (requires estimation of weights and more complicated variance formula) 3/16/2001 Nicholas Horton, BU SPH 16 Variance estimators Ł Empirical (aka sandwich or robust/semi-robust) consistent when the mean model is correctly specified (if no missing data)

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