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Main Authors: Yang, Ce, Zhang, Ning, Li, Jiaxuan, Mehta, Unnati V., Hart, Jaime E., Spiegelman, Donna, Wang, Molin
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2505.16914
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author Yang, Ce
Zhang, Ning
Li, Jiaxuan
Mehta, Unnati V.
Hart, Jaime E.
Spiegelman, Donna
Wang, Molin
author_facet Yang, Ce
Zhang, Ning
Li, Jiaxuan
Mehta, Unnati V.
Hart, Jaime E.
Spiegelman, Donna
Wang, Molin
contents Environmental epidemiologists are often interested in estimating the effect of time-varying functions of the exposure history on health outcomes. However, the individual exposure measurements that constitute the history upon which an exposure history function is constructed are usually subject to measurement errors. To obtain unbiased estimates of the effects of such mismeasured functions in longitudinal studies with discrete outcomes, a method applicable to the main study/validation study design is developed. Various estimation procedures are explored. Simulation studies were conducted to assess its performance compared to standard analysis, and we found that the proposed method had good performance in terms of finite sample bias reduction and nominal coverage probability improvement. As an illustrative example, we applied the new method to a study of long-term exposure to PM2.5, in relation to the occurrence of anxiety disorders in the Nurses Health Study II. Failing to correct the error-prone exposure can lead to an underestimation of the chronic exposure effect of PM2.5.
format Preprint
id arxiv_https___arxiv_org_abs_2505_16914
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Exposure measurement error correction in longitudinal studies with discrete outcomes
Yang, Ce
Zhang, Ning
Li, Jiaxuan
Mehta, Unnati V.
Hart, Jaime E.
Spiegelman, Donna
Wang, Molin
Methodology
Environmental epidemiologists are often interested in estimating the effect of time-varying functions of the exposure history on health outcomes. However, the individual exposure measurements that constitute the history upon which an exposure history function is constructed are usually subject to measurement errors. To obtain unbiased estimates of the effects of such mismeasured functions in longitudinal studies with discrete outcomes, a method applicable to the main study/validation study design is developed. Various estimation procedures are explored. Simulation studies were conducted to assess its performance compared to standard analysis, and we found that the proposed method had good performance in terms of finite sample bias reduction and nominal coverage probability improvement. As an illustrative example, we applied the new method to a study of long-term exposure to PM2.5, in relation to the occurrence of anxiety disorders in the Nurses Health Study II. Failing to correct the error-prone exposure can lead to an underestimation of the chronic exposure effect of PM2.5.
title Exposure measurement error correction in longitudinal studies with discrete outcomes
topic Methodology
url https://arxiv.org/abs/2505.16914