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Activity Number: 217
Type: Contributed
Date/Time: Monday, August 3, 2009 : 2:00 PM to 3:50 PM
Sponsor: Section on Statistics in Epidemiology
Abstract - #304339
Title: An Estimating Equations Approach for Latent Transition Models with Latent Class Predictors in Drug Use Epidemiology
Author(s): Beth A. Reboussin*+ and Nicholas Ialongo
Companies: Wake Forest University School of Medicine and Johns Hopkins Bloomberg School of Public Health
Address: Department of Biostatistical Sciences, Winston-Salem, NC, 27157,
Keywords: estimating equations ; GEE ; latent transition ; latent class ; robust variance ; drug use
Abstract:

We present a latent transition model (LTM) to guide our understanding of drug use progression while accounting for measurement error in self-report data and extend the LTM to include a latent class predictor. We begin by fitting two separate latent class analysis (LCA) models using second-order estimating equations: (1) a longitudinal LCA model to define stages of drug use, and (2) a cross-sectional LCA model to define latent class predictor subtypes. The LTM model parameters describing the probability of transitioning between the LCA-defined stages of drug use and the influence of the LCA-defined subtypes on these transition rates are then estimated using a set of first-order estimating equations given the LCA parameter estimates. A robust estimate of the LTM parameter variance that accounts for the variation due to the estimation of the two sets of LCA parameters is proposed.


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