Volume 14, Issue 21‐22
Article

Bayesian analysis of space—time variation in disease risk

L. Bernardinelli

Istituto Scienze Sanitarie Applicate—Universita di Pavia, Via Bassi 21, 27100 Pavia, Italy

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D. Clayton

Medical Research Council Biostatistics Unit, Institute of Public Health, University Forvie Site, Robinson Way, Cambridge CB2 2SR, U.K.

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C. Pascutto

Istituto Scienze Sanitarie Applicate—Universita di Pavia, Via Bassi 21, 27100 Pavia, Italy

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C. Montomoli

Istituto Scienze Sanitarie Applicate—Universita di Pavia, Via Bassi 21, 27100 Pavia, Italy

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M. Ghislandi

Istituto Scienze Sanitarie Applicate—Universita di Pavia, Via Bassi 21, 27100 Pavia, Italy

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M. Songini

Centro Malattie Dismetaboliche—Ospedale S. Michele 09134 Cagliari, Italy

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First published: 15 November 1995
Citations: 252

Abstract

The analysis of variation of risk for a given disease in space and time is a key issue in descriptive epidemiology. When the data are scarce, maximum likelihood estimates of the area‐specific risk and of its linear time‐trend can be seriously affected by random variation. In this paper, we propose a Bayesian model in which both area‐specific intercept and trend are modelled as random effects and correlation between them is allowed for. This model is an extension of that originally proposed for disease mapping. It is illustrated by the analysis of the cumulative prevalence of insulin dependent diabetes mellitus as observed at the military examination of 18‐year‐old conscripts born in Sardinia during the period 1936–1971. Data concerning the genetic differentiation of the Sardinian population are used to interpret the results.

Number of times cited according to CrossRef: 252

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