scholarly journals A statewide outbreak of Cryptosporidium and its association with the distribution of public swimming pools

2011 ◽  
Vol 140 (8) ◽  
pp. 1439-1445 ◽  
Author(s):  
P. M. POLGREEN ◽  
J. D. SPARKS ◽  
L. A. POLGREEN ◽  
M. YANG ◽  
M. L. HARRIS ◽  
...  

SUMMARYIn order to characterize the association between county-level risk factors and the incidence of Cryptosporidium in the 2007 Iowa outbreak, we used generalized linear mixed models with the number of Cryptosporidium cases per county as the dependent variable. We employed a spatial power covariance structure, which assumed that the correlation between the numbers of cases in any two counties decreases as the distance between them increases. County population size was included in the model to adjust for population differences. Independent variables included the number of pools in specific pool categories (large, small, spa, wading, waterslide) and pool-owner classes (apartment, camp, country club or health club, hotel, municipal, school, other) as well as the proportion of residents aged <5 years. We found that increases in the number of bigger pools, pools with more heterogeneous mixing (municipal pools vs. country club or apartment pools), and pools catering to young children (wading pools) are associated with more cases at the county level.

Data ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 6 ◽  
Author(s):  
Alberto Gianinetti

Germination data are discrete and binomial. Although analysis of variance (ANOVA) has long been used for the statistical analysis of these data, generalized linear mixed models (GzLMMs) provide a more consistent theoretical framework. GzLMMs are suitable for final germination percentages (FGP) as well as longitudinal studies of germination time-courses. Germination indices (i.e., single-value parameters summarizing the results of a germination assay by combining the level and rapidity of germination) and other data with a Gaussian error distribution can be analyzed too. There are, however, different kinds of GzLMMs: Conditional (i.e., random effects are modeled as deviations from the general intercept with a specific covariance structure), marginal (i.e., random effects are modeled solely as a variance/covariance structure of the error terms), and quasi-marginal (some random effects are modeled as deviations from the intercept and some are modeled as a covariance structure of the error terms) models can be applied to the same data. It is shown that: (a) For germination data, conditional, marginal, and quasi-marginal GzLMMs tend to converge to a similar inference; (b) conditional models are the first choice for FGP; (c) marginal or quasi-marginal models are more suited for longitudinal studies, although conditional models lead to a congruent inference; (d) in general, common random factors are better dealt with as random intercepts, whereas serial correlation is easier to model in terms of the covariance structure of the error terms; (e) germination indices are not binomial and can be easier to analyze with a marginal model; (f) in boundary conditions (when some means approach 0% or 100%), conditional models with an integral approximation of true likelihood are more appropriate; in non-boundary conditions, (g) germination data can be fitted with default pseudo-likelihood estimation techniques, on the basis of the SAS-based code templates provided here; (h) GzLMMs are remarkably good for the analysis of germination data except if some means are 0% or 100%. In this case, alternative statistical approaches may be used, such as survival analysis or linear mixed models (LMMs) with transformed data, unless an ad hoc data adjustment in estimates of limit means is considered, either experimentally or computationally. This review is intended as a basic tutorial for the application of GzLMMs, and is, therefore, of interest primarily to researchers in the agricultural sciences.


2020 ◽  
Author(s):  
Gregg Smith ◽  
Jazmin Young

We investigate the 2016 Presidential Election using the county as the unit of analysis to examine the variance in the percentage of votes cast for Clinton, Trump and voter turnout. Our independent variables conceptually relate to race, education, wellbeing, age, rural-urban continuum and international migration. We found that over 50% of the variance in vote outcome for Clinton and Trump is explained by race, education, economy and the physical health of the county population. Almost 50% of the variance in voter turnout is explained with the same variables plus age. The regression results showed that Trump voters tended to be more white, less educated, not poor, and unhealthy compared to Clinton voters. <br>


2020 ◽  
Author(s):  
Gregg Smith ◽  
Jazmin Young

We investigate the 2016 Presidential Election using the county as the unit of analysis to examine the variance in the percentage of votes cast for Clinton, Trump and voter turnout. Our independent variables conceptually relate to race, education, wellbeing, age, rural-urban continuum and international migration. We found that over 50% of the variance in vote outcome for Clinton and Trump is explained by race, education, economy and the physical health of the county population. Almost 50% of the variance in voter turnout is explained with the same variables plus age. The regression results showed that Trump voters tended to be more white, less educated, not poor, and unhealthy compared to Clinton voters. <br>


2009 ◽  
Vol 138 (3) ◽  
pp. 434-441 ◽  
Author(s):  
P. M. POLGREEN ◽  
L. C. BOHNETT ◽  
M. YANG ◽  
M. A. PENTELLA ◽  
J. E. CAVANAUGH

SUMMARYTo characterize the association between county-level risk factors and the incidence of mumps in the 2006 Iowa outbreak, we used generalized linear mixed models with the number of mumps cases per county as the dependent variable. To assess the impact of spring-break travel, we tested for differences in the proportions of mumps cases in three different age groups. In the final multivariable model, the proportion of Iowa's college students per county was positively associated (P<0·0001) with mumps cases, but the number of colleges was negatively associated with cases (P=0·0002). Thus, if the college students in a county were spread among more campuses, this was associated with fewer mumps cases. Finally, we found the proportion of mumps cases in both older and younger persons increased after 1 April (P=0·0029), suggesting that spring-break college travel was associated with the spread of mumps to other age groups.


2021 ◽  
pp. 096228022110175
Author(s):  
Jan P Burgard ◽  
Joscha Krause ◽  
Ralf Münnich ◽  
Domingo Morales

Obesity is considered to be one of the primary health risks in modern industrialized societies. Estimating the evolution of its prevalence over time is an essential element of public health reporting. This requires the application of suitable statistical methods on epidemiologic data with substantial local detail. Generalized linear-mixed models with medical treatment records as covariates mark a powerful combination for this purpose. However, the task is methodologically challenging. Disease frequencies are subject to both regional and temporal heterogeneity. Medical treatment records often show strong internal correlation due to diagnosis-related grouping. This frequently causes excessive variance in model parameter estimation due to rank-deficiency problems. Further, generalized linear-mixed models are often estimated via approximate inference methods as their likelihood functions do not have closed forms. These problems combined lead to unacceptable uncertainty in prevalence estimates over time. We propose an l2-penalized temporal logit-mixed model to solve these issues. We derive empirical best predictors and present a parametric bootstrap to estimate their mean-squared errors. A novel penalized maximum approximate likelihood algorithm for model parameter estimation is stated. With this new methodology, the regional obesity prevalence in Germany from 2009 to 2012 is estimated. We find that the national prevalence ranges between 15 and 16%, with significant regional clustering in eastern Germany.


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