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GROUP-BASED TRAJECTORY MODELING WITH BINARY AND ZERO-INFLATED COUNT OUTCOMES: APPLICATION TO GERIATRIC PNEUMONIA

dc.contributor.advisorLim, Hyun J
dc.contributor.committeeMemberMondal, Prosanta
dc.contributor.committeeMemberSzafron, Michael
dc.contributor.committeeMemberBalbuena, Lloyd
dc.creatorKim, Min Young
dc.date.accessioned2022-07-15T15:14:44Z
dc.date.available2022-07-15T15:14:44Z
dc.date.copyright2022
dc.date.created2022-07
dc.date.issued2022-07-15
dc.date.submittedJuly 2022
dc.date.updated2022-07-15T15:14:44Z
dc.description.abstractA developmental trajectory is defined as an evolution of an outcome over age or time (Nagin, 2005). Several statistical approaches are available for trajectory analysis. Hierarchical modeling and latent growth curve modeling are most commonly used. However, this thesis is focused on widely used method, “Group-based trajectory modeling.” Group-based trajectory modeling (GBTM) is an application of finite mixture modeling that the population is composed of distinct groups, each with a different underlying trajectory and every subject in the group approximately follows the same patterns of behavior of outcome over age or time (Nagin, 1999). This thesis utilized the Korean Health Panel Study, which included 4007 individuals 65 years old or older at the baseline. Trajectory analysis was conducted with GBTM for geriatric pneumonia with binary and count outcomes. The models were compared and the binary outcome trajectory model was considered a better fit model. Both the binary outcome trajectory model and the zero-inflated count outcome trajectory model identified three trajectory groups with similar shapes: “low-flat,” “low-to-high,” and “high-to-low.” The majority of the participants belonged to the “low-flat” group. In the binary outcome trajectory model, having three household members, having a disability, and having a chronic respiratory disease were significant risk factors for the pneumonia trajectory groups. In the zero-inflated count outcome trajectory model, being male and having a chronic respiratory disease were the significant risk factors.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/10388/14035
dc.language.isoen
dc.subjectGroup-based trajectory modeling
dc.subjectgeriatric pneumonia
dc.titleGROUP-BASED TRAJECTORY MODELING WITH BINARY AND ZERO-INFLATED COUNT OUTCOMES: APPLICATION TO GERIATRIC PNEUMONIA
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentSchool of Public Health
thesis.degree.disciplineBiostatistics
thesis.degree.grantorUniversity of Saskatchewan
thesis.degree.levelMasters
thesis.degree.nameMaster of Science (M.Sc.)

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