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Respiratory cancer is one of the most commonly diagnosed cancers as well as the leading cause of cancer death. Numerous efforts have been devoted to reducing the death rate of respiratory cancer. In this article, we propose a semi-parametric Cox model with latent variables to assess the effects of observed and latent risk factors on survival time of respiratory cancer. The characteristics of latent risk factors are characterized via multiple observed indicators by a confirmatory factor analysis model. We develop a Bayesian estimation procedure to obtain the estimates of parameters. Simulation shows that the performance of the proposed methodology is satisfactory. The proposed method is applied to analyze the Surveillance, Epidemiology, and End Results Program data set. [ABSTRACT FROM AUTHOR]

Cocaine is a type of drug that functions to increase the availability of the neurotransmitter dopamine in the brain. However, cocaine dependence or abuse is highly related to an increased risk of psychiatric disorders and deficits in cognitive performance, attention, and decision-making abilities. Given the chronic and persistent features of drug addiction, the progression of abstaining from cocaine often evolves across several states, such as addiction to, moderate dependence on, and swearing off cocaine. Hidden Markov models (HMMs) are well suited to the characterization of longitudinal data in terms of a set of unobservable states, and have increasingly been used to uncover the dynamic heterogeneity in progressive diseases or activities. However, the existence of outliers or influential points may misidentify the hidden states and distort the associated inference. In this study, we develop a Bayesian local influence procedure for HMMs with latent variables in the presence of missing data. The proposed model enables us to investigate the dynamic heterogeneity of multivariate longitudinal data, reveal how the interrelationships among latent variables change from one state to another, and simultaneously conduct statistical diagnosis for the given data, model assumptions, and prior inputs. We apply the proposed procedure to analyze a dataset collected by the UCLA center for advancing longitudinal drug abuse research. Several outliers or influential points that seriously influence estimation results are identified and removed. The proposed procedure also discovers the effects of treatment and individuals’ psychological problems on cocaine use behavior and delineates their dynamic changes across the cocaine-addiction states. [ABSTRACT FROM PUBLISHER]

In psychological, social, behavioral, and medical studies, hidden Markov models (HMMs) have been extensively applied to the simultaneous modeling of heterogeneous observation and hidden transition in the analysis of longitudinal data. However, the majority of the existing HMMs are developed in a parametric framework without latent variables. This study considers a novel semiparametric HMM, which comprises a semiparametric latent variable model to investigate the complex interrelationships among latent variables and a nonparametric transition model to examine the linear and nonlinear effects of potential predictors on hidden transition. The Bayesian P-splines approach and Markov chain Monte Carlo methods are developed to estimate the unknown, a Bayesian model comparison statistic, is employed to conduct model comparison. The empirical performance of the proposed methodology is evaluated through simulation studies. An application to a data set derived from the National Longitudinal Survey of Youth is presented. [ABSTRACT FROM PUBLISHER]

End-stage renal disease (ESRD) is one of the most serious diabetes complications. Numerous studies have been devoted to revealing the risk factors of the onset time of ESRD. In this article, we propose a proportional mean residual life (MRL) model with latent variables to assess the effects of observed and latent risk factors on the MRL function of ESRD in a cohort of Chinese type 2 diabetic patients. The proposed model generalizes the conventional proportional MRL model to accommodate the latent risk factor that cannot be measured by a single observed variable. We employ a factor analysis model to characterize the latent risk factors via multiple observed variables. We develop a borrow-strength estimation procedure, which incorporates the expectation-maximization algorithm and an extended estimating equation approach. The asymptotic properties of the proposed estimators are established. Simulation shows that the performance of the proposed methodology is satisfactory. The application to the study of type 2 diabetes reveals insights into the prevention of ESRD. Copyright © 2016 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]