Cluster detection using Bayes factors from overparameterized cluster models

In this paper, we consider the use of a partition model to estimate regional disease rates and to detect spatial clusters. Formal inference regarding the number of partitions (or clusters) can be obtained with a reversible jump Markov chain Monte Carlo algorithm. As an alternative, we consider the ability of models with a fixed, but overly large, number of partitions to estimate regional disease rates and to provide informal inferences about the number and locations of clusters using local Bayes factors. We illustrate and compare these two approaches using data on leukemia incidence in upstate New York and data on breast cancer incidence in Wisconsin.