Applied Spatial Statistics for Public Health Data

An application–based introduction to the statistical analysis of spatially referenced health data
Sparked by the growing interest in statistical methods for the analysis of spatially referenced data in the field of public health, Applied Spatial Statistics for Public Health Data fills the need for an introductory, application–oriented text on this timely subject. Written for practicing public health researchers as well as graduate students in related fields, the text provides a thorough introduction to basic concepts and methods in applied spatial statistics as well as a detailed treatment of some of the more recent methods in spatial statistics useful for public health studies that have not been previously covered elsewhere.
Assuming minimal knowledge of spatial statistics, the authors provide important statistical approaches for assessing such questions as:Are newly occurring cases of a disease "clustered" in space?Do the cases cluster around suspected sources of increased risk, such as toxic waste sites or other environmental hazards?How do we take monitored pollution concentrations measured at specific locations and interpolate them to locations where no measurements were taken?How do we quantify associations between local disease rates and local exposures?After reviewing traditional statistical methods used in public health research, the text provides an overview of the basic features of spatial data, illustrates various geographic mapping and visualization tools, and describes the sources of publicly available spatial data that might be useful in public health applications.

Spis treści:
Preface.
Acknowledgments.
1 Introduction.
1.1 Why Spatial Data in Public Health?
1.2 Why Statistical Methods for Spatial Data?
1.3 Intersection of Three Fields of Study.
1.4 Organization of the Book.
2 Analyzing Public Health Data.
2.1 Observat ional vs. Experimental Data.
2.2 Risk and Rates.
2.2.1 Incidence and Prevalence.
2.2.2 Risk.
2.2.3 Estimating Risk: Rates and Proportions.
2.2.4 Relative and Attributable Risks.
2.3 Making Rates Comparable: Standardized Rates.
2.3.1 Direct Standardization.
2.3.2 Indirect Standardization.
2.3.3 Direct or Indirect?
2.3.4 Standardizing to What Standard?
2.3.5 Cautions with Standardized Rates.
2.4 Basic Epidemiological Study Designs.
2.4.1 Prospective Cohort Studies.
2.4.2 Retrospective Case–Control Studies.
2.4.3 Other Types of Epidemiological Studies.
2.5 Basic Analytic Tool: The Odds Ratio.
2.6 Modeling Counts and Rates.
2.6.1 Generalized Linear Models.
2.6.2 Logistic Regression.
2.6.3 Poisson Regression.
2.7 Challenges in the Analysis of Observational Data.
2.7.1 Bias.
2.7.2 Confounding.
2.7.3 Effect Modification.
2.7.4 Ecological Inference and the Ecological Fallacy.
2.8 Additional Topics and Further Reading.
2.9 Exercises.
3 Spatial Data.
3.1 Components of Spatial Data.
3.2 An Odyssey into Geodesy.
3.2.1 Measuring Location: Geographical Coordinates.
3.2.2 Flattening the Globe: Map Projections and Coordinate Systems.
3.2.3 Mathematics of Location: Vector and Polygon Geometry.
3.3 Sources of Spatial Data.
3.3.1 Health Data.
3.3.2 Census–Related Data.
3.3.3 Geocoding.
3.3.4 Digital Cartographic Data.
3.3.5 Environmental and Natural Resource Data.
3.3.6 Remotely Sensed Data.
3.3.7 Digitizing.
3.3.8 Collect Your Own!
3.4 Geographic Information Systems.
3.4.1 Vector and Raster GISs.
3.4.2 Basic GIS Operations.
3.4.3 Spatial Analysis within GIS.
3.5 Problems with Spatial Data and GIS.
3.5.1 Inaccurate and Incomplete Databases.
3.5.2 Confidentiality.
3.5.3 Use of ZIP Codes.
3.5.4 Geocoding Issues.
3.5.5 Location Uncertainty.
4 Visualizing Spatial Data.
4.1 Cartography: The Art and Scien ce of Mapmaking.
4.2 Types of Statistical Maps.
MAP STUDY: Very Low Birth Weights in Georgia Health Care District 9.
4.2.1 Maps for Point Features.
4.2.2 Maps for Areal Features.
4.3 Symbolization.
4.3.1 Map Generalization.
4.3.2 Visual Variables.
4.3.3 Color.
4.4 Mapping Smoothed Rates and Probabilities.
4.4.1 Locally Weighted Averages.
4.4.2 Nonparametric Regression.
4.4.3 Empirical Bayes Smoothing.
4.4.4 Probability Mapping.
4.4.5 Practical Notes and Recommendations.
CASE STUDY: Smoothing New York Leukemia Data.
4.5 Modifiable Areal Unit Problem.
4.6 Additional Topics and Further Reading.
4.6.1 Visualization.
4.6.2 Additional Types of Maps.
4.6.3 Exploratory Spatial Data Analysis.
4.6.4 Other Smoothing Approaches.
4.6.5 Edge Effects.
4.7 Exercises.
5 Analysis of Spatial Point Patterns.
5.1 Types of Patterns.
5.2 Spatial Point Processes.
5.2.1 Stationarity and Isotropy.
5.2.2 Spatial Poisson Processes and CSR.
5.2.3 Hypothesis Tests of CSR via Monte Carlo Methods.
5.2.4 Heterogeneous Poisson Processes.
5.2.5 Estimating Intensity Functions.
DATA BREAK: Early Medieval Grave Sites.
5.3 K Function.
5.3.1 Estimating the K Function.
5.3.2 Diagnostic Plots Based on the K Function.
5.3.3 Monte Carlo Assessments of CSR Based on the K Function.
DATA BREAK: Early Medieval Grave Sites.
5.3.4 Roles of First– and Second–Order Properties.
5.4 Other Spatial Point Processes.
5.4.1 Poisson Cluster Processes.
5.4.2 Contagion/Inhibition Processes.
5.4.3 Cox Processes.
5.4.4 Distinguishing Processes.
5.5 Additional Topics and Further Reading.
5.6 Exercises.
6 Spatial Clusters of Health Events: Point Data for Cases and Controls.
6.1 What Do We Have? Data Types and Related Issues.
6.2 What Do We Want? Null and Alternative Hypotheses.
6.3 Categorization of Methods.
6.4 Comparing Point P rocess Summaries.
6.4.1 Goals.
6.4.2 Assumptions and Typical Output.
6.4.3 Method: Ratio of Kernel Intensity Estimates.
DATA BREAK: Early Medieval Grave Sites.
6.4.4 Method: Difference between K Functions.
DATA BREAK: Early Medieval Grave Sites.
6.5 Scanning Local Rates.
6.5.1 Goals.
6.5.2 Assumptions and Typical Output.
6.5.3 Method: Geographical Analysis Machine.
6.5.4 Method: Overlapping Local Case Proportions.
DATA BREAK: Early Medieval Grave Sites.
6.5.5 Method: Spatial Scan Statistics.
DATA BREAK: Early Medieval Grave Sites.
6.6 Nearest–Neighbor Statistics.
6.6.1 Goals.
6.6.2 Assumptions and Typical Output.
6.6.3 Method: q Nearest Neighbors of Cases.
CASE STUDY: San Diego Asthma.
6.7 Further Reading.
6.8 Exercises.
7 Spatial Clustering of Health Events: Regional Count Data.
7.1 What Do We Have and What Do We Want?
7.1.1 Data Structure.
7.1.2 Null Hypotheses.
7.1.3 Alternative Hypotheses.
7.2 Categorization of Methods.
7.3 Scanning Local Rates.
7.3.1 Goals.
7.3.2 Assumptions.
7.3.3 Method: Overlapping Local Rates.
DATA BREAK: New York Leukemia Data.
7.3.4 Method: Turnbull et al.’s CEPP.
7.3.5 Method: Besag and Newell Approach.
7.3.6 Method: Spatial Scan Statistics.
7.4 Global Indexes of Spatial Autocorrelation.
7.4.1 Goals.
7.4.2 Assumptions and Typical Output.
7.4.3 Method: Moran’s I .
7.4.4 Method: Geary’s c.
7.5 Local Indicators of Spatial Association.
7.5.1 Goals.
7.5.2 Assumptions and Typical Output.
7.5.3 Method: Local Moran’s I.
7.6 Goodness–of–Fit Statistics.
7.6.1 Goals.
7.6.2 Assumptions and Typical Output.
7.6.3 Method: Pearson’s χ2.
7.6.4 Method: Tango’s Index.
7.6.5 Method: Focused Score Tests of Trend.
7.7 Statistical Power and Related Considerations.
7.7.1 Power Depends on the Alternati