Abstract:When conducting research synthesis, the collection of studies that will be combined often do not measure the same set of variables, which creates missing data. When the studies to combine are longitudinal, missing data can occur on the observation-level (time-varying) or the subject-level (non-time-varying). Traditionally, the focus of missing data methods for longitudinal data has been on missing observation-level variables. In this paper, we focus on missing subject-level variables and compare two multiple i… Show more
“…Missing data is an ubiquitous issue longitudinal survey data (Kline, Andridge and Kaizar 2017), and is present to a modest degree in the current analysis (see Appendix 1 for missingness summary).…”
Research on Asian American substance use has, to date, been limited by monolithic conceptions of Asian identity, inadequate attention to acculturative process, and a dearth of longitudinal analyses spanning developmental periods. Using five waves of the National Longitudinal Study of Adolescent to Adult Health, this study addresses these limitations by longitudinally investigating disparities in substance use from early adolescence into mature adulthood among Asian American ethnic groups, including subjects identifying as multiple Asian ethnicities and multiracial Asians. The conditional effects of acculturation indicators (e.g., nativity generation, co-ethnic peer networks, co-ethnic neighborhood concentration) on the substance use outcomes were also examined. Results indicate significant variation across Asian ethnicities, with the lowest probabilities of substance use among Chinese and Vietnamese Americans, and the highest among multiracial Asian Americans. Acculturation indicators were also strongly, independently associated with increased substance use, and attenuated many of the observed ethnic disparities, particularly for multiracial, multiethnic, and Japanese Asian Americans. This study argues that ignoring the diversity of Asian ethnicities masks the presence of high-risk Asian American groups. Moreover, results indicate that, among Asian Americans, substance use is strongly positively associated with acculturation to U.S. cultural norms, and generally peaks at later ages than the U.S. average.
“…Missing data is an ubiquitous issue longitudinal survey data (Kline, Andridge and Kaizar 2017), and is present to a modest degree in the current analysis (see Appendix 1 for missingness summary).…”
Research on Asian American substance use has, to date, been limited by monolithic conceptions of Asian identity, inadequate attention to acculturative process, and a dearth of longitudinal analyses spanning developmental periods. Using five waves of the National Longitudinal Study of Adolescent to Adult Health, this study addresses these limitations by longitudinally investigating disparities in substance use from early adolescence into mature adulthood among Asian American ethnic groups, including subjects identifying as multiple Asian ethnicities and multiracial Asians. The conditional effects of acculturation indicators (e.g., nativity generation, co-ethnic peer networks, co-ethnic neighborhood concentration) on the substance use outcomes were also examined. Results indicate significant variation across Asian ethnicities, with the lowest probabilities of substance use among Chinese and Vietnamese Americans, and the highest among multiracial Asian Americans. Acculturation indicators were also strongly, independently associated with increased substance use, and attenuated many of the observed ethnic disparities, particularly for multiracial, multiethnic, and Japanese Asian Americans. This study argues that ignoring the diversity of Asian ethnicities masks the presence of high-risk Asian American groups. Moreover, results indicate that, among Asian Americans, substance use is strongly positively associated with acculturation to U.S. cultural norms, and generally peaks at later ages than the U.S. average.
“…The latter can be achieved by adopting imputation models with mixed effects, which also facilitates imputation of covariates that have not been measured in one or more studies. [138][139][140][141][142] Although the assumptions needed for multiple imputation cannot always be tested or may not always be met, several simulation studies have shown that its use is usually superior to complete-case analysis or the use of missing data indicators. 143 However, caution is still warranted when analyzing imputed data sets from IPD-MA, as in the presence of between-trial heterogeneity these are inherently prone to some degree of incompatibility with the data generation mechanism.…”
Many randomized trials evaluate an intervention effect on time‐to‐event outcomes. Individual participant data (IPD) from such trials can be obtained and combined in a so‐called IPD meta‐analysis (IPD‐MA), to summarize the overall intervention effect. We performed a narrative literature review to provide an overview of methods for conducting an IPD‐MA of randomized intervention studies with a time‐to‐event outcome. We focused on identifying good methodological practice for modeling frailty of trial participants across trials, modeling heterogeneity of intervention effects, choosing appropriate association measures, dealing with (trial differences in) censoring and follow‐up times, and addressing time‐varying intervention effects and effect modification (interactions).We discuss how to achieve this using parametric and semi‐parametric methods, and describe how to implement these in a one‐stage or two‐stage IPD‐MA framework. We recommend exploring heterogeneity of the effect(s) through interaction and non‐linear effects. Random effects should be applied to account for residual heterogeneity of the intervention effect. We provide further recommendations, many of which specific to IPD‐MA of time‐to‐event data from randomized trials examining an intervention effect.We illustrate several key methods in a real IPD‐MA, where IPD of 1225 participants from 5 randomized clinical trials were combined to compare the effects of Carbamazepine and Valproate on the incidence of epileptic seizures.
“…We also focus on this situation. However, we note that several authors have studied imputation methods for missing 'level 1' variables [15][16][17]. In this setting, Kline, Andridge, and Kaizar showed that aggregating 'level 2' variables to construct an FCS conditional regression models for each 'level 1' variable (as proposed by [15]) results in underestimates of the association between the missing variables and the observed level 2 covariates [17].…”
Multiple imputation is a popular method for addressing missing data, but its implementation is difficult when data have a multilevel structure and one or more variables are systematically missing. This systematic missing data pattern may commonly occur in meta-analysis of individual participant data, where some variables are never observed in some studies, but are present in other hierarchical data settings. In these cases, valid imputation must account for both relationships between variables and correlation within studies. Proposed methods for multilevel imputation include specifying a full joint model and multiple imputation with chained equations (MICE). While MICE is attractive for its ease of implementation, there is little existing work describing conditions under which this is a valid alternative to specifying the full joint model. We present results showing that for multilevel normal models, MICE is rarely exactly equivalent to joint model imputation. Through a simulation study and an example using data from a traumatic brain injury study, we found that in spite of theoretical differences, MICE imputations often produce results similar to those obtained using the joint model. We also assess the influence of prior distributions in MICE imputation methods and find that when missingness is high, prior choices in MICE models tend to affect estimation of across-study variability more than compatibility of conditional likelihoods.
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