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Bayesian Spatial Modeling of Diabetes and Hypertension

Results from the South Africa General Household Survey

Bibliographic Data

ID15484124
AuthorsRopo Ebenezer Ogunsakin (0000-0003-3853-3382, University of KwaZulu-Natal, corresponding author), Themba G Ginindza (0000-0002-0993-8308, University of KwaZulu-Natal)
Year2022
Volume19
Issue15
Pages8886-8886
Publication date2022-07-22
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19158886
PMID35897258
OpenAlexW4286462010
LanguageEN
References cited52

Determining spatial links between disease risk and socio-demographic characteristics is vital in disease management and policymaking. However, data are subject to complexities caused by heterogeneity across host classes and space epidemic processes. This study aims to implement a spatially varying coefficient (SVC) model to account for non-stationarity in the effect of covariates. Using the South Africa general household survey, we study the provincial variation of people living with diabetes and hypertension risk through the SVC model. The people living with diabetes and hypertension risk are modeled using a logistic model that includes spatially unstructured and spatially structured random effects. Spatial smoothness priors for the spatially structured component are employed in modeling, namely, a Gaussian Markov random field (GMRF), a second-order random walk (RW2), and a conditional autoregressive (CAR) model. The SVC model is used to relax the stationarity assumption in which non-linear effects of age are captured through the RW2 and allow the mean effect to vary spatially using a CAR model. Results highlight a non-linear relationship between age and people living with diabetes and hypertension. The SVC models outperform the stationary models. The results suggest significant provincial differences, and the maps provided can guide policymakers in carefully exploiting the available resources for more cost-effective interventions

Autoregressive model · Bayesian probability · Covariate · Econometrics · Estimator · Generalized linear mixed model · Logistic regression · Markov chain Monte Carlo · Random effects model · Small area estimation · Statistics · Computer Science · Data-Driven Disease Surveillance · Health Systems, Economic Evaluations, Quality of Life · Mathematics · Medicine · Spatial and Panel Data Analysis

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