PMID- 25532525 OWN - NLM STAT- MEDLINE DCOM- 20160422 LR - 20220910 IS - 1468-4357 (Electronic) IS - 1465-4644 (Print) IS - 1465-4644 (Linking) VI - 16 IP - 3 DP - 2015 Jul TI - Bayesian kernel machine regression for estimating the health effects of multi-pollutant mixtures. PG - 493-508 LID - 10.1093/biostatistics/kxu058 [doi] AB - Because humans are invariably exposed to complex chemical mixtures, estimating the health effects of multi-pollutant exposures is of critical concern in environmental epidemiology, and to regulatory agencies such as the U.S. Environmental Protection Agency. However, most health effects studies focus on single agents or consider simple two-way interaction models, in part because we lack the statistical methodology to more realistically capture the complexity of mixed exposures. We introduce Bayesian kernel machine regression (BKMR) as a new approach to study mixtures, in which the health outcome is regressed on a flexible function of the mixture (e.g. air pollution or toxic waste) components that is specified using a kernel function. In high-dimensional settings, a novel hierarchical variable selection approach is incorporated to identify important mixture components and account for the correlated structure of the mixture. Simulation studies demonstrate the success of BKMR in estimating the exposure-response function and in identifying the individual components of the mixture responsible for health effects. We demonstrate the features of the method through epidemiology and toxicology applications. CI - (c) The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Bobb, Jennifer F AU - Bobb JF AD - Department of Biostatistics, Harvard School of Public Health, Boston, MA 02115, USA jbobb@hsph.harvard.edu. FAU - Valeri, Linda AU - Valeri L AD - Department of Biostatistics, Harvard School of Public Health, Boston, MA 02115, USA. FAU - Claus Henn, Birgit AU - Claus Henn B AD - Department of Environmental Health, Harvard School of Public Health, Landmark Center, 401 Park Drive, Boston, MA 02215, USA. FAU - Christiani, David C AU - Christiani DC AD - Department of Environmental Health, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115, USA. FAU - Wright, Robert O AU - Wright RO AD - Mount Sinai Hospital, 17 East 102 Street Floor 3, West Room D3-110, New York, NY 10029, USA. FAU - Mazumdar, Maitreyi AU - Mazumdar M AD - Department of Environmental Health, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115, USA. FAU - Godleski, John J AU - Godleski JJ AD - Department of Environmental Health, Harvard School of Public Health, Landmark Center, 401 Park Drive, Boston, MA 02215, USA. FAU - Coull, Brent A AU - Coull BA AD - Department of Biostatistics, Harvard School of Public Health, Boston, MA 02115, USA. LA - eng GR - ES007142/ES/NIEHS NIH HHS/United States GR - ES016454/ES/NIEHS NIH HHS/United States GR - P30 ES000002/ES/NIEHS NIH HHS/United States GR - R01 ES013744/ES/NIEHS NIH HHS/United States GR - P30 ES023515/ES/NIEHS NIH HHS/United States GR - R01 ES014930/ES/NIEHS NIH HHS/United States GR - ES017437/ES/NIEHS NIH HHS/United States GR - ES013744/ES/NIEHS NIH HHS/United States GR - ES000002/ES/NIEHS NIH HHS/United States GR - R01 ES020268/ES/NIEHS NIH HHS/United States GR - ES0155/ES/NIEHS NIH HHS/United States GR - T32 ES007142/ES/NIEHS NIH HHS/United States GR - R01 ES021357/ES/NIEHS NIH HHS/United States GR - ES014930/ES/NIEHS NIH HHS/United States GR - R00 ES022986/ES/NIEHS NIH HHS/United States GR - R21 ES022585/ES/NIEHS NIH HHS/United States GR - K23 ES017437/ES/NIEHS NIH HHS/United States GR - P42 ES016454/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20141222 PL - England TA - Biostatistics JT - Biostatistics (Oxford, England) JID - 100897327 RN - 0 (Environmental Pollutants) RN - 0 (Metals) SB - IM MH - Animals MH - Bangladesh MH - *Bayes Theorem MH - Biostatistics MH - Child, Preschool MH - Developmental Disabilities/etiology MH - Dogs MH - Environmental Health/statistics & numerical data MH - Environmental Pollutants/*adverse effects MH - Female MH - Hemodynamics/drug effects MH - Humans MH - Infant MH - Machine Learning MH - Metals/adverse effects MH - Models, Statistical MH - Neurodevelopmental Disorders/etiology MH - Normal Distribution MH - Pregnancy MH - Regression Analysis PMC - PMC5963470 OTO - NOTNLM OT - Air pollution OT - Bayesian variable selection OT - Environmental health OT - Gaussian process regression OT - Metal mixtures EDAT- 2014/12/24 06:00 MHDA- 2016/04/23 06:00 PMCR- 2015/12/22 CRDT- 2014/12/24 06:00 PHST- 2014/05/22 00:00 [received] PHST- 2014/11/07 00:00 [accepted] PHST- 2014/12/24 06:00 [entrez] PHST- 2014/12/24 06:00 [pubmed] PHST- 2016/04/23 06:00 [medline] PHST- 2015/12/22 00:00 [pmc-release] AID - kxu058 [pii] AID - 10.1093/biostatistics/kxu058 [doi] PST - ppublish SO - Biostatistics. 2015 Jul;16(3):493-508. doi: 10.1093/biostatistics/kxu058. Epub 2014 Dec 22.