PMID- 38222066 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240215 IS - 0035-9254 (Print) IS - 1467-9876 (Electronic) IS - 0035-9254 (Linking) VI - 73 IP - 1 DP - 2024 Jan TI - Bayesian kernel machine regression for count data: modelling the association between social vulnerability and COVID-19 deaths in South Carolina. PG - 257-274 LID - 10.1093/jrsssc/qlad094 [doi] AB - The COVID-19 pandemic created an unprecedented global health crisis. Recent studies suggest that socially vulnerable communities were disproportionately impacted, although findings are mixed. To quantify social vulnerability in the US, many studies rely on the Social Vulnerability Index (SVI), a county-level measure comprising 15 census variables. Typically, the SVI is modelled in an additive manner, which may obscure non-linear or interactive associations, further contributing to inconsistent findings. As a more robust alternative, we propose a negative binomial Bayesian kernel machine regression (BKMR) model to investigate dynamic associations between social vulnerability and COVID-19 death rates, thus extending BKMR to the count data setting. The model produces a 'vulnerability effect' that quantifies the impact of vulnerability on COVID-19 death rates in each county. The method can also identify the relative importance of various SVI variables and make future predictions as county vulnerability profiles evolve. To capture spatio-temporal heterogeneity, the model incorporates spatial effects, county-level covariates, and smooth temporal functions. For Bayesian computation, we propose a tractable data-augmented Gibbs sampler. We conduct a simulation study to highlight the approach and apply the method to a study of COVID-19 deaths in the US state of South Carolina during the 2021 calendar year. CI - (c) The Royal Statistical Society 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Mutiso, Fedelis AU - Mutiso F AD - Division of Biostatistics, Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA. FAU - Li, Hong AU - Li H AD - Division of Biostatistics, Department of Public Health Sciences, University of California, Davis, CA, USA. FAU - Pearce, John L AU - Pearce JL AD - Division of Environmental Health, Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA. FAU - Benjamin-Neelon, Sara E AU - Benjamin-Neelon SE AD - Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. FAU - Mueller, Noel T AU - Mueller NT AD - Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. FAU - Neelon, Brian AU - Neelon B AD - Division of Biostatistics, Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA. LA - eng GR - R21 LM012866/LM/NLM NIH HHS/United States GR - P30 CA138313/CA/NCI NIH HHS/United States GR - P30 AR072582/AR/NIAMS NIH HHS/United States GR - R21 MD016947/MD/NIMHD NIH HHS/United States GR - UL1 TR001450/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20231103 PL - England TA - J R Stat Soc Ser C Appl Stat JT - Journal of the Royal Statistical Society. Series C, Applied statistics JID - 101086541 PMC - PMC10782459 OTO - NOTNLM OT - B-splines OT - Gaussian process OT - Polya-Gamma distribution OT - conditionally autoregressive prior OT - negative binomial OT - spatial confounding COIS- Conflict of interest None declared. EDAT- 2024/01/15 06:42 MHDA- 2024/01/15 06:43 PMCR- 2024/11/03 CRDT- 2024/01/15 04:28 PHST- 2022/07/21 00:00 [received] PHST- 2023/04/24 00:00 [revised] PHST- 2023/09/19 00:00 [accepted] PHST- 2024/11/03 00:00 [pmc-release] PHST- 2024/01/15 06:43 [medline] PHST- 2024/01/15 06:42 [pubmed] PHST- 2024/01/15 04:28 [entrez] AID - qlad094 [pii] AID - 10.1093/jrsssc/qlad094 [doi] PST - epublish SO - J R Stat Soc Ser C Appl Stat. 2023 Nov 3;73(1):257-274. doi: 10.1093/jrsssc/qlad094. eCollection 2024 Jan.