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Analyses of Sensitivity to the Missing-at-Random Assumption Using Multiple Imputation With Delta Adjustment: Application to a Tuberculosis/HIV Prevalence Survey With Incomplete HIV-Status Data.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Floyd, Sian 
White, Ian R 

Abstract

Multiple imputation with delta adjustment provides a flexible and transparent means to impute univariate missing data under general missing-not-at-random mechanisms. This facilitates the conduct of analyses assessing sensitivity to the missing-at-random (MAR) assumption. We review the delta-adjustment procedure and demonstrate how it can be used to assess sensitivity to departures from MAR, both when estimating the prevalence of a partially observed outcome and when performing parametric causal mediation analyses with a partially observed mediator. We illustrate the approach using data from 34,446 respondents to a tuberculosis and human immunodeficiency virus (HIV) prevalence survey that was conducted as part of the Zambia-South Africa TB and AIDS Reduction Study (2006-2010). In this study, information on partially observed HIV serological values was supplemented by additional information on self-reported HIV status. We present results from 2 types of sensitivity analysis: The first assumed that the degree of departure from MAR was the same for all individuals with missing HIV serological values; the second assumed that the degree of departure from MAR varied according to an individual's self-reported HIV status. Our analyses demonstrate that multiple imputation offers a principled approach by which to incorporate auxiliary information on self-reported HIV status into analyses based on partially observed HIV serological values.

Description

Keywords

causal mediation analysis, incomplete data, nonignorable nonresponse, sensitivity analysis, AIDS-Related Opportunistic Infections, Adolescent, Adult, Data Interpretation, Statistical, Epidemiologic Methods, Female, HIV Infections, Humans, Logistic Models, Male, Middle Aged, Models, Statistical, Odds Ratio, Prevalence, Risk Factors, Tuberculosis, Young Adult

Journal Title

Am J Epidemiol

Conference Name

Journal ISSN

0002-9262
1476-6256

Volume Title

185

Publisher

Oxford University Press (OUP)
Sponsorship
MRC (unknown)
MRC (unknown)