Efficient estimation of human immunodeficiency virus incidence rate using a pooled cross-sectional cohort study design

© 2020 John Wiley & Sons, Ltd..

Development of methods to accurately estimate human immunodeficiency virus (HIV) incidence rate remains a challenge. Ideally, one would follow a random sample of HIV-negative individuals under a longitudinal study design and identify incident cases as they arise. Such designs can be prohibitively resource intensive and therefore alternative designs may be preferable. We propose such a simple, less resource-intensive study design and develop a weighted log likelihood approach which simultaneously accounts for selection bias and outcome misclassification error. The design is based on a cross-sectional survey which queries individuals' time since last HIV-negative test, validates their test results with formal documentation whenever possible, and tests all persons who do not have documentation of being HIV-positive. To gain efficiency, we update the weighted log likelihood function with potentially misclassified self-reports from individuals who could not produce documentation of a prior HIV-negative test and investigate large sample properties of validated sub-sample only versus pooled sample estimators through extensive Monte Carlo simulations. We illustrate our method by estimating incidence rate for individuals who tested HIV-negative within 1.5 and 5 years prior to Botswana Combination Prevention Project enrolment. This article establishes that accurate estimates of HIV incidence rate can be obtained from individuals' history of testing in a cross-sectional cohort study design by appropriately accounting for selection bias and misclassification error. Moreover, this approach is notably less resource-intensive compared to longitudinal and laboratory-based methods.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Statistics in medicine - 39(2020), 24 vom: 30. Okt., Seite 3255-3271

Sprache:

Englisch

Beteiligte Personen:

Molebatsi, Kesaobaka [VerfasserIn]
Gabaitiri, Lesego [VerfasserIn]
Mokgatlhe, Lucky [VerfasserIn]
Moyo, Sikhulile [VerfasserIn]
Gaseitsiwe, Simani [VerfasserIn]
Wirth, Kathleen E [VerfasserIn]
DeGruttola, Victor [VerfasserIn]
Tchetgen Tchetgen, Eric [VerfasserIn]

Links:

Volltext

Themen:

Cross-sectional cohort
Incidence rate
Journal Article
Misclassification error
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Selection bias
Weighted log likelihood

Anmerkungen:

Date Completed 21.06.2021

Date Revised 05.10.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/sim.8661

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314486038