Dataset Information

Error and bias in under-5 mortality estimates derived from birth histories with small sample sizes.

ABSTRACT:

Background

Estimates of under-5 mortality at the national level for countries without high-quality vital registration systems are routinely derived from birth history data in censuses and surveys. Subnational or stratified analyses of under-5 mortality could also be valuable, but the usefulness of under-5 mortality estimates derived from birth histories from relatively small samples of women is not known. We aim to assess the magnitude and direction of error that can be expected for estimates derived from birth histories with small samples of women using various analysis methods.

Methods

We perform a data-based simulation study using Demographic and Health Surveys. Surveys are treated as populations with known under-5 mortality, and samples of women are drawn from each population to mimic surveys with small sample sizes. A variety of methods for analyzing complete birth histories and one method for analyzing summary birth histories are used on these samples, and the results are compared to corresponding true under-5 mortality. We quantify the expected magnitude and direction of error by calculating the mean error, mean relative error, mean absolute error, and mean absolute relative error.

Results

All methods are prone to high levels of error at the smallest sample size with no method performing better than 73% error on average when the sample contains 10 women. There is a high degree of variation in performance between the methods at each sample size, with methods that contain considerable pooling of information generally performing better overall. Additional stratified analyses suggest that performance varies for most methods according to the true level of mortality and the time prior to survey. This is particularly true of the summary birth history method as well as complete birth history methods that contain considerable pooling of information across time.

Conclusions

Performance of all birth history analysis methods is extremely poor when used on very small samples of women, both in terms of magnitude of expected error and bias in the estimates. Even with larger samples there is no clear best method to choose for analyzing birth history data. The methods that perform best overall are the same methods where performance is noticeably different at different levels of mortality and lengths of time prior to survey. At the same time, methods that perform more uniformly across levels of mortality and lengths of time prior to survey also tend to be among the worst performing overall.

SUBMITTER: Dwyer-Lindgren L

PROVIDER: S-EPMC3729428 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Error and bias in under-5 mortality estimates derived from birth histories with small sample sizes.

Dwyer-Lindgren Laura L Gakidou Emmanuela E Flaxman Abraham A Wang Haidong H

Population health metrics 20130726 1

<h4>Background</h4>Estimates of under-5 mortality at the national level for countries without high-quality vital registration systems are routinely derived from birth history data in censuses and surveys. Subnational or stratified analyses of under-5 mortality could also be valuable, but the usefulness of under-5 mortality estimates derived from birth histories from relatively small samples of women is not known. We aim to assess the magnitude and direction of error that can be expected for esti ...[more]

PMID: 23885746

Similar Datasets

Project description:Given the lack of complete vital registration data in most developing countries, for many countries it is not possible to accurately estimate under-five mortality rates from vital registration systems. Heavy reliance is often placed on direct and indirect methods for analyzing data collected from birth histories to estimate under-five mortality rates. Yet few systematic comparisons of these methods have been undertaken. This paper investigates whether analysts should use both direct and indirect estimates from full birth histories, and under what circumstances indirect estimates derived from summary birth histories should be used.Usings Demographic and Health Surveys data from West Africa, East Africa, Latin America, and South/Southeast Asia, I quantify the differences between direct and indirect estimates of under-five mortality rates, analyze data quality issues, note the relative effects of these issues, and test whether these issues explain the observed differences. I find that indirect estimates are generally consistent with direct estimates, after adjustment for fertility change and birth transference, but don't add substantial additional insight beyond direct estimates. However, choice of direct or indirect method was found to be important in terms of both the adjustment for data errors and the assumptions made about fertility.Although adjusted indirect estimates are generally consistent with adjusted direct estimates, some notable inconsistencies were observed for countries that had experienced either a political or economic crisis or stalled health transition in their recent past. This result suggests that when a population has experienced a smooth mortality decline or only short periods of excess mortality, both adjusted methods perform equally well. However, the observed inconsistencies identified suggest that the indirect method is particularly prone to bias resulting from violations of its strong assumptions about recent mortality and fertility. Hence, indirect estimates of under-five mortality rates from summary birth histories should be used only for populations that have experienced either smooth mortality declines or only short periods of excess mortality in their recent past. Please see later in the article for the Editors' Summary.

Project description:Microsatellite loci play an important role as markers for identification, disease gene mapping, and evolutionary studies. Mutation rate, which is of fundamental importance, can be obtained from interspecies comparisons, which, however, are subject to ascertainment bias. This bias arises, for example, when a locus is selected on the basis of its large allele size in one species (cognate species 1), in which it is first discovered. This bias is reflected in average allele length in any noncognate species 2 being smaller than that in species 1. This phenomenon was observed in various pairs of species, including comparisons of allele sizes in human and chimpanzee. Various mechanisms were proposed to explain observed differences in mean allele lengths between two species. Here, we examine the framework of a single-step asymmetric and unrestricted stepwise mutation model with genetic drift. Analysis is based on coalescent theory. Analytical results are confirmed by simulations using the simuPOP software. The mechanism of ascertainment bias in this model is a tighter correlation of allele sizes within a cognate species 1 than of allele sizes in two different species 1 and 2. We present computations of the expected average allele size difference, given the mutation rate, population sizes of species 1 and 2, time of separation of species 1 and 2, and the age of the allele. We show that when the past demographic histories of the cognate and noncognate taxa are different, the rate and directionality of mutations affect the allele sizes in the two taxa differently from the simple effect of ascertainment bias. This effect may exaggerate or reverse the effect of difference in mutation rates. We reanalyze literature data, which indicate that despite the bias, the microsatellite mutation rate estimate in the ancestral population is consistently greater than that in either human or chimpanzee and the mutation rate estimate in human exceeds or equals that in chimpanzee with the rate of allele length expansion in human being greater than that in chimpanzee. We also demonstrate that population bottlenecks and expansions in the recent human history have little impact on our conclusions.

Project description:Limited sample sizes can lead to spurious modeling findings in biomedical research. The objective of this work is to present a new method to generate synthetic populations (SPs) from limited samples using matched case-control data (n = 180 pairs), considered as two separate limited samples. SPs were generated with multivariate kernel density estimations (KDEs) with unconstrained bandwidth matrices. We included four continuous variables and one categorical variable for each individual. Bandwidth matrices were determined with Differential Evolution (DE) optimization by covariance comparisons. Four synthetic samples (n = 180) were derived from their respective SPs. Similarity between observed samples with synthetic samples was compared assuming their empirical probability density functions (EPDFs) were similar. EPDFs were compared with the maximum mean discrepancy (MMD) test statistic based on the Kernel Two-Sample Test. To evaluate similarity within a modeling context, EPDFs derived from the Principal Component Analysis (PCA) scores and residuals were summarized with the distance to the model in X-space (DModX) as additional comparisons. Four SPs were generated from each sample. The probability of selecting a replicate when randomly constructing synthetic samples (n = 180) was infinitesimally small. MMD tests indicated that the observed sample EPDFs were similar to the respective synthetic EPDFs. For the samples, PCA scores and residuals did not deviate significantly when compared with their respective synthetic samples. The feasibility of this approach was demonstrated by producing synthetic data at the individual level, statistically similar to the observed samples. The methodology coupled KDE with DE optimization and deployed novel similarity metrics derived from PCA. This approach could be used to generate larger-sized synthetic samples. To develop this approach into a research tool for data exploration purposes, additional evaluation with increased dimensionality is required. Moreover, given a fully specified population, the degree to which individuals can be discarded while synthesizing the respective population accurately will be investigated. When these objectives are addressed, comparisons with other techniques such as bootstrapping will be required for a complete evaluation.

Dataset Information

Error and bias in under-5 mortality estimates derived from birth histories with small sample sizes.

Background

Methods

Results

Conclusions

Publications

Error and bias in under-5 mortality estimates derived from birth histories with small sample sizes.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets