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Chunk #12 — OVERVIEW OF STATISTICAL METHODS — 1. Analysis of HPV Prevalence — Generalization Estimating Equation (GEE) Models — Multiple HPV Types

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Marginal and mixed-effects models in the analysis of human papillomavirus natural history data.
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GEE models, furthermore, can be used to incorporate data across multiple types of HPV. In a single GEE logistic regression model we can treat each of the several different oncogenic HPV types as separate endpoints, and then estimate the exposure effect on oncogenic HPV as a whole. We note that this common effect can also be examined with “any oncogenic HPV” as a single binary outcome. However, greater efficiency is obtained for grouped HPV data since each HPV type separately contributes data to the analysis, and the final result is a weighted average across HPV types. This source of efficiency is in addition to that discussed above, of being able to assess repeated visits over time.