Statistical interactions from a growth curve perspective Journal Article


Authors: Devlin, S. M.; Satagopan, J. M.
Article Title: Statistical interactions from a growth curve perspective
Abstract: Logistic regression is widely used to evaluate the association between risk factors and a binary outcome. The logistic curve is symmetric around its point of inflection. Alternative families of curves, such as the additive Gompertz or Guerrero-Johnson models, have been proposed in various scenarios due to their asymmetry: disease risk may initially increase rapidly and be followed by a longer period where the rate of growth slowly decreases. When modeling binary outcomes in relation to risk factors, an additive logistic model may not provide a good fit to the data. Suppose the outcome and an additive function of the risk factors are indeed related through an asymmetric function, but we model the relationship using a logistic function. We illustrate-both from a mathematical framework and through a simulation-based evaluation-that higher-order terms, such as pairwise interactions and quadratic terms, may be required in a logistic regression model to obtain a good fit to the data. Importantly, as significant higher-order terms may be a manifestation of model misspecification, these terms should be cautiously interpreted; a more pragmatic approach is to develop contrasts of disease risk coming from a good fitting model. We illustrate these concepts in 2 cohort studies examining early death for late-stage colorectal and pancreatic cancer cases, and 2 case-control studies investigating NAT2 acetylation, smoking, and advanced colorectal adenoma and bladder cancer. © 2017 S. Karger AG, Basel.
Keywords: growth curve; statistical interaction
Journal Title: Human Heredity
Volume: 82
Issue: 1-2
ISSN: 0001-5652
Publisher: S. Karger AG  
Date Published: 2017-09-01
Start Page: 21
End Page: 36
Language: English
DOI: 10.1159/000477125
PROVIDER: scopus
PUBMED: 28743105
PMCID: PMC6377073
DOI/URL:
Notes: Article -- Export Date: 4 October 2017 -- Source: Scopus
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  1. Jaya M Satagopan
    141 Satagopan
  2. Sean McCarthy Devlin
    602 Devlin