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A Penalized Multinomial Approach to Smoothed Estimation of Disease Incidence Export

Biometrical Journal, Vol. 42, No. 4. (2000), pp. 395-415.

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estimate multinomial penalization shrinkage

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Raw estimates of disease rates over a geographical region are frequently quite variable, even though one may reasonably expect adjacent communities to have similar true rates. Smoother estimates are obtained by incorporating a penalty into a multinomial likelihood estimation procedure. For each pair of locations, this penalty increases with the difference between the rates and decreases with the distance between the two sites. The resulting estimates have smaller mean squared error than the raw estimates. Expansions are developed which demonstrate the contributions of the smoothing constant, spatial configuration, risk population and raw estimates to the amount of smoothing. Simulations and an example involving gastric cancer data illustrate the proposed method.


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