Title
Comparing Multiple Sensitivities and Specificities with Different Diagnostic Criteria: Applications to Sexual Abuse and Sexual Health Research.
Abstract
When comparing sensitivities and specificities from multiple diagnostic tests, particularly in biomedical research, the different test kits under study are applied to groups of subjects with the same disease status for a disease or medical condition under consideration. Although this process gives rise to clustered or correlated test outcomes, the associated inference issues are well recognized and have been widely discussed in the literature. In mental health and psychosocial research, sensitivity and specificity have also been widely used to study the reliability of instrument for diagnosing mental health and psychiatric conditions and assessing certain behavioral patterns. However, unlike biomedical applications, outcomes are often obtained under varying reference standards or different diagnostic criteria, precluding the application of existing methods for comparing multiple diagnostic tests to such a research setting. In this paper, we develop a new approach to address these problems (including that of missing data) by extending recent work on inference using inverse probability weighted estimates. The approach is illustrated with data from two studies in sexual abuse and health research as well as a limited simulation study, with the latter used to study the performance of the proposed procedure.
Year
DOI
Venue
2008
10.1016/j.csda.2008.05.031
Computational Statistics & Data Analysis
Keywords
Field
DocType
limited simulation study,biomedical application,research setting,mental health,different diagnostic criterion,associated inference issue,biomedical research,sexual health research,psychosocial research,sexual abuse,multiple diagnostic test,multiple sensitivity,health research,missing data,bioinformatics,diagnostic test,sexual health
Econometrics,Behavioral pattern,Disease,Inference,Reproductive health,Psychosocial,Mental health,Missing data,Statistics,Inverse probability,Mathematics
Journal
Volume
Issue
ISSN
53
1
0167-9473
Citations 
PageRank 
References 
0
0.34
0
Authors
5
Name
Order
Citations
PageRank
Q Yu100.34
Wan Tang2133.07
Y Ma300.34
S A Gamble400.34
X M Tu500.34