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A Bayesian approach to estimating causal vaccine effects on binary post‐infection outcomes
Authors:Jincheng Zhou  Haitao Chu  Michael G. Hudgens  M. Elizabeth Halloran
Affiliation:1. Division of Biostatistics, University of Minnesota School of Public Health, Minneapolis, MN 55455, U.S.A.;2. Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, U.S.A.;3. Center for Inference and Dynamics of Infectious Disease, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, U.S.A.;4. Department of Biostatistics, University of Washington, Seattle, WA 98195, U.S.A.
Abstract:To estimate causal effects of vaccine on post‐infection outcomes, Hudgens and Halloran (2006) defined a post‐infection causal vaccine efficacy estimand VEI based on the principal stratification framework. They also derived closed forms for the maximum likelihood estimators of the causal estimand under some assumptions. Extending their research, we propose a Bayesian approach to estimating the causal vaccine effects on binary post‐infection outcomes. The identifiability of the causal vaccine effect VEI is discussed under different assumptions on selection bias. The performance of the proposed Bayesian method is compared with the maximum likelihood method through simulation studies and two case studies — a clinical trial of a rotavirus vaccine candidate and a field study of pertussis vaccination. For both case studies, the Bayesian approach provided similar inference as the frequentist analysis. However, simulation studies with small sample sizes suggest that the Bayesian approach provides smaller bias and shorter confidence interval length. Copyright © 2015 John Wiley & Sons, Ltd.
Keywords:Bayesian methods  causal inferences  principal stratification  vaccine effects
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