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On the Use of Aggregate Survey Data for Estimating Regional Major Depressive Disorder Prevalence

Published online by Cambridge University Press:  01 January 2025

Domingo Morales*
Affiliation:
University Miguel Hernández de Elche
Joscha Krause
Affiliation:
Trier University
Jan Pablo Burgard
Affiliation:
Trier University
*
Correspondence should be made to Domingo Morales, Operations Research Center, University Miguel Hernández de Elche, Elche, Spain. Email: d.morales@umh.es
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Abstract

Major depression is a severe mental disorder that is associated with strongly increased mortality. The quantification of its prevalence on regional levels represents an important indicator for public health reporting. In addition to that, it marks a crucial basis for further explorative studies regarding environmental determinants of the condition. However, assessing the distribution of major depression in the population is challenging. The topic is highly sensitive, and national statistical institutions rarely have administrative records on this matter. Published prevalence figures as well as available auxiliary data are typically derived from survey estimates. These are often subject to high uncertainty due to large sampling variances and do not allow for sound regional analysis. We propose a new area-level Poisson mixed model that accounts for measurement errors in auxiliary data to close this gap. We derive the empirical best predictor under the model and present a parametric bootstrap estimator for the mean squared error. A method of moments algorithm for consistent model parameter estimation is developed. Simulation experiments are conducted to show the effectiveness of the approach. The methodology is applied to estimate the major depression prevalence in Germany on regional levels crossed by sex and age groups.

Information

Type
Application Reviews and Case Studies
Creative Commons
Creative Common License - CCCreative Common License - BY
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Copyright
Copyright © 2021 The Author(s)
Figure 0

Table 1 Overview of simulation scenarios

Figure 1

Table 2 Mean squared error of model parameter estimation

Figure 2

Table 3 Bias of model parameter estimation

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Table 4 Performance of mean parameter prediction

Figure 4

Figure. 1 RRMSE of mean parameter prediction

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Table 5 Simulation results for MSE estimation

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Figure. 2 Convergence behavior of MSE estimators per domain

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Table 6 Results of model parameter estimation

Figure 8

Table 7 Estimated sex- and age-specific MDD prevalence

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Figure. 3 Estimated domain prevalence versus sample domain prevalence

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Figure. 4 Estimated regional prevalence

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Figure. 5 Results of uncertainty estimation

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