An Approach for Assessing the Distribution of Reporting Delay in Portuguese AIDS Data

HIV/AIDS epidemic is an important public health problem. The burden of the epidemic is estimated from surveillance systems data. The collected information is incomplete, making the estimation a challenging task and the reported trends often biased. The most common incomplete-data problems, in this k...

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Bibliographic Details
Main Author: Oliveira, Alexandra (author)
Other Authors: Gaio, Ana Rita (author), da Costa, Joaquim Pinto (author), Reis, Luís Paulo (author)
Format: bookPart
Language:eng
Published: 2019
Subjects:
Online Access:http://hdl.handle.net/10400.22/14419
Country:Portugal
Oai:oai:recipp.ipp.pt:10400.22/14419
Description
Summary:HIV/AIDS epidemic is an important public health problem. The burden of the epidemic is estimated from surveillance systems data. The collected information is incomplete, making the estimation a challenging task and the reported trends often biased. The most common incomplete-data problems, in this kind of data, are due to under-diagnosis and reporting delays, mainly in the most recent years. This is a classical problem for imputation methodologies. In this paper we study the distribution of AIDS reporting delays through a mix approach, combining longitudinal K-means with the generalized least squares method. While the former identifies homogeneous delay patterns, the latter estimated longitudinal regression curves. We found that a 2-cluster structure is appropriated to accommodate the heterogeneity in reporting delay on HIV/AIDS data and that the corresponding estimated delay curves are almost stationary over time.