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11 IMSC Session Program<br />

Structural modelling of nonlinear exposure-response<br />

relationships for longitudinal data<br />

Monday - Poster Session 4<br />

Xiaoshu Lu and Esa-Pekka Takala<br />

Finnish Institute of Occupational Health, Helsinki, Finland<br />

Exposure–response relationships are of interest in many epidemiological, medical,<br />

meteorological, climatological, and many other applications. Once exposure<br />

information is obtained, following outcomes over time would provide the information<br />

needed to complete the risk assessment. The widespread use of exposure and risk<br />

assessment procedures has produced a diversification and specialisation of different<br />

methodologies, depending on the case under consideration. However, a critical review<br />

reveals that linear model has been widely used in examining exposure-response<br />

relationships. In many applications, data often show a remarkable dynamic and<br />

nonlinear characteristic, which requires a structure-based approach to elucidate the<br />

nonlinear exposure-response relationship behind the data. Standard statistical methods<br />

provide few theories on how to study nonlinear patterns. In this paper, we develop a<br />

new model for longitudinal data to address these challenges. The performance of the<br />

model is demonstrated using the hypothetical data. In the hypothetical data, the<br />

response responds to the exposure only by a phase shift with random errors. Hence<br />

the response is positively correlated with the exposure. A longitudinal analysis with a<br />

standard linear mixed-effects model, for example through SAS's PROC MIXED<br />

procedure, shows that the parameter estimate is statistically discernible at 5% level,<br />

indicating that response is negatively associated with exposure (p

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