Abstract
Age-period-cohort (APC) models are frequently used in a variety of health and demographic-related outcomes. Fitting and interpreting APC models to data in equal intervals (equal age and period widths) is nontrivial due to the structural link between the three temporal effects (given two, the third can always be found) causing the well-known identification problem. The usual method for resolving the structural link identification problem is to base a model on identifiable quantities. It is common to find health and demographic data in unequal intervals, this creates further identification problems on top of the structural link. We highlight the new issues by showing that curvatures which were identifiable for equal intervals are no longer identifiable for unequal data. Furthermore, through extensive simulation studies, we show how previous methods for unequal APC models are not always appropriate due to their sensitivity to the choice of functions used to approximate the true temporal functions. We propose a new method for modeling unequal APC data using penalized smoothing splines. Our proposal effectively resolves the curvature identification issue that arises and is robust to the choice of the approximating function. To demonstrate the effectiveness of our proposal, we conclude with an application to UK all-cause mortality data from the Human mortality database.
Original language | English |
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Pages (from-to) | 1888-1908 |
Number of pages | 21 |
Journal | Statistics in Medicine |
Volume | 42 |
Issue number | 12 |
Early online date | 12 Mar 2023 |
DOIs | |
Publication status | Published - 30 May 2023 |
Funding
The authors would like to thank Professors Christopher Jennison and Jon Wakefield for their helpful comments on earlier drafts. Furthermore, the authors are grateful for the insightful suggestions of the four referees and associate editor who helped improve this manuscript.
Keywords
- age-period-cohort models
- identifiability
- penalized smoothing splines
- unequal intervals
ASJC Scopus subject areas
- Epidemiology
- Statistics and Probability