1. Using multilevel regression and poststratification to estimate physical activity levels from health surveys
- Author
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Tânia Rosane Bertoldo Benedetti, Humberto M. Carvalho, Marina Christofoletti, and Felipe Goedert Mendes
- Subjects
Health, Toxicology and Mutagenesis ,media_common.quotation_subject ,Population ,bepress|Life Sciences|Kinesiology ,Bayesian analysis ,statistical models ,Article ,03 medical and health sciences ,Survey methodology ,0302 clinical medicine ,stomatognathic system ,Statistics ,050602 political science & public administration ,Humans ,selection bias ,030212 general & internal medicine ,education ,SportRxiv|Sport and Exercise Science|Physical Activity ,Exercise ,media_common ,Mathematics ,Selection bias ,Estimation ,education.field_of_study ,05 social sciences ,Public Health, Environmental and Occupational Health ,Statistical model ,Health indicator ,Health Surveys ,Regression ,public health surveillance ,0506 political science ,Cross-Sectional Studies ,survey methods ,Sample size determination ,SportRxiv|Sport and Exercise Science ,Sample Size ,Multilevel Analysis ,Medicine - Abstract
Background: Large-scale health surveys often consider sociodemographic characteristics and several health indicators influencing physical activity that often vary across units (regions or states). Data in a survey for some small units are often not representative of the larger population. This study developed a relatively simple multilevel regression and poststratification (MRP) model to estimate the proportion of leisure-time physical activity across Brazilian state capitals, based on the Brazilian cross-sectional national survey VIGITEL (2018). Methods: We used various approaches to evaluate whether the MRP approach outperforms single-level aggregated estimates, with various subsample proportions tested. Results: The mean absolute errors were consistently smaller for the MRP estimates than single-level regression estimates, particularly with smaller sample sizes. MRP consistently had predictions closer to the estimation target than single-level aggregated estimations. MRP presented substantially smaller uncertainty estimates compared to aggregated estimates. Conclusions: Our results confirm that MRP is a promising strategy to derive disaggregated data for health-related outcomes and, in particular, physical activity indicators from aggregated-level surveys. Overall, the MRP is superior to single-level aggregated estimates and disaggregation, yielding smaller errors and more accurate estimates. MRP significantly expands the scope of issues for which researchers can better address participation bias and interpret interactions to estimate descriptive population quantities. The observations present in this study highlight the need for further research, potentially incorporating more information in the models to better interpret interactions and types of activities across target populations.
- Published
- 2021