A Marginal Model for Analyzing Discrete Outcomes From Longitudinal Surveys With Outcomes Subject to Multiple-Cause Nonresponse
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Techniques for analyzing categorical outcomes obtained from longitudinal survey samples, with outcomes subject to multiple-cause nonresponse, are developed within the framework of weighted generalized estimating equations. Development of these techniques was motivated by disability data obtained from the Longitudinal Study of Aging (LSOA), a longitudinal survey sample containing missing follow-up for many elderly participants. We posit a model that combines different multivariate link functions to permit fitting Markov models to an outcome with categories represented by a mixture of ordinal success states and multiple failure states. Extending the missing data approach of Robins, Rotnitzky, and Zhao to longitudinal survey sample settings, we use multiple-logit models to model the probability of multiple reasons for missing success or failure outcomes. Given the assumption that the probability of nonresponse depends only on observed responses and covariates specified in the missing data model, weighted estimating equations that permit the incorporation of both survey and missing data weights are used in estimation of parameters specified in the Markov models. Taylor series and jackknife variance estimators are developed for parameters estimated from these models and are presented within the context of adjusting for survey considerations and multiple-cause nonresponse. The sensitivity of marginal model results to different features of the survey design and missing data considerations are explored. Analyses of the LSOA suggest that participation in physical activity may be an important predictor of transitions in functional limitations among older adults.