Analysis of dental caries using generalized linear and count regression models

Abstract

Generalized linear models (GLM) are generalization of linear regression models, which allow fitting regression models to response data in all the sciences especially medical and dental sciences that follow a general exponential family. These are flexible and widely used class of such models that can accommodate response variables. Count data are frequently characterized by overdispersion and excess zeros. Zero-inflated count models provide a parsimonious yet powerful way to model this type of situation. Such models assume that the data are a mixture of two separate data generation processes: one generates only zeros, and the other is either a Poisson or a negative binomial data-generating process. Zero inflated count regression models such as the zero-inflated Poisson (ZIP), zero-inflated negative binomial (ZINB) regression models have been used to handle dental caries count data with many zeros. We present an evaluation framework to the suitability of applying the GLM, Poisson, NB, ZIP and ZINB to dental caries data set where the count data may exhibit evidence of many zeros and over-dispersion. Estimation of the model parameters using the method of maximum likelihood is provided. Based on the Vuong test statistic and the goodness of fit measure for dental caries data, the NB and ZINB regression models perform better than other count regression models.

Keywords

• DMFT Index data
• GLM
• Negative Binomial
• over-dispersion
• Poisson
• zero-inflation
• ZIP and ZINB regression models