Article,

Comparing statistical methods for analyzing skewed longitudinal count data with many zeros: an example of smoking cessation.

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Journal of substance abuse treatment, 45 (1): 99-108 (July 2013)CI: Copyright (c) 2013; JID: 8500909; 2012/03/01 received; 2012/11/27 revised; 2013/01/22 accepted; 2013/02/28 aheadofprint; ppublish;.
DOI: 10.1016/j.jsat.2013.01.005

Abstract

Count data with skewness and many zeros are common in substance abuse and addiction research. Zero-adjusting models, especially zero-inflated models, have become increasingly popular in analyzing this type of data. This paper reviews and compares five mixed-effects Poisson family models commonly used to analyze count data with a high proportion of zeros by analyzing a longitudinal outcome: number of smoking quit attempts from the New Hampshire Dual Disorders Study. The findings of our study indicated that count data with many zeros do not necessarily require zero-inflated or other zero-adjusting models. For rare event counts or count data with small means, a simpler model such as the negative binomial model may provide a better fit.

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