Risk Estimation with Epidemiologic Data When Response Attenuates at High-Exposure Levels
Author(s) -
Kyle Steenland,
Ryan Seals,
Mitch Klein,
Jennifer Jinot,
Henry D. Kahn
Publication year - 2011
Publication title -
environmental health perspectives
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.257
H-Index - 282
eISSN - 1552-9924
pISSN - 0091-6765
DOI - 10.1289/ehp.1002521
Subject(s) - linear model , log linear model , linear regression , statistics , exposure assessment , linear relationship , mathematics , parametric statistics
In occupational studies, which are commonly used for risk assessment for environmental settings, estimated exposure-response relationships often attenuate at high exposures. Relative risk (RR) models with transformed (e.g., log- or square root-transformed) exposures can provide a good fit to such data, but resulting exposure-response curves that are supralinear in the low-dose region may overestimate low-dose risks. Conversely, a model of untransformed (linear) exposure may underestimate risks attributable to exposures in the low-dose region.
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