Imperial College London
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DrAnuMishra

Faculty of Medicine, School of Public Health

Honorary Research Associate
 
 
 
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Contact

 

a.mishra

 
 
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Location

 

Sir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Mishra:2020:10.1515/scid-2019-0010,
author = {Mishra, A and Buzkova, P and Balkus, JE and Brown, ER and MTN-020ASPIRE, Study Team},
doi = {10.1515/scid-2019-0010},
journal = {Stat Commun Infect Dis},
title = {Accounting for Informative Sampling in Estimation of Associations between Sexually Transmitted Infections and Hormonal Contraceptive Methods.},
url = {http://dx.doi.org/10.1515/scid-2019-0010},
volume = {12},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - The relationship between hormonal contraceptive method use and sexually transmitted infections (STIs) is not well understood. Studies that implement routine screening for STIs among different contraceptive users, such as the ASPIRE HIV-1 prevention trial, can be useful for identifying potential risk factors of STIs. However, the complex nature of non-random data can lead to challenges in estimation of associations for potential risk factors. In particular, if screening for the disease is not random (i.e. it is driven by symptoms or other clinical indicators), estimates of association can suffer from bias, often referred to as informative sampling bias. Time-varying predictors and potential stratification variables can further contribute to difficulty in obtaining unbiased estimates. In this paper, we estimate the association between time-varying contraceptive use and STI acquisition, in the presence of informative sampling, by extending the work Buzkova (2010). We use a two-step procedure to jointly model the non-random screening process and sexually transmitted infection risk. In the first step, inverse intensity rate ratios (IIRR) weights are estimated. In the second step, a weighted proportional rate model is fit to estimate the IIRR weighted hazard ratio. We apply the method to evaluate the relationship between hormonal contraception and risk of sexually transmitted infections among women participating in a biomedical HIV-1 prevention trial. We compare our results using the proposed weighted method to those generated using conventional approaches that do not account for potential informative sampling bias or do not use the full potential of the data. Using the IIRR weighted approach we found DMPA users have a significantly decreased hazard of T. vaginalis acquisition compared to IUD users (HR: 0.44, 95% CI: (0.25, 0.83)), which is consistent with the literature. We did not find significant increased or decreased hazard of other STIs for hormonal contraceptive us
AU  - Mishra,A
AU  - Buzkova,P
AU  - Balkus,JE
AU  - Brown,ER
AU  - MTN-020ASPIRE,Study Team
DO  - 10.1515/scid-2019-0010
PY  - 2020///
SN  - 2194-6310
TI  - Accounting for Informative Sampling in Estimation of Associations between Sexually Transmitted Infections and Hormonal Contraceptive Methods.
T2  - Stat Commun Infect Dis
UR  - http://dx.doi.org/10.1515/scid-2019-0010
UR  - https://www.ncbi.nlm.nih.gov/pubmed/34141052
VL  - 12
ER  -
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