中国防痨杂志 ›› 2023, Vol. 45 ›› Issue (7): 644-650.doi: 10.19982/j.issn.1000-6621.20230130
收稿日期:
2023-04-26
出版日期:
2023-07-10
发布日期:
2023-06-29
通信作者:
李秀君,Email:基金资助:
Yu Shengnan, Gao Qi, Zheng Liang, Shi Yuan, Chen Yijin, Li Xiujun()
Received:
2023-04-26
Online:
2023-07-10
Published:
2023-06-29
Contact:
Li Xiujun, Email: Supported by:
摘要:
断点回归(regression discontinuity,RD)是一种基于断点两侧构成的反事实进行因果推断的统计方法。近年来,在公共卫生领域RD的应用逐渐增多,尤其是空气质量的影响因素及相关政策的干预效果,以及疫苗有效性等方面。新型冠状病毒感染疫情暴发以来,RD也越来越多地应用于探究疫情给公众健康和个人行为带来的影响。RD应用条件相对简单,能够降低混杂的影响,更真实地反映变量之间的因果关系。本文在介绍RD的思想和应用的基础上,对其在公共卫生领域的应用现状进行了阐述。
中图分类号:
于胜男, 高琦, 郑良, 石圆, 陈奕瑾, 李秀君. 断点回归在公共卫生领域的应用[J]. 中国防痨杂志, 2023, 45(7): 644-650. doi: 10.19982/j.issn.1000-6621.20230130
Yu Shengnan, Gao Qi, Zheng Liang, Shi Yuan, Chen Yijin, Li Xiujun. Application of regression discontinuity in public health[J]. Chinese Journal of Antituberculosis, 2023, 45(7): 644-650. doi: 10.19982/j.issn.1000-6621.20230130
[1] |
Hagemeier A, Samel C, Hellmich M. The regression discontinuity design: Methods and implementation with a worked example in health services research. Z Evid Fortbild Qual Gesundhwes, 2022, 172:71-77. doi:10.1016/j.zefq.2022.04.014.
doi: 10.1016/j.zefq.2022.04.014 pmid: 35718728 |
[2] |
郭昭艳, 刘莉, 余方方, 等. 断点回归设计在流行病学研究中的应用. 中华预防医学杂志, 2021, 55(9):1168-1172. doi:10.3760/cma.j.cn112150-20201029-01323.
doi: 10.3760/cma.j.cn112150-20201029-01323 |
[3] |
Thistlethwaite DL, Campbell DT. Regression-discontinuity analysis: an alternative to the ex post facto experiment. J Educ Psychol, 1960, 51:309-317.
doi: 10.1037/h0044319 URL |
[4] |
罗枭, 何倩, 秦婴逸, 等. 准实验中常用的统计分析方法及其在医学中的应用. 中国循证医学杂志, 2022, 22(9):1080-1084. doi:10.7507/1672-2531.202204020.
doi: 10.7507/1672-2531.202204020 |
[5] |
谢谦, 薛仙玲, 付明卫. 断点回归设计方法应用的研究综述. 经济与管理评论, 2019, 35(2):69-79. doi:10.13962/j.cnki.37-1486/f.2019.02.006.
doi: 10.13962/j.cnki.37-1486/f.2019.02.006 |
[6] |
王健, 冷安丽, 唐彬. 断点回归设计在卫生经济领域的应用与进展. 中国卫生经济, 2018, 37(7):8-11. doi:10.7664/CHE20180702.
doi: 10.7664/CHE20180702 |
[7] |
Venkataramani AS, Bor J, Jena AB. Regression discontinuity designs in healthcare research. BMJ, 2016, 352:i1216. doi:10.1136/bmj.i1216.
doi: 10.1136/bmj.i1216 |
[8] |
He L, Yin F, Wang D, et al. Research on the relationship between energy consumption and air quality in the Yangtze River Delta of China: an empirical analysis based on 20 sample cities. Environ Sci Pollut Res Int, 2020, 27(5):4786-4798. doi:10.1007/s11356-019-06984-0.
doi: 10.1007/s11356-019-06984-0 |
[9] |
He L, Wu M, Wang D, et al. A study of the influence of regional environmental expenditure on air quality in China: the effectiveness of environmental policy. Environ Sci Pollut Res Int, 2018, 25(8):7454-7468. doi:10.1007/s11356-017-1033-8.
doi: 10.1007/s11356-017-1033-8 URL |
[10] |
Basta NE, Halloran ME. Evaluating the Effectiveness of Vaccines Using a Regression Discontinuity Design. Am J Epidemiol, 2019, 188(6):987-990. doi:10.1093/aje/kwz043.
doi: 10.1093/aje/kwz043 pmid: 30976806 |
[11] |
Brodeur A, Clark AE, Fleche S, et al. COVID-19, lockdowns and well-being: Evidence from Google Trends. J Public Econ, 2021, 193:104346. doi:10.1016/j.jpubeco.2020.104346.
doi: 10.1016/j.jpubeco.2020.104346 URL |
[12] |
Dang HH, Trinh TA. Does the COVID-19 lockdown improve global air quality? New cross-national evidence on its unintended consequences. J Environ Econ Manage, 2021, 105:102401. doi:10.1016/j.jeem.2020.102401.
doi: 10.1016/j.jeem.2020.102401 URL |
[13] |
Cai WJ, Wang HW, Wu CL, et al. Characterizing the interruption-recovery patterns of urban air pollution under the COVID-19 lockdown in China. Build Environ, 2021, 205:108231. doi:10.1016/j.buildenv.2021.108231.
doi: 10.1016/j.buildenv.2021.108231 URL |
[14] | 赵西亮. 基本有用的计量经济学. 北京: 北京大学出版社, 2017. |
[15] | 高鋆, 张宓之, 王薇, 等. 时间断点回归:原理框架、应用演进与估计流程. 统计与决策, 2022, 38(1):11-15. |
[16] |
Bor J, Moscoe E, Mutevedzi P, et al. Regression discontinuity designs in epidemiology: causal inference without randomized trials. Epidemiology, 2014, 25(5):729-737. doi:10.1097/EDE.0000000000000138.
doi: 10.1097/EDE.0000000000000138 pmid: 25061922 |
[17] |
Goulden R, Rowe BH, Abrahamowicz M, et al. Association of Intravenous Radiocontrast With Kidney Function: A Regression Discontinuity Analysis. JAMA Intern Med, 2021, 181(6):767-774. doi:10.1001/jamainternmed.2021.0916.
doi: 10.1001/jamainternmed.2021.0916 pmid: 33818606 |
[18] |
Moscoe E, Bor J, Bärnighausen T. Regression discontinuity designs are underutilized in medicine, epidemiology, and public health: a review of current and best practice. J Clin Epidemiol, 2015, 68(2):122-133. doi:10.1016/j.jclinepi.2014.06.021.
doi: 10.1016/j.jclinepi.2014.06.021 pmid: 25579639 |
[19] |
Jiang X, Li G, Fu W. Government environmental governance, structural adjustment and air quality: A quasi-natural experiment based on the Three-year Action Plan to Win the Blue Sky Defense War. J Environ Manage, 2021, 277:111470. doi:10.1016/j.jenvman.2020.111470.
doi: 10.1016/j.jenvman.2020.111470 URL |
[20] |
Zhang M, Shan C, Wang W, et al. Do driving restrictions improve air quality: Take Beijing-Tianjin for example. Sci Total Environ, 2020, 712:136408. doi:10.1016/j.scitotenv.2019.136408.
doi: 10.1016/j.scitotenv.2019.136408 URL |
[21] |
Song Y, Li Z, Yang T, et al. Does the expansion of the joint prevention and control area improve the air quality?-Evidence from China’s Jing-Jin-Ji region and surrounding areas. Sci Total Environ, 2020, 706:136034. doi:10.1016/j.scitotenv.2019.136034.
doi: 10.1016/j.scitotenv.2019.136034 URL |
[22] |
Chen H, Li Q, Kaufman JS, et al. Effect of air quality alerts on human health: a regression discontinuity analysis in Toronto, Canada. Lancet Planet Health, 2018, 2(1):e19-e26. doi:10.1016/S2542-5196(17)30185-7.
doi: 10.1016/S2542-5196(17)30185-7 pmid: 29615204 |
[23] |
Fan M, He G, Zhou M. The winter choke: Coal-Fired heating, air pollution, and mortality in China. J Health Econ, 2020, 71:102316. doi:10.1016/j.jhealeco.2020.102316.
doi: 10.1016/j.jhealeco.2020.102316 URL |
[24] |
邓璇, 何寒青, 周洋, 等. 断点回归设计在真实世界疫苗保护效果评价中的应用. 中华流行病学杂志, 2022, 43(2):292-296. doi:10.3760/cma.j.cn112338-20210706-00524.
doi: 10.3760/cma.j.cn112338-20210706-00524 |
[25] |
Smith LM, Lévesque LE, Kaufman JS, et al. Strategies for evaluating the assumptions of the regression discontinuity design: a case study using a human papillomavirus vaccination programme. Int J Epidemiol, 2017, 46(3):939-949. doi:10.1093/ije/dyw195.
doi: 10.1093/ije/dyw195 pmid: 28338752 |
[26] |
Pescarini JM, Teixeira CSS, Cruz EP, et al. Methods to evaluate COVID-19 vaccine effectiveness, with an emphasis on quasi-experimental approaches. Cien Saude Colet, 2021, 26(11):5599-5614. doi:10.1590/1413-812320212611.18622021.
doi: 10.1590/1413-812320212611.18622021 URL |
[27] |
Anderson ML, Dobkin C, Gorry D. Effect of Influenza Vaccination for the Elderly on Hospitalization and Mortality. Ann Intern Med, 2020, 173(4):322-323. doi:10.7326/L20-0829.
doi: 10.7326/L20-0829 pmid: 32805160 |
[28] |
Bakolis I, Stewart R, Baldwin D, et al. Changes in daily mental health service use and mortality at the commencement and lifting of COVID-19 ‘lockdown’ policy in 10 UK sites: a regression discontinuity in time design. BMJ Open, 2021, 11(5):e049721. doi:10.1136/bmjopen-2021-049721.
doi: 10.1136/bmjopen-2021-049721 URL |
[29] |
Rossi C, Berta P, Curello S, et al. The impact of COVID-19 pandemic on AMI and stroke mortality in Lombardy: Evidence from the epicenter of the pandemic. PLoS One, 2021, 16(10):e0257910. doi:10.1371/journal.pone.0257910.e0257910.
doi: 10.1371/journal.pone.0257910.e0257910 URL |
[30] |
Raman R, Rajalakshmi R, Surya J, et al. Impact on health and provision of healthcare services during the COVID-19 lockdown in India: a multicentre cross-sectional study. BMJ Open, 2021, 11(1):e043590. doi:10.1136/bmjopen-2020-043590.
doi: 10.1136/bmjopen-2020-043590 URL |
[31] |
Amwonya D, Kigosa N, Kizza J. Female education and maternal health care utilization: evidence from Uganda. Reprod Health, 2022, 19(1):142. doi:10.1186/s12978-022-01432-8.
doi: 10.1186/s12978-022-01432-8 pmid: 35725605 |
[32] |
Skarshaug LJ, Kaspersen SL, Bjørngaard JH, et al. How does general practitioner discontinuity affect healthcare utilisation? An observational cohort study of 2.4 million Norwegians 2007—2017. BMJ Open, 2021, 11(2):e042391. doi:10.1136/bmjopen-2020-042391.
doi: 10.1136/bmjopen-2020-042391 URL |
[33] |
Hiller ML, Belenko S, Dennis M, et al. The impact of Juvenile Drug Treatment Courts (JDTC) implementing Federal Evidence-Based Guidelines on recidivism and substance use: multisite Randomized Controlled Trial (RCT) and Regression Discontinuity (RDD) Designs. Health Justice, 2021, 9(1):38. doi:10.1186/s40352-021-00158-2.
doi: 10.1186/s40352-021-00158-2 pmid: 34870764 |
[34] |
Chen S, Chen X, Law S, et al. How and to what extent can pensions facilitate increased use of health services by older people: evidence from social pension expansion in rural China. BMC Health Serv Res, 2020, 20(1):1008. doi:10.1186/s12913-020-05831-0.
doi: 10.1186/s12913-020-05831-0 pmid: 33148248 |
[35] |
Zhao X, Liu Y, Zhang X, et al. The impact of retirement on inpatient healthcare utilization in Guangzhou, China: a regression discontinuity analysis of 189,031 health insurance claims. BMC Geriatr, 2022, 22(1):380. doi:10.1186/s12877-021-02664-2.
doi: 10.1186/s12877-021-02664-2 |
[36] |
Hilton Boon M, Craig P, Thomson H, et al. Regression Discontinuity Designs in Health: A Systematic Review. Epidemio-logy, 2021, 32(1):87-93. doi:10.1097/EDE.0000000000001274.
doi: 10.1097/EDE.0000000000001274 |
[37] |
张华, 王晓晓, 曾琳, 等. 断点回归设计在临床治疗性研究中的应用. 中国循证医学杂志, 2018, 18(11):1207-1211. doi:10.7507/1672-2531.201807146.
doi: 10.7507/1672-2531.201807146 |
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