Propensity score weighting: an application to an E arly H ead S tart dental study
Open accessAbstract
Objectives: Nonrandomized group assignment in intervention studies can lead to imbalances in preintervention covariates and biased effect estimates. We use propensity score estimation to account for such imbalances in an E arly H ead S tart (EHS) dataset with rich pretreatment information. We compare propensity score results using standard logistic regression models (LRM s) versus generalized boosted models (GBM s). Methods: We estimated propensity scores using 47 socio‐demographic characteristics and EHS enrollment criteria obtained by parent interviews from a state‐wide sample of 637 EHS and 930 Medicaid‐matched control children.LRM s and GBM s were used to estimate propensity scores related to EHS enrollment. Performance of both approaches was evaluated via a) measures of balance of pretreatment covariate distributions between treated and control subjects, and b) stability of propensity score weights measured by the effective sample size. Results: Distributions of all variables were balanced for EHS and non‐EHS groups using propensity score weights calculated with LRM and GBM. Compared with LRM,GBM resulted in better balance between treated and propensity score‐weighted control distributions. The effective sample size of the controls decreased from 930 subjects to 507 with GBM and to 335 with LRM. Conclusion: Although propensity scores derived from GBM and LRM both effectively balanced observed preintervention covariates,GBM resulted in better covariate balance compared with LRM.GBM also resulted in a larger effective sample size of the control group compared with LRM. Propensity score weighting using GBM is an effective statistical method to reduce confounding due to imbalanced distributions of measured preintervention covariates in this EHS intervention study.
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Four baseline covariates were included because of their potential impact on all four dependent variables: parent health literacy, parent overall health, survey language, and a propensity score derived from 47 socio-demographic characteristics and Early Head Start enrollment criteria.
“We included four baseline covariates in the analyses because of their potential impact on all four dependent variables: parent health literacy, parent overall health, survey language and a generalized boosted model propensity score derived from 47 socio-demographic characteristics and EHS enrollment criteria.20”
From Access to preventive services after the integration of oral health care into early childhood education and medical care (2018) · cites this paper as [20]
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Self-citation
- Authors
- Burgette, J. M., Preisser, J. S., & Rozier, R. G.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Burgette, Jacqueline M.
- Venue
- Journal of Public Health Dentistry
- Publisher
- Wiley
- Published
- 2015-06-18
- Volume
- 76
- Issue
- 1
- Pages
- 17-29
- ISSN
- 0022-4006 (ISSN-L)
- 1752-7325
- PMC
- PMC4684474
- OpenAlex
- W1501854446
- Cited by
- 25
- References
- 36
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 1
- FWCI
- 2.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Public Health Dentistry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Dental and Craniofacial Research (T32DE017245, R01DE018236)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Keywords
- propensity score weighting, Early Head Start, generalized boosted models, logistic regression, covariate balance, confounding, effective sample size, early childhood intervention
- MeSH terms
- Algorithms, Female, Health Status Indicators, Humans, Infant, Interviews as Topic, Male, North Carolina, Logistic Models, Dental Care for Children, Propensity Score, Early Medical Intervention
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