Propensity Score Stratification Using Support Vector Machine in HIV AIDS Case

Ernawati, B. Otok, Sutikno
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Abstract

Many observational studies applied in the field of health, but Randomized Controlled Trials (RCT) is not always can be applied because it is directly related to human life. Therefore, a method is needed to solve the problem of bias as the effect of non-random observation and unbalanced covariates using propensity score (PS), it is Propensity Score Stratification (PSS). The purpose of PSS is to obtain a strata group that balance on each covariate. The PSS estimation of this research is using support vector machine (SVM). The case used in this research is opportunistic infection of HIV AIDS at Grati Health Center in Pasuruan district with the number of respondents are 150 patients. In the case of opportunistic infections HIV AIDS found that giving ARV therapy becomes confounding variable.The highest accuracy of PSS SVM on strata is 4, that is 64%. Estimation of treatment effects (ATE) gave results that the variable of ARV therapy is a variable that influence the opportunistic infections (Y) in HIV AIDS patients. The number of strata that reduce the largest bias is in the strata of 4 with the percent bias reduction (PBR) is 37.168% with the smallest standard error value is 0.075 and ATE value is 0.516.
基于支持向量机的倾向评分分层在艾滋病病例中的应用
许多观察性研究应用于健康领域,但随机对照试验(RCT)并不总是可以应用,因为它直接关系到人类的生命。因此,需要一种利用倾向得分(propensity score, PS)来解决非随机观测和不平衡协变量影响下的偏倚问题,即倾向得分分层(propensity score Stratification, PSS)。PSS的目的是获得一个在每个协变量上平衡的阶层组。本研究使用支持向量机(SVM)对PSS进行估计。本研究使用的案例是在Pasuruan区的格拉蒂保健中心机会性感染艾滋病毒艾滋病的病例,调查对象为150名患者。在机会性感染艾滋病毒的情况下,发现给予抗逆转录病毒治疗成为混淆变量。PSS支持向量机在地层上的最高精度为4,即64%。治疗效果估计(ATE)结果表明,ARV治疗的变量是影响HIV - AIDS患者机会性感染(Y)的变量。减小偏置最大的层数为4层,偏置减小百分比(PBR)为37.168%,最小标准误差值为0.075,ATE值为0.516。
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