Longitudinal survey data analysis.

Abstract

To investigate the effect of environmental pollution on the health of children in the Durban South Industrial Basin (DSIB) due to its proximity to industrial activities, 233 children from five primary schools were considered. Three of these schools were located in the south of Durban while the other two were in the northern residential areas that were closer to industrial activities. Data collected included the participants' demographic, health, occupational, social and economic characteristics. In addition, environmental information was monitored throughout the study specifically, measurements on the levels of some ambient air pollutants. The objective of this thesis is to investigate which of these factors had an effect on the lung function of the children. In order to achieve this objective, different sample survey data analysis techniques are investigated. This includes the design-based and model-based approaches. The nature of the survey data finally leads to the longitudinal mixed model approach. The multicolinearity between the pollutant variables leads to the fitting of two separate models: one with the peak counts as the independent pollutant measures and the other with the 8-hour maximum moving average as the independent pollutant variables. In the selection of the fixed-effects structure, a scatter-plot smoother known as the loess fit is applied to the response variable individual profile plots. The random effects and the residual effect are assumed to have different covariance structures. The unstructured (UN) covariance structure is used for the random effects, while using the Akaike information criterion (AIC), the compound symmetric (CS) covariance structure is selected to be appropriate for the residual effects. To check the model fit, the profiles of the fitted and observed values of the dependent variables are compared graphically. The data is also characterized by the problem of intermittent missingness. The type of missingness is investigated by applying a modified logistic regression model missing at random (MAR) test. The results indicate that school location, sex and weight are the significant factors for the children's respiratory conditions. More specifically, the children in schools located in the northern residential areas are found to have poor respiratory conditions as compared to those in the Durban-South schools. In addition, poor respiratory conditions are also identified for overweight children.