Modelling of South African Hypertension: Comparative Analysis of the Classical and Bayesian Quantile Regression Approaches

Inquiry. 2022 Jan-Dec:59:469580221082356. doi: 10.1177/00469580221082356.

Abstract

Hypertension has become a major public health challenge and a crucial area of research due to its high prevalence across the world including the sub-Saharan Africa. No previous study in South Africa has investigated the impact of blood pressure risk factors on different specific conditional quantile functions of systolic and diastolic blood pressure using Bayesian quantile regression. Therefore, this study presents a comparative analysis of the classical and Bayesian inference techniques to quantile regression. Both classical and Bayesian inference techniques were demonstrated on a sample of secondary data obtained from South African National Income Dynamics Study (2017-2018). Age, BMI, gender male, cigarette consumption and exercises presented statistically significant associations with both SBP and DBP across all the upper quantiles (τ{0.75,0.95}). The white noise phenomenon was observed on the diagnostic tests of convergence used in the study. Results suggested that the Bayesian approach to quantile regression reveals more precise estimates than the frequentist approach due to narrower width of the 95% credible intervals than the width of the 95% confidence intervals. It is therefore suggested that Bayesian approach to quantile regression modelling to be used to estimate hypertension.

Keywords: Bayesian quantile regression; South Africa; classical quantile regression; confidence and credible intervals; hypertension.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bayes Theorem
  • Blood Pressure / physiology
  • Exercise
  • Humans
  • Hypertension* / epidemiology
  • Male
  • South Africa / epidemiology