From Subgroups to Population Composition: A Transportability Approach to Effect Heterogeneity

Identifying heterogeneous populations across which exposure effects vary is essential for transportability applications, cost-benefit analyses, and intervention prioritization.

Traditional methods for heterogeneity analyses rely on parametric regression with prespecified subgroups, which may fail to capture complex patterns of effect modification.

While recent data-adaptive methods improve high-dimensional heterogeneous effect prediction, they add methodological complexity to analyses and may offer limited insight into key drivers of heterogeneity.

In this paper, we propose a novel, conceptual approach for heterogeneity analyses that considers how exposure effects would differ in populations with different compositions by modeling the population-level effect surface as a function of the distribution of effect modifiers.

The approach consists of three steps: i) selecting confounders and effect modifiers based on prior knowledge (or alternatively using data-adaptive methods to learn effect modifiers), ii) estimating exposure effects in hypothetical populations with different effect modifier prevalences using transportability methods, and iii) modeling the estimated effects as a function of prevalence values.

This approach provides two types of outputs: estimation of the change in the population-level exposure effects attributable to increases in effect modifier prevalence and ranking of effect estimates across multiple effect modifiers and prevalences to identify population characteristics most strongly associated with differential vulnerability.

We demonstrate the approach using Demographic and Health Surveys data to examine heterogeneous effects of drought on child stunting and provide a Shiny application to implement this approach in any setting.