Some state space models of hiv epidemic and its applications for the estimation of hiv infection and incubation

Abstract

In this paper we have developed some state space models for the HIV epidemic for populations at risk for AIDS. By using these state space models, we have developed a general Bayesian procedure for estimating simultaneously the unknown parameters and the state variables. The unknown parameters include the immigration and recruitment rates, the death and retirement rates, the incidence of HIV infection ( and hence the HIV infection distribution ) and the incidence of HIV incubation ( and hence the HIV incubation distribution). The state variables are the numbers of susceptible people (S people), HIV-infected people (I people) and AIDS incidence over time. The basic approach is through multi-level Gibbs sampler combined with the weighted bootstrap method. We have applied the methods to the Swiss AIDS homosexual and IV drug data to estimate simultaneously the unknown parameters and the state variables. Our results show that in both populations, both the HIV infection and HIV incubation have multi-peaks indicating the mixture nature of these distributions. Our results have also shown that the estimates of the death and retirement rates for I people are greater than those of S people, suggesting that the infection by HIV may have increased the death and retirement rates of the individuals.

Keywords:

• A general Bayesian procedure
• chain multinomial distribution
• HIV infection
• HIV incubation
• multi-level Gibbs sampling method
• weighted bootstrap method
• state space model