Hierarchical mixture models for zero-inflated correlated count data

Count data with excess zeros are often encountered in many medical, biomedical and public health applications. In this paper, an extension of zero-inflated Poisson mixed regression models is presented for dealing with multilevel data set, referred as hierarchical mixture zero-inflated Poisson mixed regression models. A stochastic EM algorithm is developed for obtaining the ML estimates of interested parameters and a model comparison is also considered for comparing models with different latent classes through BIC criterion. An application to the analysis of count data from a Shanghai Adolescence Fitness Survey and a simulation study illustrate the usefulness and effectiveness of our methodologies.