Causal Mediation Analysis for Zero-inflated Mixture Mediators

📅 2025-07-20
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Existing causal mediation analysis methods struggle with mixed-type mediators exhibiting zero-inflation, multimodality, and outliers. This paper proposes a novel causal mediation framework based on finite mixture distributions, jointly modeling zero-inflation, multimodality, and heterogeneity. It uniquely decomposes the mediated effect into two distinct components: a binary “zero-jump” effect (capturing transitions between zero and nonzero states) and a continuous “nonzero-value shift” effect (quantifying magnitude changes among nonzero values). The method integrates zero-inflated log-normal, Poisson, or negative binomial mixture models; employs an EM algorithm to jointly estimate latent mixture components, distinguish true zeros from structural zeros, and identify outliers; and selects the optimal number of mixture components via information criteria. Simulation studies and a neuroscience application demonstrate that the proposed approach significantly outperforms conventional mediation methods in both model fit and accuracy of dual-effect decomposition.

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📝 Abstract
Causal mediation analysis is an important statistical tool to quantify effects transmitted by intermediate variables from a cause to an outcome. There is a gap in mediation analysis methods to handle mixture mediator data that are zero-inflated with multi-modality and atypical behaviors. We propose an innovative way to model zero-inflated mixture mediators from the perspective of finite mixture distributions to flexibly capture such mediator data. Multiple data types are considered for modeling such mediators including the zero-inflated log-normal mixture, zero-inflated Poisson mixture and zero-inflated negative binomial mixture. A two-part mediation effect is derived to better understand effects on outcomes attributable to the numerical change as well as binary change from 0 to 1 in mediators. The maximum likelihood estimates are obtained by an expectation maximization algorithm to account for unobserved mixture membership and whether an observed zero is a true or false zero. The optimal number of mixture components are chosen by a model selection criterion. The performance of the proposed method is demonstrated in a simulation study and an application to a neuroscience study in comparison with standard mediation analysis methods.
Problem

Research questions and friction points this paper is trying to address.

Handling zero-inflated mixture mediators in causal analysis
Modeling multi-modal mediator data with atypical behaviors
Deriving two-part mediation effects for binary and numerical changes
Innovation

Methods, ideas, or system contributions that make the work stand out.

Uses finite mixture distributions for zero-inflated mediators
Derives two-part mediation effect for numerical and binary changes
Employs EM algorithm for maximum likelihood estimation
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