For woman , write for the number of births, for the number with defects, for baseline age, and for exposure. Let be the common marginal defect probability for her births. The first fit is a grouped grouped-binomial logistic regression:It assumes independent women and, conditionally on their covariates, independent births with the same probability within each woman. The supplied birth totals are the binomial denominators; fitting the proportions with weights is equivalent to this grouped-binomial specification. The fitted linear predictor is .
The second fit is a generalized additive model with the same logit link function and the mean specificationThe functions are penalized cubic regression splines with natural boundary conditions. Centering constraints such as separate them from the intercept; the fitted centered intercept is . Their second derivative roughness penalties control complexity.
The call estimates a common scale rather than fixing it at one. Its working variance specification for the counts isEquivalently the variance of is . This is the working moment interpretation of an overdispersed binomial generalized additive model: the code uses binomial deviance for fitting and estimated scale for inference. With , it is not an exact independent-binomial sampling model. Women are still treated as independent groups, but within-woman dependence or unobserved heterogeneity can motivate the extra dispersion. The quasibinomial regression interpretation states what the scaled analysis assumes without inventing a full probability distribution for its counts.
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