With structural-zero probability , size and count mean , the model assigns to zero and to positive counts. Its expectation is and its variance is , by the law of total variance. A logarithmic link function can relate the count-component mean to predictors.
Let with probability , and otherwise let have a Gamma distribution with mean one and variance . Given , counts are conditionally independent Poisson random variables with means . For , the law of total variance and law of total covariance give
Each component has a zero-inflated negative binomial distribution, but the components are not independent after marginalizing . The zero component is shared by the whole profile. At , interpret the positive Gamma component as a point mass at one.
If and the distribution of is the same at each observation time with finite positive mean, integrating out adds to the marginal log-mean intercept. The conditional positive- mean ratio and the marginal mean ratio both equal . This is a property of the multiplicative logarithmic link function; it need not hold for nonlinear links such as the logit link.
For known size and , the expectation-maximization algorithm gives structural-zero responsibility for positive counts and for zero counts. This is Bayes' theorem. Maximizing the expected complete-data log-likelihood gives and a weighted negative binomial regression with weights . The objective separates into a Bernoulli mixing term and a weighted count term, which proves the update.

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