Marginal Analyses of Clustered Data When Cluster Size Is Informative

This article investigates maximum likelihood estimation with saturated and unsaturated models for correlated exchangeable binary data, when a sample of independent clusters of varying sizes is available. We discuss various parameterizations of these models, and propose using the EM algorithm to obtain maximum likelihood estimates. The methodology is illustrated by applications to a study of familial disease aggregation and to the design of a proposed group randomized cancer prevention trial.