Regression models with both high-dimensional responses and covariates have attracted growing attention. Standard multivariate regression models become inadequate when the response variables depend not only on observed covariates but also on latent variables that capture key unobserved characteristics. To draw statistical inferences on covariate effects while accounting for latent variables, we consider a high-dimensional generalized latent variable model that accommodates mixed-type responses and allows for flexible dependence between covariates and latent variables, which is more suitable for many real-world applications than existing methods that either rely on a linear regression form or restricted assumptions on the dependence between covariates and latent variables. We develop an alternating algorithm that iteratively updates the regression parameters and the latent variables, transforming an intractable nonconvex problem into a sequence of tractable convex subproblems. Theoretically, we provide algorithmic guarantees by establishing statistical consistency of the resulting estimator and deriving an error bound for it. Further, building on this estimator, we construct a debiased estimator for the covariate effect and establish its asymptotic normality. The effectiveness of the proposed method is demonstrated through an application to evaluating the fairness of the Programme for International Student Assessment (PISA).

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