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Data Analysis: Confounders, Mediators, and Moderators

Data Analysis: Confounders, Mediators, and Moderators

Data Analysis: Confounders, Mediators, and Moderators

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Summary<br />

Confounding is a bias you hope to prevent or control.<br />

Effect modification (interaction) is a more detailed<br />

description of the effect itself.<br />

Confounding is something to avoid.<br />

Effect modification is something to identify <strong>and</strong> report.<br />

<strong>Mediators</strong> clarify the causal pathway.<br />

Don’t control for a factor that is caused by the exposure<br />

of interest.<br />

Don’t control for a factor that is caused by the outcome<br />

of interest.<br />

Draw a conceptual model before analyzing data.<br />

References<br />

Weinberg. Toward a clearer definition of confounding. Am J Epidemiol 1993;137:1-8.<br />

Greenl<strong>and</strong>, Pearl, Robins. Causal diagrams for epidemiologic research. Epidemiology<br />

1999;10:37-48.<br />

Kaufman, Cooper. Commentary: Considerations for use of racial/ethnic classification in<br />

etiologic research. Am J Epidemiol 201;154:291-8.<br />

A Evans, March 2006 <strong>Confounders</strong>, <strong>Mediators</strong>, <strong>Moderators</strong> 4

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