Models of causal inference: advances in and the obstacles to the growing use of statistics in epidemiology

The foundations on which the concept of risk has been constructed are discussed. A description of Rubin's model of causal inference, which was first developed in the domain of applied statistics, and later incorporated into a branch of epidemiology, is taken as the starting point. Analysis of the pr...

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Detalles Bibliográficos
Autores: Czeresnia, Dina; Albuquerque, Maria de Fátima Militão de
Tipo de documento: Artículo
Estado:Published version
Fecha de publicación:1995
País:Brasil
Institución:USP
Repositorio:Revista de Saúde Pública
Lenguaje:Portugués
OAI Identifier:oai:revistas.usp.br:article/24143
Acceso en línea:https://www.revistas.usp.br/rsp/article/view/24143
Nivel de acceso:Acceso abierto
Palabra clave:Risco
Inferência
Causalidade
Modelos de risco proporcionais
Risk
Inference
Causality
Proportional hazards models
Descripción
Sumario:The foundations on which the concept of risk has been constructed are discussed. A description of Rubin's model of causal inference, which was first developed in the domain of applied statistics, and later incorporated into a branch of epidemiology, is taken as the starting point. Analysis of the premisses of causal inference brings to light the logical stages in the construction of the concept of risk, allowing it to be understood "from the inside". The abovementioned branch of statistics and epidemiology seeks to demonstrate that statistics can infer causality instead of simply revealing statistical associations; the model gives the basis for estimating that which way be defined as the effect of a cause. Using this procedural distinction between causal inference and association, the model also seeks to differentiate between the epidemiologial dimension of concepts and the merely statiscal dimension. This leads to greater complexity when handing the concepts of interation and coofounding. The redective aspects inherent in this methodological construction of risk are here high lighted. Thus, whether applied to individual or populational inferences, this methodological construction imposes limits that need to be taken into account in its theoretical and pratical application to epidemiology.