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Causal Inference from Randomized Trials in Social Epidemiology

Citation

Kaufman, Jay S.; Kaufman, Sol; & Poole, Charles L. (2003). Causal Inference from Randomized Trials in Social Epidemiology. Social Science & Medicine, 57(12), 2397-409.

Abstract

Social epidemiology is the study of relations between social factors and health status in populations. Although recent decades have witnessed a rapid development of this research program in scope and sophistication, causal inference has proven to be a persistent dilemma due to the natural assignment of exposure level based on unmeasured attributes of individuals, which may lead to substantial confounding. Some optimism has been expressed about randomized social interventions as a solution to this long-standing inferential problem. We review the causal inference problem in social epidemiology, and the potential for causal inference in randomized social interventions. Using the example of a currently on-going intervention that randomly assigns families to non-poverty housing, we review the limitations to causal inference even under experimental conditions and explain which causal effects become identifiable. We note the benefit of using the randomized trial as a conceptual model, even for design and interpretation of observational studies in social epidemiology.

URL

http://dx.doi.org/10.1016/s0277-9536(03)00135-7

Reference Type

Journal Article

Journal Title

Social Science & Medicine

Author(s)

Kaufman, Jay S.
Kaufman, Sol
Poole, Charles L.

Year Published

2003

Volume Number

57

Issue Number

12

Pages

2397-409

Reference ID

2127