29. INTRODUCTION TO CONFOUNDING Flashcards

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1
Q
  1. Other than Chance and Bias, what is another kind of parameter that may introduce error?
A
  • Confounding

IT EXISTS:
- even when we aim to minimise errors that are caused
by Bias or Chance

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2
Q
  1. What is Confounding inherently linked with?
A
  • it is inherently linked with the Multifactorial Nature of
    diseases
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3
Q
  1. What happens when a specific Outcome has several Exposures?
A
  • we cannot just focus and consider one independently
  • we have to analyse a specific Exposure while taking
    into consideration the effects of all the other ones
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4
Q
  1. Provide a definition for Confounding.
A
  • this is a third factor
  • known as a Confounder

IT EXPLAINS:
- all or part of the association
- between an exposure and an outcome

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5
Q
  1. What are the 3 criteria that a Potential Confounder needs to fulfil?
A
  1. IT HAS TO BE ASSOCIATED
    - with the Outcome of interest
  2. IT HAS TO BE ASSOCIATED
    • with the Exposure of interest
  3. IT SHOULD NOT LIE IN THE CAUSAL PATHWAY
    • this exists between the Exposure and the Outcome
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6
Q
  1. When can a Factor not be a Confounder in a specific association?
A

IF THE FACTOR:
- is associated with the outcome
- IS NOT associated with the exposure

IF THE FACTOR:
- is associated with the exposure
- IS NOT associated with the outcome

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7
Q
  1. What is a Mediator?
A

THIS IS WHEN A FACTOR:
- is associated with the Outcome
- it associated with the Exposure
- lies in the Causal Pathway between the two

THE FACTOR IS THEN NOT A CONFOUNDER:
- it is a Mediator

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8
Q
  1. Label the missing Mediators in these scenarios.
A
  1. BLOOD PRESSURE
    - an increase in salt intake increases blood pressure
    - an increase in blood pressure increases the chance of
    having a stroke
  2. INSULIN SENSITIVITY
    - a decrease in physical activity increases insulin
    sensitivity
    - an increase in insulin sensitivity increases the chance
    of having Type 2 Diabetes
  3. BLOOD CHOLESTEROL
    - an increase in obesity increases the blood cholesterol
    - an increase in blood cholesterol increases the chance
    of having CVD
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