Lecture 6: Association & Causality Flashcards

1
Q

define cause

A

a pre-cursor event required for the occurrence of the disease

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2
Q

a study may yield associations between exposure and disease, but this does not mean ……?

A

that the exposure is the cause of the disease

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3
Q

3 types of associations

A

artifactual associations
non-causal associations
causal associations

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4
Q

artifactual associations

A

’s may show an association but it’s actually not related at all

associations that are false/wrong

can come from bias or confounding

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5
Q

non-causal associations

A

can occur in 2 ways

  1. the disease causes the exposure
  2. disease and exposure are both related to a confounding variable
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6
Q

types of causal relationships

A
  1. sufficient cause
  2. necessary cause
  3. component cause
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7
Q

a set of minimal conditions that inevitably will produce disease 100% of the time

A

sufficient cause

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8
Q

type of cause which precedes a disease, and if present, the disease will always occur

A

sufficient cause

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9
Q

type of cause that must be present for the disease to occur, yet you may have this cause and never get the disease

A

necessary cause

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10
Q

a factor that if present, increases the probability of a particular disease. most common example?

A

component cause

ex. age

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11
Q

2 interactions in causal research

A
  1. synergism

2. parallelism

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12
Q

define ‘synergism’

A

interaction of at least 2 component-causes, such that the combined effect of the components is greater than the effect of just one cause being present

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13
Q

define ‘parallelism’

A

interaction of at least 2 component-causes, such that the measure of effect is greater if either one is present.

but they are not occurring at the same time. must have 2 variables to compare and their effects on RR separately

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14
Q

_______ causes work in concert to collectively become ______ causes.

A

multiple component causes together become sufficient causes

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15
Q

how can we decide if the RR’s of risk factors contain enough of a relationship to be called a cause?

A

use Hill’s Guidelines to create causal inferences

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16
Q

Hill’s criteria/Guidlines

A
  1. strength
  2. consistency
  3. temporality
  4. biologic gradient
  5. plausibility
17
Q

explain the strength guideline

A

refers to the size of the measure of association (RR)

the greater an association value, the more convincing it is to show a causality

18
Q

explain consistency guideline

A

the repeated observation of an association, across different studies, populations, or circumstances

multiple studies show that same result

19
Q

consistency may obscure _______

A

the truth!

observational studies might show an association but is possible for it to be wrong after doing randomized blind studies

20
Q

explain temporality guideline

A

reflects that the cause precedes the outcome
proximal or distant cause in time-line

a cause happens just before the outcome so you assume there is an association. but this is not always the truth

21
Q

explain biological gradient guideline

A

the presence of a gradient of risk associated with the exposure

more of exposure = greater probability of an outcome
ex. 10 packs a day = greater chance of lung cancer than 1 cigarette a day

22
Q

explain plausibility guideline

A

biological feasibility of the association

can the cause be explained or understood physiologically

23
Q

issue with plausibility

A

decisions of plausibility are based upon known beliefs but our current beliefs may be wrong. we don’t know everything or understand everything that happens