...
首页> 外文期刊>Emerging themes in epidemiology >Causal diagrams in systems epidemiology
【24h】

Causal diagrams in systems epidemiology

机译:系统流行病学中的因果图

获取原文
           

摘要

Methods of diagrammatic modelling have been greatly developed in the past two decades. Outside the context of infectious diseases, systematic use of diagrams in epidemiology has been mainly confined to the analysis of a single link: that between a disease outcome and its proximal determinant(s). Transmitted causes ("causes of causes") tend not to be systematically analysed. The infectious disease epidemiology modelling tradition models the human population in its environment, typically with the exposure-health relationship and the determinants of exposure being considered at individual and group/ecological levels, respectively. Some properties of the resulting systems are quite general, and are seen in unrelated contexts such as biochemical pathways. Confining analysis to a single link misses the opportunity to discover such properties. The structure of a causal diagram is derived from knowledge about how the world works, as well as from statistical evidence. A single diagram can be used to characterise a whole research area, not just a single analysis - although this depends on the degree of consistency of the causal relationships between different populations - and can therefore be used to integrate multiple datasets. Additional advantages of system-wide models include: the use of instrumental variables - now emerging as an important technique in epidemiology in the context of mendelian randomisation, but under-used in the exploitation of "natural experiments"; the explicit use of change models, which have advantages with respect to inferring causation; and in the detection and elucidation of feedback.
机译:在过去的二十年中,图解建模方法得到了很大的发展。在传染病之外,流行病学中图表的系统使用主要限于单个链接的分析:疾病结果与其近端决定因素之间的联系。传播的原因(“原因”)往往​​不会得到系统地分析。传染病流行病学建模传统对环境中的人群进行建模,通常分别在个人和群体/生态层面上考虑暴露与健康的关系以及暴露的决定因素。所得系统的某些属性相当笼统,可以在不相关的环境(例如生化途径)中看到。将分析限制在单个链接上会错过发现此类属性的机会。因果图的结构是从有关世界运作方式的知识以及统计证据得出的。单个图表可用于表征整个研究领域,而不仅仅是单个分析-尽管这取决于不同人群之间因果关系的一致性程度-并因此可用于集成多个数据集。系统范围模型的其他优点包括:工具变量的使用-在孟德尔随机化的背景下,它已成为流行病学中的一项重要技术,但在“自然实验”的开发中使用不足;明确使用变更模型,在推断因果关系方面具有优势;以及检测和阐明反馈。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号