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Bayesian inference for a generalized population attributable fraction: the impact of early vitamin A levels on chronic lung disease in very low birthweight infants

✍ Scribed by Patrick Graham


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
146 KB
Volume
19
Category
Article
ISSN
0277-6715

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✦ Synopsis


In this paper, the population attributable fraction is studied using the potential responses framework of Rubin's causal model. This framework facilitates de"nition of a general measure of population attributable e!ect which can accommodate many-valued and multivariate exposures as well as many-valued responses. Inferential issues are considered from the Bayesian perspective. Finite population inference is emphasized with inference in the case of a fully observed population given particular attention. The key inferential issue concerns computation of the posterior distribution of unobserved potential responses, given observed responses, exposures and covariates. A dependency on model parameters about which observed data are uninformative is highlighted and this re#ects the unobservable nature of causal e!ects. In an application to a small cohort study of respiratory problems in very low birthweight infants, posterior inferences were found to be insensitive to assumptions concerning the joint distribution of potential response variables but sensitive to the assumption of weak ignorability, a weaker form of the more familiar assumption of no confounding by omitted covariates. In a model-based set-up, the weak ignorability assumption is identi"ed with setting a model parameter to zero, and consequently uncertainty concerning this assumption can, in principle, be handled via the prior distribution for the model parameters.