Epidemiological method: Difference between revisions

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Rescuing 2 sources and tagging 0 as dead. #IABot (v1.6.2) (Balon Greyjoy)
A section titled "Criticisms" had one sentence citing a poorly-informed NYTimes op-ed. This heading was changed to the more accurate "Limitations," and expounded upon slightly. (i.e. the focus remains the same, but the necessary nuance was added.)
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# [[Sensitivity (tests)]] and [[Specificity (tests)]]
 
==CriticismLimitations==
Epidemiological (and other observational) studies typically highlight ''associations'' between exposures and outcomes, rather than causation. While some consider this a limitation of observational research, epidemiological models of causation (e.g. Bradford Hill criteria)<ref>{{Cite journal|last=Fedak|first=Kristen M.|last2=Bernal|first2=Autumn|last3=Capshaw|first3=Zachary A.|last4=Gross|first4=Sherilyn|date=2015-09-30|title=Applying the Bradford Hill criteria in the 21st century: how data integration has changed causal inference in molecular epidemiology|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4589117/|journal=Emerging Themes in Epidemiology|volume=12|doi=10.1186/s12982-015-0037-4|issn=1742-7622|pmc=PMC4589117|pmid=26425136}}</ref> contend that an entire body of evidence is needed before determining if an association is truly causal.<ref>{{Cite web|url=http://sphweb.bumc.bu.edu/otlt/MPH-Modules/EP/EP713_Causality/EP713_Causality_print.html|title=Causal Inference|website=sphweb.bumc.bu.edu|access-date=2018-04-01}}</ref> Moreover, many research questions are impossible to study in experimental settings, due to concerns around ethics and study validity. For example, the link between cigarette smoke and lung cancer was uncovered largely through observational research; however research ethics would certainly prohibit conducting a randomized trial of cigarette smoking once it had already been identified as a potential health threat.
Epidemiological studies show association not causation.<ref name=NYT022015>{{cite news|author1=Nina Teicholz|title=The Government’s Bad Diet Advice|url=https://www.nytimes.com/2015/02/21/opinion/when-the-government-tells-you-what-to-eat.html|accessdate=February 21, 2015|work=The New York Times|date=February 20, 2015|format=op-ed|quote=Nina Teicholz is the author of “The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet.”}}</ref>
 
==See also==