Smoking as "independent" risk factor for suicide: illustration of an artifact from observational epidemiology?

作者: G. Davey Smith , A.N. Phillips , J.D. Neaton

DOI: 10.1016/0140-6736(92)92242-8

关键词:

摘要: Two widely used criteria for determining whether an association between a risk factor and disease is causal are dose response independence from other factors. Data large US study (MRFIT) throw up relation cigarette smoking suicide that meets these criteria, yet appears to be biologically implausible. It likely many more such associations, exposures diseases, equally spurious, but protected by their lack of obvious implausibility.

参考文章(37)
Michael J. Thun, Mohan M. Namboodiri, Clark W. Heath, Aspirin Use and Reduced Risk of Fatal Colon Cancer New England Journal of Medicine. ,vol. 325, pp. 1593- 1596 ,(1991) , 10.1056/NEJM199112053252301
Paul N. Hopkins, Roger R. Williams, Identification and Relative Weight of Cardiovascular Risk Factors Cardiology Clinics. ,vol. 4, pp. 3- 31 ,(1986) , 10.1016/S0733-8651(18)30632-5
Steven Stack, Suicide in Detroit 1975: changes and continuities. Suicide and Life Threatening Behavior. ,vol. 12, pp. 67- 83 ,(1982) , 10.1111/J.1943-278X.1982.TB00914.X
David R. Cox, Regression Models and Life-Tables Springer Series in Statistics. ,vol. 34, pp. 527- 541 ,(1992) , 10.1007/978-1-4612-4380-9_37
WARREN WINKELSTEIN, SMOKING AND CERVICAL CANCER—CURRENT STATUS: A REVIEW American Journal of Epidemiology. ,vol. 131, pp. 945- 957 ,(1990) , 10.1093/OXFORDJOURNALS.AJE.A115614
Marcia Angell, The Interpretation of Epidemiologic Studies The New England Journal of Medicine. ,vol. 323, pp. 823- 825 ,(1990) , 10.1056/NEJM199009203231209
Petr Skrabanek, The Poverty of Epidemiology Perspectives in Biology and Medicine. ,vol. 35, pp. 182- 185 ,(1992) , 10.1353/PBM.1992.0019
G D Smith, A Phillips, Declaring independence: why we should be cautious. Journal of Epidemiology and Community Health. ,vol. 44, pp. 257- 258 ,(1990) , 10.1136/JECH.44.4.257
D. J. Barker, T. W. Meade, C. H. Fall, A. Lee, C. Osmond, K. Phipps, Y. Stirling, Relation of fetal and infant growth to plasma fibrinogen and factor VII concentrations in adult life. BMJ. ,vol. 304, pp. 148- 152 ,(1992) , 10.1136/BMJ.304.6820.148