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Re: ecological fallacy and the LNT
If one assumes LNT, the "ecological fallacy" does not apply, and
either of your deductions is sound. If you do not assume LNT, there is no
useful meaning to collective dose, such as man-rem.
The "ecological fallacy" comes into play if you are trying to find
a dose-response relationship for individuals, without prior prejudice
about the shape of the curve. As a simple example, if the dose-response
relationship is risk = 0 for dose less than D, and risk = R for dose
greater than D, the cancer rate in a county would depend on the fraction
of the population exposed to doses greater than D; if one uses
ecological data, one would assume that the cancer rate depends on the
average dose, which could be very different and therefore wrong. Doing the
latter is the ecological fallacy. Obviously, in this example, LNT is wrong
since there is a threshold. In my work, I assume LNT to test its validity.
In recent years, many epidemiologists have stretched the
definition of the "ecological fallacy" to include treatment of confounding
factors. They point out that it is not correct to assume that confounding
effects depend on average values of variables. For example, if personal
income is an important confounding factor, one cannot assume that its
confounding effects are taken into account by use of average income for
the county; the confounding may depend on what fraction of the population
is very rich, or very poor. My methods of treating such problems are
explained in my paper on "Treatment of confounding factors in an
ecological study" which I sent you and which is posted on my web site.
Several other aspects of this extended definition of the ecological
fallacy are also treated there, and in my other papers.
Bernard L. Cohen
Physics Dept.
University of Pittsburgh
Pittsburgh, PA 15260
Tel: (412)624-9245
Fax: (412)624-9163
e-mail: blc@pitt.edu
On Tue, 12 Feb 2002 RuthWeiner@AOL.COM wrote:
> Dear RADSAFERs
>
> I am working my way through both Field et al (and some ancillary papers
> kindly sent me by Dr. Field) and Dr. Cohen's papers (thatnk you, Bernie, for
> sending them). I am trying to understand the papers with all their nuances.
> I believe this can be done by a reasonably competent scientist like me (Ph.
> D. -- chemistry) without special training in epidemiology, but from time to
> time I will post questions -- real questions to which I would like real
> straightforward answers -- on RADSAFE. Let me say at the outset that these
> questions are not intended to castigate anybody or take sides. If I use the
> LNT in a question, it doesn't mean I endorse it. The questions are for
> information. (and if they sound repetitive to the individual who accused me
> of "me too-ism" well, that can't be helped). So here is my first question,
> about the "ecological fallacy."
>
> Let us say the cumulative dose to a population of 10,000 persons is 1000
> PERSON-rem. Then, according to the LNT, one might expect 0.5 excess cancer
> in that population of 10,000 (0.0005*1000 = 0.5). One can also,
> independently, say that the average dose is 0.1 rem (1000/10,000 = 0.1), or
> 100 mrem. But to say that therefore the average expected cancer incidence
> would be 0.000005 (0.0005*0.1) is the fallacy in question. Essentially,
> "average individual cancer expectation" or whatever is meaningless. Have I
> got it right? If not,what is my mistake?
>
> (The LNT conversion from rem to cancer is from ICRP 90, page 22)
>
> Ruth Weiner, Ph. D.
> ruthweiner@aol.com
>
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