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Re: Confounders and Coincidences



Dr. Cohen,



I believe Dr. Raabe is correct.  Using your example, in a case-control study you can match cases to controls via ethnicity - you can not do this in an ecologic study such as your regardless of the sample size.



----- Original Message -----

From: BERNARD L COHEN <blc+@PITT.EDU>

Date: Tue, 06 May 2003 11:15:25 -0400 (EDT)

To: "Otto G. Raabe" <ograabe@UCDAVIS.EDU>

Subject: Re: Confounders and Coincidences



> 

> On Mon, 5 May 2003, Otto G. Raabe wrote:

> 

> > case-control and cohort studies. In these studies unknown confounders are

> > considered by proper control selection procedures and sufficient sample

> > sizes.

> 

> 	 --How can you say this? As a counter-example, suppose people of a

> certain ethnicity have a tradition of keeping their homes well sealed,

> which would give higher radon levels. Suppose further that people of

> that ethnicity have a genetic disposition to getting lung cancer. Then

> ethnicity would be an important confounding factor, indicating that high

> radon causes lung cancer.

> 

> > In ecological studies there are no rigorous control selection

> > procedures since we don't know who is exposed to what.

> >

-- 

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