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Abstract
Epidemiology, the study of patterns, causes, and effects of health and
disease conditions in defined populations, is a cornerstone of public health.
By identifying risk factors for disease and targets for preventive healthcare,
it shapes policy decisions and evidence-based practice. Due to the constraints
of ethnics and costs, most epidemiologic research focuses on observational (or
non-experimental) studies. Our approach is to combine the advances in the
design of observational studies in epidemiology with corresponding advances in
statistical methodologies for the analysis of observational data, controlling
for confounding factors and other sources of systematic errors. It is expected
to yield novel efficient study designs and analysis methods that can capitalize
on the recent explosion of digital data such as electronic health records,
medical billings and on-line recruitments, while providing valid inference that
adjusts for possible confounding and selection bias.
We review in this connection an ongoing observational
cohort study that uses structural equation modeling in optimizing the latent
exposure and outcome variables and account for the issue of negative
confounding. This is joint work with Philippe Grandjean at the Harvard School
of Public Health.
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