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Mediation Analysis With Intermediate Confounding: Structural Equation Modeling Viewed Through the Causal Inference Lens.

Authors :
De Stavola, Bianca L.
Daniel, Rhian M.
Ploubidis, George B.
Micali, Nadia
Source :
American Journal of Epidemiology. Jan2015, Vol. 181 Issue 1, p64-80. 17p.
Publication Year :
2015

Abstract

The study of mediation has a long tradition in the social sciences and a relatively more recent one in epidemiology. The first school is linked to path analysis and structural equation models (SEMs), while the second is related mostly to methods developed within the potential outcomes approach to causal inference. By giving model-free definitions of direct and indirect effects and clear assumptions for their identification, the latter school has formalized notions intuitively developed in the former and has greatly increased the flexibility of the models involved. However, through its predominant focus on nonparametric identification, the causal inference approach to effect decomposition via natural effects is limited to settings that exclude intermediate confounders. Such confounders are naturally dealt with (albeit with the caveats of informality and modeling inflexibility) in the SEM framework. Therefore, it seems pertinent to revisit SEMs with intermediate confounders, armed with the formal definitions and (parametric) identification assumptions from causal inference. Here we investigate: 1) how identification assumptions affect the specification of SEMs, 2) whether the more restrictive SEM assumptions can be relaxed, and 3) whether existing sensitivity analyses can be extended to this setting. Data from the Avon Longitudinal Study of Parents and Children (1990–2005) are used for illustration. [ABSTRACT FROM PUBLISHER]

Details

Language :
English
ISSN :
00029262
Volume :
181
Issue :
1
Database :
Academic Search Index
Journal :
American Journal of Epidemiology
Publication Type :
Academic Journal
Accession number :
100222214
Full Text :
https://doi.org/10.1093/aje/kwu239