Causality. Why you shouldn't use Bradford Hill criteria!

2 years ago
4.6K

Determining causality isn't easy. Correlation doesn't mean causation. And yet where we see a strong correlation between an exposure and an outcome, we need to be able to determine if there is a cause and effect relationship. Public Health professionals and epidemiologists have typically use the Bradford Hill criteria to establish causality. I don't like the Bradford Hill criteria. Instead I advocate for a process of exclusion (exclude chance, bias, confounding, reverse causation and fraud).

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