Utilização de diagramas causais em confundimento e viés de seleção.

Abstract

Despite the increasing recognition of the potential of causal diagrams by epidemiologists, this technique has not been widely used in epidemiological research. One possible reason is that many research topics require complex causal models. In this article, the relationship between occupational stress and obesity is used as an example of application of causal diagrams on confounding. Some steps are presented, including the construction of the directed acyclic graph, the selection of variables for statistical control and the derivation of the statistical implications of a causal diagram. The main advantage of causal diagrams is to make the assumptions explicit, thus facilitating critical evaluations and the identification of possible sources of bias and uncertainty in the results of an epidemiological study.