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Confounding of occupation and smoking: Its magnitude and consequences

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  • Smith, George Davey
  • Shipley, Martin J.
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    Abstract

    In a recent contribution to this journal, Sterling and Weinkam discuss the importance of the confounding of occupation and smoking when considering the contribution of smoking to mortality risk. In this report we provide estimates of the potential magnitude of this effect using data from a cohort study. It is shown that failing to consider possible confounding by socio-economic factors can lead to over-estimating of the strength of the relationship between smoking and mortality. The implications of these findings for the interpretation of results derived from observational studies are discussed.

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    File URL: http://www.sciencedirect.com/science/article/B6VBF-4663BD7-8S/2/ac8a4b99413d8e44993f4ba11dce6084
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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 32 (1991)
    Issue (Month): 11 (January)
    Pages: 1297-1300

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    Handle: RePEc:eee:socmed:v:32:y:1991:i:11:p:1297-1300

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    Related research

    Keywords: smoking confounding residual confounding socio-economic factors;

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    Cited by:
    1. Valerie Lechene & Jerome Adda, 2004. "On The Identification Of The Effect Of Smoking On Mortality," Royal Economic Society Annual Conference 2004 30, Royal Economic Society.
    2. Carbone, Jared C. & Kverndokk, Snorre & Rogeberg, Ole Jorgen, 2005. "Smoking, health, risk, and perception," Journal of Health Economics, Elsevier, vol. 24(4), pages 631-653, July.
    3. Charafeddine, Rana & Van Oyen, Herman & Demarest, Stefaan, 2012. "Does the association between smoking and mortality differ by educational level?," Social Science & Medicine, Elsevier, vol. 74(9), pages 1402-1406.
    4. Kinge, Jonas Minet & Morris, Stephen, 2014. "Variation in the relationship between BMI and survival by socioeconomic status in Great Britain," Economics & Human Biology, Elsevier, vol. 12(C), pages 67-82.
    5. Carbone, Jared & Kverndokk, Snorre & Røgeberg, Ole-Jørgen, 2009. "Smoking and Health Investments: Impacts of Health Adaptation and Damage Reversibility," HERO On line Working Paper Series 2003:12, Oslo University, Health Economics Research Programme.
    6. Birch, Stephen & Jerrett, Michael & Wilson, Kathi & Law, Michael & Elliott, Susan & Eyles, John, 2005. "Heterogeneities in the production of health: smoking, health status and place," Health Policy, Elsevier, vol. 72(3), pages 301-310, June.

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