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February 5, 2010American Journal of Epidemiology412 citationsOpen Access

Invited Commentary: Positivity in Practice

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DWDaniel WestreichUniversity of North Carolina at Chapel HillSCS. R. ColeUniversity of North Carolina at Chapel Hill

Key Points

  • This commentary focuses on the concept of positivity and its implications for epidemiological inference. It aims to clarify the definitions and issues related to positivity in practice.
  • Defined positivity and distinguished between deterministic and random positivity.
  • Discussed two relevant articles related to positivity in the journal issue.
  • Illustrated positivity using simple 2 x 2 tables and suggested methods for examining nonpositivity.
  • Positivity is crucial for accurate epidemiological inference but is frequently neglected.
  • Confounders must be considered to ensure both exposed and unexposed participants are present.
  • Epidemiologists can evaluate their data for violations of positivity to improve study validity.

Abstract

Positivity, or the experimental treatment assignment assumption, requires that there be both exposed and unexposed participants at every combination of the values of the observed confounders in the population under study. Positivity is essential for inference but is often overlooked in practice by epidemiologists. This issue of the Journal includes 2 articles featuring discussions related to positivity. Here the authors define positivity, distinguish between deterministic and random positivity, and discuss the 2 relevant papers in this issue. In addition, the commentators illustrate positivity in simple 2 x 2 tables, as well as detail some ways in which epidemiologists may examine their data for nonpositivity and deal with violations of positivity in practice.

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Cite This Study

Westreich et al. (2010) studied this question.

synapsesocial.com/papers/6a5eeeda1ef15e70f1592c4ehttps://doi.org/10.1093/aje/kwp436
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