ArticleEpidemiology (Cambridge, Mass.)2018
Decomposition Analysis to Identify Intervention Targets for Reducing Disparities.
Article in Epidemiology (Cambridge, Mass.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.
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Who cites it
73 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethnoracial disparities in breast cancer treatment time and survival: a systematic review with a DAG-based causal model.Epidemiologic reviews · 2025Pooled it
- Mediation effects that emulate a target randomised trial: Simulation-based evaluation of ill-defined interventions on multiple mediators.Statistical methods in medical research · 2021Trial
- Understanding higher substance use among early adolescent females: A decomposition analysis of adverse childhood experiences, bullying victimization, and depressive symptoms.Addictive behaviors reports · 2026Article
- Causal decomposition framework for quantifying intervenable cancer health disparities.Biometrics · 2026Article
- Intersectionality of Race, Rurality on Persistent Poverty Disparities in Cancer Mortality in Alabama.Cancer medicine · 2026Article
- An alternative to causal mediation for inequality research: which questions can be answered?Social psychiatry and psychiatric epidemiology · 2026Article
- Racial Differences in Adverse Pregnancy Outcomes and Incident Hypertension: A Mediation Analysis.Journal of the American Heart Association · 2026Article
- Socioeconomic Factors and Health Disparities Among North Korean Refugee Populations.JAMA network open · 2026Article
- Causal Inference in Health Disparities Research.Annual review of public health · 2026Review
- Article
- Covariate adjustment in LGBTQ+ health disparities research: aligning methods with assumptions.American journal of epidemiology · 2026Article
- Challenges in estimating effects of hypothetical interventions on resources patterned by structural racism: an example in a rural North Carolina Medicaid population.American journal of epidemiology · 2026Article
- Demographic and biosocial determinants of beneficial trends in older adult cognition in the USA and England: the role of cohort succession.International journal of epidemiology · 2026Article
- Quantifying the contribution of social disconnection to the mortality gap associated with mental disorders: a decomposition analysis.European journal of epidemiology · 2026Article
- Global trends in cataract burden: a 30-year epidemiological analysis and prediction of 2050 from the Global Burden of Disease 2021 study.The British journal of ophthalmology · 2026Article
- The toll of caregiving: life-course family care and disparities in physical functioning.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Persistence of severe global inequalities in the burden of pancreatic cancer: a cross-sectional study.Discover oncology · 2026Article
- Decomposition of longitudinal disparities: an application to the fetal growth-singletons study.Biostatistics (Oxford, England) · 2025Article
- Three-Way Decomposition for Applied Health Equity Research: A Practical Tutorial to Understand and Address Inequalities.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Racial and ethnic disparities in childhood cardiovascular health: evidence of the role of social disadvantage from NHANES 2013-2018.BMC medicine · 2025Article
13 more citing papers are in PubMed but not listed here.
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2 authors.
Funding
Abstract
There has been considerable interest in using decomposition methods in epidemiology (mediation analysis) and economics (Oaxaca-Blinder decomposition) to understand how health disparities arise and how they might change upon intervention. It has not been clear when estimates from the Oaxaca-Blinder decomposition can be interpreted causally because its implementation does not explicitly address potential confounding of target variables. While mediation analysis does explicitly adjust for confounders of target variables, it typically does so in a way that effectively entails equalizing confounders across racial groups, which may not reflect the intended intervention. Revisiting prior analyses in the National Longitudinal Survey of Youth on disparities in wages, unemployment, incarceration, and overall health with test scores, taken as a proxy for educational attainment, as a target intervention, we propose and demonstrate a novel decomposition that controls for confounders of test scores (e.g., measures of childhood socioeconomic status [SES]) while leaving their association with race intact. We compare this decomposition with others that use standardization (to equalize childhood SES [the confounders] alone), mediation analysis (to equalize test scores within levels of childhood SES), and one that equalizes both childhood SES and test scores. We also show how these decompositions, including our novel proposals, are equivalent to implementations of the Oaxaca-Blinder decomposition but provide a more formal causal interpretation for these decompositions.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.