Evidence map›Paper›PMID 41272649›Full record

ReviewPopulation health metrics2025

Exposing the loci of bias: a taxonomical exploration of sources of bias in population mental health research.

Michel L A Dückers

Abstract readReview
In one paragraph

Review in Population health metrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Michel L A DückersNivel - Netherlands Institute for Health Services Research, Otterstraat 118-124, 3513 CR, Utrecht, the Netherlands. m.l.a.duckers@rug.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

All studies are inherently biased, but some are more biased than others. This variation on a key theme from George Orwell's Animal Farm underscores a significant issue in public health. Ultimately, optimizing public health begins with understanding population health-particularly when assessing the impact of specific health risks that are often intertwined with both benign and malign health determinants. The objective of this contribution is to provide an overview of sources of bias in epidemiological research, drawing inspiration from the work of Rudolph Agricola-Northern Europe's first humanist and a homo universalis. Agricola's methodological approach distinguished between different categories of informational sources, which he deliberately employed as instruments for structured argumentation. This article presents a contemporary variation of that approach in the form of a complementary taxonomy, outlining examples of material and procedural bias sources that, individually or in combination, can affect estimates of mental health problems. These include the nature of the outcome itself and the context of the sample-covering its vulnerability and exposure profile, as well as broader population characteristics-along with data collection methods and analytical techniques. The value of this structured approach to disentangling bias in modern population health research is illustrated with examples from recent studies on the impacts of disasters and the COVID-19 pandemic. Researchers are encouraged to be modest, to carefully consider "locations" or "origins" of bias, and to interpret study findings with caution-especially when using them to inform public health policy or to make arguments about the nature and severity of population health issues.

Indexed as

Mental HealthPopulation HealthBiasCOVID-19HumansSARS-CoV-2BiasPopulation healthTaxonomy

Identifiers

PMID41272649
PMCPMC12639722

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.