Causality

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The relating of causes to the effects they produce. Most of epidemiology concerns causality and several types of causes can be distinguished. It must be emphasized, however, that epidemiological evidence by itself is insufficient to establish causality, although it can provide powerful circumstantial evidence.

Causality is the relating of causes to the effects they produce. Broadly, causality is about production in the sense that a cause is something that produces or creates an effect. Causality is fundamental to two aspects of evidence based public health: (1) demonstrating and understanding the causes of public health problems; and (2) establishing the probability and nature of causal relations between an intervention and its effects.

The relating of causes to the effects they produce. Causes are termed necessary when they must always precede an effect and sufficient when they initiate or produce an effect. Any of several factors may be associated with the potential disease causation or outcome, including predisposing factors, enabling factors, precipitating factors, reinforcing factors, and risk factors.

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Contributors: Prab R. Tumpati, MD