cause and effect

How Do We Establish Causation?

Establishing causation involves multiple steps and criteria. One of the most widely used frameworks is the Bradford Hill Criteria, which includes:
1. Strength of Association: Stronger associations are more likely to be causal.
2. Consistency: The association is observed in different studies, populations, and settings.
3. Specificity: A specific exposure is associated with a specific outcome.
4. Temporality: The cause precedes the effect.
5. Biological Gradient: Greater exposure leads to a greater incidence of the effect.
6. Plausibility: The association is biologically plausible.
7. Coherence: The association is consistent with existing knowledge.
8. Experiment: Experimental evidence supports the association.
9. Analogy: Similar relationships have been observed with other exposures and outcomes.

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