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American Journal of Epidemiology Vol. 152, No. 5 : 493
Copyright © 2000 by The Johns Hopkins University School of Hygiene and Public Health

LETTERS TO THE EDITOR

RE: "DIFFERENCES IN SOCIOECONOMIC STATUS AND SURVIVAL AMONG WHITE AND BLACK MEN WITH PROSTATE CANCER"

Jay S. Kaufman, Robert Millikan, Charles Poole, Paul Godley, Richard S. Cooper and Vincent Freeman

Department of Epidemiology School of Public Health University of North Carolina at Chapel HillChapel Hill, NC 27599
Department of Preventive Medicine and Epidemiology Stritch School of Medicine Loyola University Maywood, IL 60153

The strategy of adjusting racial differentials for measures of social status to separate the "biologic" and "nonbiologic" pathways that produce these disparities has elicited significant criticism. The problems are numerous: Causal parameters for race effects of interest are not well defined (1Go). Deficiencies in the specification or measurement of causal intermediates can lead to spurious apparent race effects (2Go). Measured intermediates are inherently inadequate because of incommensurability of social measures between racial groups (3Go). Adjustment is made for factors that are causally subsequent to exposure (4Go). Finally, even if race were considered a meaningful "exposure" and assumed (however absurdly) . . . [Full Text of this Article]

REFERENCES

Anthony S. Robbins, Alice S. Whittemore and David H. Thom

Department of Health Research and Policy Stanford University School of Medicine Stanford, CA 94305


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J. S. Kaufman, R. Millikan, C. Poole, P. Godley, R. S. Cooper, V. Freeman, A. S. Robbins, A. S. Whittemore, and D. H. Thom
RE: "DIFFERENCES IN SOCIOECONOMIC STATUS AND SURVIVAL AMONG WHITE AND BLACK MEN WITH PROSTATE CANCER"
Am. J. Epidemiol., September 1, 2000; 152(5): 493 - 493.
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