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Eric R. Cohn

Publications and source records attributed to Eric R. Cohn.

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Risk Set Matched Difference-in-Differences for the Analysis of Effect Modification in an Observational Study on the Impact of Gun Violence on Health Outcomes

Gun violence is a major source of injury and death in the United States. However, relatively little is known about the effects of firearm injuries on survivors and their family members and how these effects vary across subpopulations. To study these questions and, more generally, to address a gap in the causal inference literature, we present a framework for the study of effect modification or heterogeneous treatment effects in difference-in-differences designs. We implement a new matching technique, which combines profile matching and risk set matching, to (i) preserve the time alignment of covariates, exposure, and outcomes, avoiding pitfalls of other common approaches for difference-in-differences, and (ii) explicitly control biases due to imbalances in observed covariates in subgroups discovered from the data. Our case study shows significant and persistent effects of nonfatal firearm injuries on several health outcomes for those injured and on the mental health of their family members. Sensitivity analyses reveal that these results are moderately robust to unmeasured confounding bias. Finally, while the effects for those injured vary largely by the severity of the injury and its documented intent, for families, effects are strongest for those whose relative's injury is documented as resulting from an assault, self-harm, or law enforcement intervention.

stat.AP

One-Step weighting to generalize and transport treatment effect estimates to a target population

The problem of generalization and transportation of treatment effect estimates from a study sample to a target population is central to empirical research and statistical methodology. In both randomized experiments and observational studies, weighting methods are often used with this objective. Traditional methods construct the weights by separately modeling the treatment assignment and study selection probabilities and then multiplying functions (e.g., inverses) of their estimates. In this work, we provide a justification and an implementation for weighting in a single step. We show a formal connection between this one-step method and inverse probability and inverse odds weighting. We demonstrate that the resulting estimator for the target average treatment effect is consistent, asymptotically Normal, multiply robust, and semiparametrically efficient. We evaluate the performance of the one-step estimator in a simulation study. We illustrate its use in a case study on the effects of physician racial diversity on preventive healthcare utilization among Black men in California. We provide R code implementing the methodology.

stat.ME

Profile Matching for the Generalization and Personalization of Causal Inferences

We introduce profile matching, a multivariate matching method for randomized experiments and observational studies that finds the largest possible unweighted samples across multiple treatment groups that are balanced relative to a covariate profile. This covariate profile can represent a specific population or a target individual, facilitating the generalization and personalization of causal inferences. For generalization, because the profile often amounts to summary statistics for a target population, profile matching does not always require accessing individual-level data, which may be unavailable for confidentiality reasons. For personalization, the profile comprises the characteristics of a single individual. Profile matching achieves covariate balance by construction, but unlike existing approaches to matching, it does not require specifying a matching ratio, as this is implicitly optimized for the data. The method can also be used for the selection of units for study follow-up, and it readily applies to multi-valued treatments with many treatment categories. We evaluate the performance of profile matching in a simulation study of the generalization of a randomized trial to a target population. We further illustrate this method in an exploratory observational study of the relationship between opioid use and mental health outcomes. We analyze these relationships for three covariate profiles representing: (i) sexual minorities, (ii) the Appalachian United States, and (iii) the characteristics of a hypothetical vulnerable patient. The method can be implemented via the new function profmatch in the designmatch package for R, for which we provide a step-by-step tutorial.

stat.ME