Skip Navigation
  Print Page

Epidemiology Branch (EB)

Skip sharing on social media links
Share this:
Skip Internal Navigation

EB Research - Methodological Research in Epidemiology

Causal Inference in Reproductive and Perinatal Epidemiology

Here we extend the methodological framework for causal inference to reproductive and perinatal epidemiology. The objective of this research is to develop methods using causal inference tools, specifically as they improve researchers' understanding of confounding and colliders, and as applied to the birth weight paradox and the role of birth weight in analysis of perinatal data. In addition, our objective is to apply the same tools to better understand the role of history of prior outcomes in appropriate modeling. Our team of researchers has made significant contributions to this literature in the areas of:

  • The Birth Weight Paradox: Utilizing analytical methods as well as directed acyclic graphs (DAGs) to graphically evaluate bias, confounding, and possible explanations for the birth weight paradox. In addition, a combination of DAGs and simulation studies were utilized to quantify bias and evaluate the proposed solution of utilizing birth weight z-scores.
  • Overadjustment: Using causal diagrams, analytical, proofs, and an empirical example estimating the total effect of maternal smoking on neonatal mortality, researchers at NICHD illustrated and clarified the definition of overadjustment bias, distinguished overadjustment bias from unwarranted adjustment, and quantified the amount of bias and loss of precision associated with overadjustment and unwarranted adjustment.
  • Role of Prior Outcomes: Pregnancy outcomes, such as spontaneous abortion and preterm birth, are often predictive of future pregnancy outcomes. As a result, many researchers adjust for reproductive history. Research here using DAGs illustrates that this may not always be the correct approach. In fact, there is no single answer as to whether reproductive history should be included in the model; the decision depends on the research question and the underlying DAG.

Principal Investigator

Enrique F. Schisterman, Ph.D.

DIPHR Collaborators

Selected Publications

  • Schisterman EF, Cole S, Ye A and Platt R. Accuracy loss due to fixed or random left truncation in cohort studies. Journal of Pediatric and Perinatal Epidemiology (In Press).
  • VanderWeele TJ, Mumford SL, Schisterman EF. (2012). Conditioning on intermediates in perinatal epidemiology. Epidemiology, 23(1):1-9. With discussion. PMID: 22157298
  • Westreich D, Cole SR, Schisterman EF, Platt RW. (2012). A simulation study of finite-sample properties of marginal structural Cox proportional hazards models. Stat Med., Apr 11. doi: 10.1002/sim.5317. PMID: 22492660
Last Updated Date: 08/23/2013
Last Reviewed Date: 09/09/2014

Contact Information

Name: Dr Enrique Fabian Schisterman
Chief and Senior Investigator
Epidemiology Branch
Phone: 301-435-6893
Fax: 301-402-2084
E-mail: schistee@mail.nih.gov

Staff Directory
Vision National Institutes of Health Home BOND National Institues of Health Home Home Storz Lab: Section on Environmental Gene Regulation Home Machner Lab: Unit on Microbial Pathogenesis Home Division of Intramural Population Health Research Home Bonifacino Lab: Section on Intracellular Protein Trafficking Home Lilly Lab: Section on Gamete Development Home Lippincott-Schwartz Lab: Section on Organelle Biology