Bias

 

Bias is a systematic error that leads to an incorrect estimate of effect or association. Many factors can bias the results of a study such that they cancel out, reduce or amplify a real effect you are trying to describe.

 

Epidemiology categorises types of bias, examples are:

  • Selection bias - e.g. study of car ownership in central London is not representative of the UK.
  • Observation bias (recall and information) - e.g. on questioning, healthy people are more likely to under report their alcohol intake than people with a disease.
  • Observation bias (interviewer) - e.g. different interviewer styles might provoke different responses to the same question.
  • Observation bias (misclassification) - tends to dilute an effect
  • Losses to follow up - e.g. ill people may not feel able to continue with a study whereas health people tend to complete it.

 

Some strategies to combat bias:

  • multiple control groups
  • standardised observations (e.g. blinding (don't know if placebo or active intervention) of subject, observer, both subject and observer (double blind) or subject, observer and analyst (triple blind))
  • corroboration of multiple information sources
  • use of dummy variables with known associations

 

See also: confounding.