Selection Bias Requires Selection: The Case of Collider Stratification Bias

Am J Epidemiol. 2024 Feb 5;193(3):407-409. doi: 10.1093/aje/kwad213.

Abstract

In epidemiology, collider stratification bias, the bias resulting from conditioning on a common effect of two causes, is oftentimes considered a type of selection bias, regardless of the conditioning methods employed. In this commentary, we distinguish between two types of collider stratification bias: collider restriction bias due to restricting to one level of a collider (or a descendant of a collider) and collider adjustment bias through inclusion of a collider (or a descendant of a collider) in a regression model. We argue that categorizing collider adjustment bias as a form of selection bias may lead to semantic confusion, as adjustment for a collider in a regression model does not involve selecting a sample for analysis. Instead, we propose that collider adjustment bias can be better viewed as a type of overadjustment bias. We further provide two distinct causal diagram structures to distinguish collider restriction bias and collider adjustment bias. We hope that such a terminological distinction can facilitate easier and clearer communication.

Keywords: causal diagrams; collider adjustment bias; collider stratification bias; epidemiologic research; overadjustment bias; selection bias.

MeSH terms

  • Bias
  • Causality
  • Humans
  • Selection Bias*