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Public Health On Call

794 - Does A Really Cause B? How a Biostatistician Thinks About Causality

Public Health On Call

The Johns Hopkins Bloomberg School of Public Health

News, Health & Fitness, Medicine

4.6 • 644 Ratings

🗓️ 23 August 2024

⏱️ 19 minutes

🧾️ Download transcript

Summary

About this episode:

When evaluating programs, policies, and interventions, how do you know if they're working? In today's episode: The science (and art!) of biostatistics, and an exploration of the question: How can we design studies to find out if there really is a relationship between A and B?

Guest:

Elizabeth Stuart is the chair of the department of Biostatistics at the Johns Hopkins Bloomberg School of Public Health.

Host:

Dr. Josh Sharfstein is vice dean for public health practice and community engagement at the Johns Hopkins Bloomberg School of Public Health, a faculty member in health policy, a pediatrician, and former secretary of Maryland's Health Department.

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Transcript

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0:00.0

Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health,

0:05.9

where we bring evidence, experience, and perspective to make sense of today's leading health challenges.

0:16.3

If you have questions or ideas for us, please send an email to public health question at jh.

0:21.6

Jh.edu.

0:23.6

That's public health question at jh.edu for future podcast episodes.

0:29.6

This is Lindsay Smith Rogers.

0:33.6

Today, a discussion about causality, whether one thing actually causes another.

0:40.6

Dr. Elizabeth Stewart is a Bloomberg professor of American Health and the chair of the

0:44.9

Biostatistics Department at the Johns Hopkins Bloomberg School of Public Health.

0:49.3

She speaks with Dr. Josh Sharfstein about how best to assess causality and why it's so important to cut through

0:56.3

all the noise out there about key questions of public health. Let's listen.

1:03.2

Professor Elizabeth Stewart, it is great to see you. How are you today? I'm great. It's nice to be on again.

1:09.4

So I am recording this from the Johns Hopkins Bloomberg School of Public Health where you can walk the halls and see a lot of students with furrowed brows studying biostatistics.

1:19.6

You are the chair of biostatistics at our school.

1:23.6

I am, yes, for about a year. It's been great.

1:26.6

Now, sometimes you can hear a student speculating about how important biostatistics is.

1:33.3

I'm going to be honest with you and whether this is a skill they learn in school or something that could really be applicable as they go out into their careers in public health or medicine.

1:45.5

You have a view on that?

1:48.1

You can imagine I do, yes.

1:53.3

I am trained as a statistician and just think sort of data and evidence is crucial for helping us make informed public health decisions.

1:56.0

And so helping students learn the basics of data and evidence and both how to do studies themselves,

2:03.1

but then also how to interpret other studies, I think, is a key part of public health training.

...

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