Multiply Robust Causal Inference With Double Negative Control Adjustment for Unmeasured Confounding

08/14/2018
by   Xu Shi, et al.
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Unmeasured confounding is a threat to causal inference in observational studies. In recent years, use of negative controls to address unmeasured confounding has gained increasing recognition and popularity. Negative controls have a longstanding tradition in laboratory sciences and epidemiology to rule out non-causal explanations, although they have been used primarily for bias detection. Recently, Miao et al. (2017) have described sufficient conditions under which a pair of negative control exposure-outcome variables can be used to nonparametrically identify average treatment effect from observational data subject to uncontrolled confounding. In this paper, building on their results, we provide a general semiparametric framework for obtaining inferences about the average treatment effect with double negative control adjustment for unmeasured confounding, while accounting for a large number of observed confounding variables. In particular, we derive the semiparametric efficiency bound under a nonparametric model for the observed data distribution, and we propose multiply robust locally efficient estimators when nonparametric estimation may not be feasible. We assess the finite sample performance of our methods under potential model misspecification in extensive simulation studies. We illustrate our methods with an application to the evaluation of the effect of higher education on wage among married working women.

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