Navigating non-positivity in neighbourhood studies: An analysis of collective efficacy and violence

Jennifer Ahern, Magdalena Cerdá, Sheri A. Lippman, Kenneth J. Tardiff, David Vlahov, Sandro Galea

    Research output: Contribution to journalArticle

    Abstract

    Background: In multilevel studies, strong correlations of neighbourhood exposures with individual and neighbourhood confounders may generate problems with non-positivity (ie, inferences that are 'off-support'). The authors used propensity restriction and matching to (1) assess the utility of propensity restriction to ensure analyses are 'on-support' and (2) examine the relation between collective efficacy and violence in a previously unstudied city. Methods: Associations between neighbourhood collective efficacy and violent victimisation were estimated in data from New York City in 2005 (n=4000) using marginal models and propensity matching. Results: In marginal models adjusted for individual confounders and limited to observations 'on-support', under conditions of high collective efficacy, the estimated prevalence of violent victimisation was 3.5/ 100, while under conditions of low collective efficacy, it was 7.5/100, resulting in a difference of 4.0/100 (95% CI 2.6 to 5.8). In propensity-matched analysis, the comparable difference was 4.0/100 (95% CI 2.1 to 5.9). In analyses adjusted for individual and neighbourhood confounders and limited to observations 'on-support', the difference in violent victimisation associated with collective efficacy was 3.1/100 (95% CI 1.2 to 5.2) in marginal models and 2.4/100 (95% CI 0.2 to 4.5) in propensity-matched analysis. Analyses without support restrictions produced surprisingly similar results. Conclusions: Under conditions of high collective efficacy, there was about half the prevalence of violence compared with low collective efficacy. The results contribute to a growing body of evidence that suggests collective efficacy may shape violence, and illustrate how careful techniques can be used to disentangle exposures from highly correlated confounders without relying on model extrapolation.

    Original languageEnglish (US)
    Pages (from-to)159-165
    Number of pages7
    JournalJournal of epidemiology and community health
    Volume67
    Issue number2
    DOIs
    StatePublished - Jan 1 2013

    ASJC Scopus subject areas

    • Epidemiology
    • Public Health, Environmental and Occupational Health

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