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                                         Part V: Statistical Studies and the Hunt for a Meaningful Relationship
                                                    However, if you made a scatterplot and examined the correlation between ice
                                                    cream consumption versus murder rates in New York City, you would also
                                                    see a strong linear relationship (this one is uphill). Yet no one would claim
                                                    that more ice cream consumption causes more murders to occur.
                                                    What’s going on here? In the first case, the data were collected through a
                                                    well-controlled medical experiment, which minimizes the influence of other
                                                    factors that may affect blood pressure. In the second example, the data were
                                                    based just on observation, and no other factors were examined. Researchers
                                                    subsequently found out that this strong relationship exists because increases
                                                    in murder rates and ice cream sales are both related to increases in tempera-
                                                    ture. Temperature in this case is called a confounding variable; it affects both
                                                    X and Y but was not included in the study (see Chapter 17).
                                                    Whether two variables are found to be causally associated depends on how the
                                                    study was conducted. I’ve seen many instances in which people try to claim
                                                    cause-and-effect relationships just by looking at scatterplots or correlations.
                                                    Why would they do this? Because they want to believe it (in other words for
                                                    them it’s “believing is seeing,” rather than the other way around). Beware of this
                                                    tactic. In order to establish cause and effect, you need to have a well-designed
                                                    experiment or a boatload of observational studies. If someone is trying to estab-
                                                    lish a cause-and-effect relationship by showing a chart or graph, dig deeper
                                                    to find out how the study was designed and how the data were collected, and
                                                    evaluate the study appropriately using the criteria outlined in Chapter 17.
                                                    The need for a well-designed experiment in order to claim cause and effect
                                                    is often ignored by some researchers and members of the media, who give
                                                    us headlines such as “Doctors can lower malpractice lawsuits by spending
                                                    more time with patients.” In reality, it was found that doctors who have fewer
                                                    lawsuits are the type who spend a lot of time with patients. But that doesn’t
                                                    mean taking a bad doctor and having him spend more time with his patients
                                                    will reduce his malpractice suits; in fact, spending more time with them may
                                                    create even more problems.

















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