Sensitivity Analysis for Effects of Multiple Exposures in the Presence of Unmeasured Confounding

Biom J. 2025 Feb;67(1):e70033. doi: 10.1002/bimj.70033.

Abstract

Epidemiological research aims to investigate how multiple exposures affect health outcomes of interest, but observational studies often suffer from biases caused by unmeasured confounders. In this study, we develop a novel sensitivity model to investigate the effect of correlated multiple exposures on the continuous health outcomes of interest. The proposed sensitivity analysis is model-agnostic and can be applied to any machine learning algorithm. The interval of single- or joint-exposure effects is efficiently obtained by solving a linear programming problem with a quadratic constraint. Some strategies for reducing the input burden in the sensitivity analysis are discussed. We demonstrate the usefulness of sensitivity analysis via numerical studies and real data application.

Keywords: environmental health; multiple exposures; sensitivity analysis; unmeasured confounder.

MeSH terms

  • Biometry* / methods
  • Confounding Factors, Epidemiologic
  • Humans
  • Machine Learning
  • Models, Statistical