3 ms·
> "Yet even though many health statistics have been improving over the past few decades, a few illnesses are rising mysteriously. From the early 1980s through t
by kspacewalk2 5y ago
> "Yet even though many health statistics have been improving over the past few decades, a few illnesses are rising mysteriously. From the early 1980s through the late 1990s, autism increased tenfold; from the early 1970s through the mid-1990s, one type of leukemia was up 62 percent, male birth defects doubled, and childhood brain cancer was up 40 percent.
That language is sloppy and imprecise. What's increased is the (I presume the rate of) diagnoses. Not cases. Phrasing it like that allows the reader to consider many plausible confounders instead of leading them on to the predetermined conclusion of the article, or at least appearing to do so. Has detection of that particular type of leukemia increased dramatically with new technology? Are there cultural reasons why diagnoses with few if any objective measures, like autism, are more readily handed out by doctors? There are plenty of controversies about how the contents of DSM, the book that spells out the gory details of psych diagnoses, are changing over time (i.e. DSM-4 vs. DSM-5).
The right conclusion might very well be the one authors are trying to suggest, but "helping it along" so transparently is unhelpful.
- tsol 5y agoAnd male birth defects doubling? I don't see how that can be the result of better testing, that seems to point to something bigger
- kspacewalk2 5y agoRisk of birth defects increases a lot with age of both parents. The number (and percentage) of advanced age pregnancies (I think it's defined as >35) has increased over that time[1]. This confounder is virtually guaranteed to account for a lot of that doubling. How much? No idea. Back to my overarching point. [1] https://evidencebasedbirth.com/wp-content/uploads/2021/05/Figure1_AMA_2021-blog_v2_wm.png https://evidencebasedbirth.com/wp-content/uploads/2021/05/Fi...