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Drawing Causal Inferences Using Propensity Scores: A Practical Guide for Community Psychologists

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American Journal of Community Psychology

Abstract

Confounding present in observational data impede community psychologists’ ability to draw causal inferences. This paper describes propensity score methods as a conceptually straightforward approach to drawing causal inferences from observational data. A step-by-step demonstration of three propensity score methods—weighting, matching, and subclassification—is presented in the context of an empirical examination of the causal effect of preschool experiences (Head Start vs. parental care) on reading development in kindergarten. Although the unadjusted population estimate indicated that children with parental care had substantially higher reading scores than children who attended Head Start, all propensity score adjustments reduce the size of this overall causal effect by more than half. The causal effect was also defined and estimated among children who attended Head Start. Results provide no evidence for improved reading if those children had instead received parental care. We carefully define different causal effects and discuss their respective policy implications, summarize advantages and limitations of each propensity score method, and provide SAS and R syntax so that community psychologists may conduct causal inference in their own research.

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Acknowledgments

Preparation of this manuscript was supported by National Institute on Drug Abuse (NIDA) Center grant P50 DA10075 and NIDA grant R03 DA026543-01. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Drug Abuse (NIDA) or the National Institutes of Health (NIH). The authors thank Donna Coffman, Brittany Rhoades, and Bethany Bray for feedback on an early draft of this manuscript, and John Dziak for providing the SAS macro used for subclassification outcome analysis.

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Correspondence to Stephanie T. Lanza.

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Lanza, S.T., Moore, J.E. & Butera, N.M. Drawing Causal Inferences Using Propensity Scores: A Practical Guide for Community Psychologists. Am J Community Psychol 52, 380–392 (2013). https://doi.org/10.1007/s10464-013-9604-4

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