Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
National Institute of Mental Health, Bethesda, MD, USA.
Curr Top Behav Neurosci. 2024;68:37-51. doi: 10.1007/7854_2024_465.
In population neuroscience, samples are not often selected with equal or known probability from an underlying population of interest; in other words, samples are not often formally representative of a specified underlying population. This chapter provides an overview of an epidemiological approach to considering the implications of selective participation on the value of our results for population health. We discuss definitions of generalizability and transportability, given the growing recognition that generalizability and transportability are central for interpreting data that are aiming to be population-based. We provide evidence that differences in the prevalence of effect measure modifiers between a study sample and a target population will lead to a lack of generalizability and transportability. We provide an example of an association between a poly-genetic risk score and depression, showing how an internally valid association can differ based on the prevalence of effect measure modifiers. We show that when estimating associations, inferences from a study sample to a population can depend on clearly defining a target population. Given that representative sampling from explicitly defined target populations may not be feasible or realistic in many situations, especially given the sample sizes needed for statistical power for many exposures of interest (and especially when interactions are being tested), researchers should be well versed in tools available to enhance the interpretability of samples regarding target populations.
在群体神经科学中,样本通常不是从感兴趣的基础总体中以相等或已知的概率选择的;换句话说,样本通常不是正式代表指定的基础总体。本章概述了一种流行病学方法,用于考虑选择性参与对我们的研究结果对人口健康的价值的影响。鉴于越来越认识到可推广性和可转移性对于解释旨在基于人群的数据至关重要,我们讨论了可推广性和可转移性的定义。我们提供的证据表明,研究样本和目标人群之间的效应修正因子的患病率差异将导致缺乏可推广性和可转移性。我们提供了一个多基因风险评分与抑郁症之间关联的例子,展示了内部有效的关联如何基于效应修正因子的患病率而有所不同。我们表明,在估计关联时,从研究样本到人群的推断取决于明确定义目标人群。鉴于在许多情况下,从明确定义的目标人群中进行代表性抽样可能不可行或不现实,特别是对于许多感兴趣的暴露(特别是在测试交互作用时)所需的样本量来说,研究人员应该精通可用的工具,以增强样本对目标人群的可解释性。