Practice questions
Q1. Countries with more Nobel laureates per capita consume more chocolate. Name the most likely explanation from the five.
Q2. Students who attend more lectures get higher grades. Give one reason this might not be “attendance causes grades.”
Q3. Among hospitalised patients, being a smoker is associated with lower mortality from a certain disease. Why might this be a selection artefact rather than smoking being protective?
Q4. Sales of a product and the marketing spend on it correlate strongly. Give the reverse-causation story.
Worked answers
A1. Confounding (reason 3). National wealth plausibly drives both — richer countries can afford more chocolate and more world-class research institutions. Chocolate doesn’t make Nobel winners; a lurking third variable inflates both.
A2. Several work: confounding — conscientious, motivated students both attend more and study harder, so motivation drives both. Or selection — struggling students may drop out, leaving a biased sample. The point is you can’t conclude that forcing a random student to attend more would raise their grade.
A3. This is a selection artefact (reason 5, a collider). You’ve conditioned on being hospitalised. Non-smokers who are hospitalised for this disease may tend to have more severe underlying illness (since they lack the “obvious” smoking risk factor, something worse got them there), so within the hospital, smokers look healthier. In the general population no such protection exists — the correlation is created by studying only the hospitalised.
A4. Reverse causation (reason 2). Many firms set marketing budgets as a percentage of expected or recent sales. So high sales cause high marketing spend, not the other way around — or at least the arrow runs both ways, and a naive correlation can’t separate them.
The short version
• A correlation has five possible explanations, only one of which is “X causes Y.”
• The other four: reverse causation, confounding, coincidence, selection.
• Confounding is the most common trap — a third variable driving both.
• Controlling for confounders only handles the ones you measured.
• The gold standard for causation is the randomised experiment, which rules out the other four by design.
References
1. Writing Group for the Women’s Health Initiative (2002) “Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women,” JAMA, 288(3), pp. 321–333.
2. Pearl, J. & Mackenzie, D. (2018) The Book of Why. New York: Basic Books.
Causation is the thread running through Statistics Made Simple.
From confounders and colliders to natural experiments — the tools for arguing causation when you can’t randomise.