Nicholas Christakis and James Fowler are famous for finding that obesity is contagious. Their claims, which have been received with both respect and skepticism (perhaps we need a new word for this: “respecticism”?) are based on analysis of data from the Framingham heart study, a large longitudinal public-health study that happened to have some social network data (for the odd reason that each participant was asked to provide the name of a friend who could help the researchers locate them if they were to move away during the study period.
The short story is that if your close contact became obese, you were likely to become obese also. The long story is a debate about the reliability of this finding (that is, can it be explained by measurement error and sampling variability) and its causal implications.
This sort of study is in my wheelhouse, as it were, but I have never looked at the Christakis-Fowler work in detail. Thus, my previous and current comments are more along the lines of reporting, along with general statistical thoughts.
We last encountered Christakis-Fowler last April, when Dave Johns reported on some criticisms coming from economists Jason Fletcher and Ethan Cohen-Cole and mathematician Russell Lyons.
Lyons’s paper was recently published under the title, The Spread of Evidence-Poor Medicine via Flawed Social-Network Analysis. Lyons has a pretty aggressive tone–he starts the abstract with the phrase “chronic widespread misuse of statistics” and it gets worse from there–and he’s a bit rougher on Christakis and Fowler than I would be, but this shouldn’t stop us from evaluating his statistical arguments. Here are my thoughts: Continue reading →