Causal measures using generalized difference-in-difference approach with nonlinear models

causal inference
impact evaluation
differences-in-differences
average treatment
generalized linear models
public health
Autor

Taddeo, Amorim, Aquino

Doi

Citation

Taddeo, M. M., Amorim, L. D., & Aquino, R. (2022). Causal measures using generalized difference-in-difference approach with nonlinear models. Statistics and Its Interface, 15 (Issue 4, pp. 399–413). International Press of Boston.

Abstract

To assess the impact of interventions on observational studies, several approaches have been proposed for identification of causal effects. They include propensity score matching, regression discontinuity, instrumental variables and causal graphs. In this paper, we focus on the Differences-in-Differences. We review the subject, discuss its scope and limitations, and extend it to a class of nonlinear models, inducing more appropriate causal measures in relation to the type of response variable and the corresponding statistical model. More specifically, we extend the usual causal effect identification procedure for more general setups, particularly Generalized Linear Models, presenting the necessary assumptions. We call such methodology Generalized Difference-in-Difference method. To illustrate, we analyze novel data from three relevant health issues in Brazil: the demographic impact of the Zika virus outbreak on birth rates, and the impact of two distinct interventions in primary health care, namely the Family Health Program and the More Doctors Program, on hospitalizations rate. Such analyzes, besides original and referring to important topics, complement and extend previous studies. Finally, we argue, in the methodological and application sections, that the use of the Generalized Difference-in-Difference will help us to avoid errors and fallacies arising from the misapplication of the usual Difference-in-Difference method at different scales.