Briefly
- CDC’s “disease detectives” halved as part of DOGE cuts at health agencies
- Bird flu seen in cow veterinarians
- Louisiana will no longer promote mass vaccination (paywalled original)
- Measles outbreak continues to expand in Texas
Thomas Lumley (@tslumley) is Professor of Biostatistics at the University of Auckland. His research interests include semiparametric models, survey sampling, statistical computing, foundations of statistics, and whatever methodological problems his medical collaborators come up with. He also blogs at Biased and Inefficient
The Herald (from the Telegraph) says People with divorced parents are at greater risk of strokes, study finds
The study is here and the press release is here. It uses 2022 data from a massive annual telephone survey of health in the US, the Behavioral Risk Factor Surveillance System, “BRFSS” to its friends.
Using BRFSS means that the data are representative of the US population, which is useful. On the other hand, you’re limited to variables that can be assessed over the phone. That’s fine for age, and probably fine for parental divorce. It’s known to be a bit biased for BMI and weight. The telephone survey doesn’t even try to collect blood pressure, cholesterol, or oral contraceptive use, all known to be risk factors for stroke. And if you call people up on the phone and ask if they’ve ever had a stroke, you tend to miss the people whose strokes were fatal or incapacitating (about a quarter of people die immediately or within a year if they have a stroke).
Still, the researchers collected some useful variables to try to adjust away the differences between people with and without divorced parents. As usual, we have to worry about whether they went too far — for example, if the mechanism was via diabetes or depression, then adjusting for diabetes or depression would induce bias in the results.
This sort of research can be useful as a first step, to see if it’s worth doing an analysis using more helpful data from a study that followed people up over time — either a birth cohort study or a heart-disease cohort study. It’s interesting as initial news that there’s a relationship — though you also might think adverse effects of divorce would get smaller in recent decades as divorce became less noteworthy.
All this is background for my main point. While looking for links to published papers, I found that one of the same researchers had done the same sort of analysis with the BRFSS data from 2010 and published it in 2012. They found a stronger association twelve years ago than now. I don’t know about you, but I would have appreciated this fact being in the press release and in the news story.
Listening to the Slate Money podcast, I heard about an interesting survey result
Elizabeth Spiers: My number is 73 and that’s percent and that’s the number of men in a recent YouGov survey who say they do most of the chores in their household.
I found a Washington Post story
60 percent of women who live with a partner say they do all or most of the chores. But 73 percent of similarly situated men say that they do the most — or that they share chores equally.
Here’s the top few lines of the YouGov table
Breaking out advanced statistical software, 23%+19% is 42%, and 33%+30% is 63%. The figure for women matches the story, allowing for reasonable rounding. The figure for men doesn’t?
If we add in “shared equally”, which is given as 33% for men and 22% for women we can get to 75% “all” or “most” or “equally” for men, but 83% “all” or “most” or “equally” for women. And while the story is supposed to be that men say they are doing more and are delusional, the reported table has more work self-reported by women than men at all levels. It’s still possible, of course, that some the 42% of men claiming to do all or most chores are not fully aware of the situation, but the message that makes the results headline-worthy is not in the data.
The Washington Post story is still well worth reading — it uses the YouGov poll as a hook to discuss much more detailed data from the American Time Use Survey, which has the advantage that people write down contemporaneously what they are doing for an actual two weeks rather than trying to guess at an average.
Except notice the data points being used to come up with this story: the visible population of landless men in Rome and the Roman census returns. But, as we’ve discussed, the Roman census is self-reported, and the report of a bit of wealth like a small farm is what makes an individual liable for taxes and conscription.
In short the story we have above is an interpretation of the available data but not the only one and both our sources and Tiberius Gracchus simply lack the tools necessary to gather the information they’d need to sound out if their interpretation is correct.
Ipsos, the polling firm, has again been asking people questions to which they can’t reasonably be expected to know the answer, and finding they in fact don’t. For example, this graph shows what happens when you ask people what proportion of their country are immigrants, ie, born in another country. Everywhere except Singapore they overestimate the proportion, often by a lot. New Zealand comes off fairly well here, with only slight underestimation. South Africa and Canada do quite badly. Indonesia, notably, has almost no immigrants but thinks it has 20%.
Some of this is almost certainly prejudice, but to be fair the only way you could know these numbers reliably would be if someone did a reliable national count and told you. Just walking around Auckland you can’t tell accurately who is an immigrant in Auckland, and you certainly can’t walk around Auckland and tell how many immigrants there are in Ashburton. Specifically, while you might know from your own knowledge how many immigrants there were in your part of the country, it would be very unusual for you to know this for the country as a whole. You might expect, then, that the best-case response to surveys such as these would be an average proportion of immigrants over areas in the country, weighted by the population of those areas. If the proportion of immigrants is correlated with population density, that will be higher than the true nationwide proportion.
That is to say, if people in Auckland accurately estimate the proportion of immigrants in Auckland, and people in Wellington accurately estimate the proportion in Wellington, and people in Huntly accurately estimate the proportion in Huntly, and people in Central Otago accurately estimate the proportion in Central Otago, you don’t get an accurate nationwide estimate if areas with more people have a higher proportion of immigrants. Which, in New Zealand, they do. If we work with regions and Census data, the correlation between population and proportion born overseas is about 50%. That’s enough for about a 5 percentage point bias: we would expect to overestimate the proportion of immigrants by about 5 percentage points if everyone based their survey response on the true proportion in their part of the country.
Fortunately, if the proportion of immigrants in your neighbourhood or in the country as a whole matters to you, you don’t need to guess. Official statistics are useful! Someone has done an accurate national count, and while they probably didn’t tell you, they did put the number somewhere on the web for you to look up.
“These improvements reveal that the U.S. population is much more multiracial and diverse than what we measured in the past,” Census Bureau officials said at the time.
But does that mean there are more people now with the same sort of multiple heritage, or that the same people are newly identifying as multi-ethnic, or just that the question has changed? According to Associated Press, new research suggests it’s mostly measurement.

An article from ABC News in Adelaide, South Australia, describes incidents where fencing wire was strung across a bike path. According to police
The riders were travelling about 35 kilometres per hour and fell from their bikes. Two suffered minor injuries, while the third was not injured.
Police said each of their bicycles were severely damaged.
That sounds at first like extraordinary good luck: if you come off a bike at 35 km/h and your bike was wrecked, you’d expect to be damaged too. I think the problem, as with a lot of discussions of road crashes, is the official assessment metrics for injuries. In South Australia, according to this and similar documents:
Serious Injury – A person who sustains injuries and is admitted to hospital for a duration of at least 24 hours as a result of a road crash and who does not die as a result of those injuries within 30 days of the crash.
Minor Injury – A person who sustains injuries requiring medical treatment, either by a doctor or in a hospital, as a result of a road crash and who does not die as a result of those injuries with 30 days of the crash.
A broken bone leading to substantial disability might easily not be a Serious Injury, and several square inches of road rash may well not be even a Minor Injury. (New Zealand has the same definition of a “serious” injury is one that gets you admitted to hospital for an overnight stay, but doesn’t have restrictive standards for minor injury)
It’s not that these definitions are necessarily bad for collecting data — there’s a lot to be said for a definition that’s administratively checkable — but it does mean you might want to translate from officialese to ordinary language when reporting individual injuries or aggregated statistics to ordinary people.
Update: One of the cyclists in the first group has talked to the ABC. One of the “minor injuries” required five stitches.
Q: Did you see that coffee only works if you drink it in the morning?
A: Works?
Q: Reduces your risk of heart disease
A: That’s … not my top reason for drinking coffee. Maybe not even top three.
Q: But is it true?
A: It could be, but probably not
Q: Mice?
A: No, this is in people. Twenty years of survey responses from the big US health survey called NHANES. They divided people into three groups depending on their coffee consumption on the day of their dietary interview: no coffee, coffee only between 4am and 11:59am, and coffee throughout the day
Q: Couldn’t there be other differences between people who drink coffee in the morning and afternoon? Like, cultural differences or age or health or something?
A: Yes, the researchers aimed to control for these statistically: differences in age, sex, race and ethnicity, survey year, family income, education levels, body mass index, diabetes, hypertension, high cholesterol, smoking status, time of smoking cessation, physical activity, Alternative Healthy Eating Index, total calorie intake, caffeinated coffee intake, and decaffeinated coffee intake, tea intake, and caffeinated soda intake, short sleep duration, and difficulty sleeping
Q: Um. Wow?
A: I mean, it’s a good effort. One of the real benefits of NHANES is it measures so much stuff. On the other hand a lot of these things aren’t measured all that precisely, and it’s not like you have a lot of people left when you chop up the sample that many ways. And the evidence for any difference is pretty marginal
Q: What’s their theory about how the coffee supposed to be working?
A: The Guardian and BBC versions of the story quotes experts who thinks it’s all about coffee disrupting sleep
Q: That sounds kind of plausible — but didn’t you say they adjusted for sleep?
A: Yes, so if the adjustments work it isn’t sleep
Q: Should we be campaigning for cafes to close early, like the new Auckland alcohol regulations?
A: It’s much too early for that, and in any case there isn’t any real suggestion coffee is harmful after noon. It might be worth someone repeating the research in a very different population from the US but where people still drink coffee. There are plenty of those.
Q: And what about advice to readers on their coffee consumption?
A: The standard StatsChat advice: if you’re drinking coffee in the morning primarily for the good of your heart, you may be doing it wrong.

Ok, this is a bit late, but I didn’t see the poll (in a physical Sunday Star-Times) until this week. An established Australian polling firm, Freshwater Strategy, have been doing polls here, too. Stuff reports that the poll (also, at the Post)
…reveals 37% of New Zealand voters have seriously considered emigrating to Australia in the past 12 months.
By comparison, of Australian voters, only 8% have considered moving to New Zealand, including just 1% who have spent time looking into it.
If you don’t think too carefully, that gives the impression of a giant sucking sound and the lights going out in New Zealand. Australia is a lot larger than New Zealand, though. If 8% of people in Australia moved to New Zealand and 37% of people in New Zealand moved to Australia, the population of New Zealand would go up, not down. The total populations are about 5 million and about 27 million. Of those, about 3.6 million are enrolled to vote in NZ and nearly 18 million enrolled to vote in Australia, so 37% of NZ voters is 1.3 million and 8% of Oz voters is 1.44 million.
Another useful comparison number is that the largest ever number of people migrating out of NZ to all destinations, not just Australia, over any 12 months is about 130,000, a tenth of the ‘seriously considered’ number. A lot of people (apparently) seriously consider a lot of things they don’t end up doing.
The other important aspect of the story is the estimates quoted for small subpopulations. Overall, the poll claims a maximum margin of error of about 3 percentage points. That’s for the population as a whole. Proportions are given for different age groups, including 18-34 year olds, people earning more than $150,000, and voters for Te Pāti Māori. We aren’t told the uncertainty in these numbers, but it’s obviously higher. About 1/3 of adults are 18-34, about 5% earn over $150k (IRD spreadsheet), and about 3% voted for Te Pāti Māori. The maximum margin of error for subpopulations this big would be 5, 13, and 17 percentage points respectively, assuming equal sampling. You can’t easily learn much about wealthy people or Pāti Māori voters just by contacting random people throughout the country — and the assumption that you can make your sample representative by reweighting gets increasingly dodgy.
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