In City X, municipal health officials observed that residents living in neighborhoods with a high density of full-service grocery stores report significantly lower rates of cardiovascular disease than residents in neighborhoods served primarily by fast-food outlets and convenience stores. To reduce the citywide incidence of cardiovascular disease, the city council proposes offering tax incentives to attract full-service grocery stores to underserved neighborhoods. The council reasons that increasing physical access to fresh produce will prompt residents to adopt healthier diets, thereby directly lowering their risk of cardiovascular illness.
Which of the following, if true, provides the strongest support for the city council's reasoning?
- Individuals who maintain healthy diets are no more likely to choose to live in neighborhoods with full-service grocery stores than are individuals with poor dietary habits.Cevap
- BThe average price of fresh produce at full-service grocery stores in City X has risen significantly faster over the past decade than the price of processed foods at convenience stores.
- CCity X currently devotes a smaller percentage of its overall municipal budget to public health initiatives than do neighboring cities of comparable population size.
- DCardiovascular disease accounts for a larger share of total healthcare expenditures in City X than any other preventable chronic medical condition.
- EMost full-service grocery stores operating in neighboring regions derive a majority of their total sales revenue from pre-packaged convenience foods rather than fresh produce.
Cevap
The correct response is the statement establishing that individuals with healthy diets are no more likely to move to neighborhoods with full-service grocery stores than those with poor diets.
The city council's argument relies on a causal claim: increasing physical access to fresh produce will cause residents to adopt healthier diets and lower their risk of cardiovascular disease. The evidence provided is a mere correlation between grocery store density and lower disease rates. A key vulnerability of correlation-to-causation reasoning is the possibility of self-selection bias—specifically, that health-conscious people actively choose to live in areas near full-service grocery stores. By confirming that individuals with healthy diets are no more likely to relocate to these neighborhoods than individuals with poor diets, the correct answer rules out self-selection bias, thereby substantially strengthening the likelihood that the stores themselves positively influence resident health.
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Anahtar Kavram
Strengthening Causal Arguments by Eliminating Confounding Variables / Reverse Causality