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When the stratified answer and the pooled one disagree

Simpson's reversal is normally taught once, on one table, as a warning about confounding. None of the reversals here is confounded. A trial randomised by a coin, on a population where the treatment helps in both groups, reports it losing overall on 3.40% of trials at eighty units — and stratifying the randomisation takes that to zero at every size. An odds ratio of exactly 2.5 in all five strata pools to 1.789, because an odds ratio is not a weighted average of odds ratios, while the risk difference on the same table is exactly its stratum value. And where the grouping variable is something the treatment caused, both answers are right and answer different questions.

How often a randomised trial reports the reversal, advantage 6 points. Simple randomisation against randomisation stratified by group, 4,000 trials at each size. The simple design reverses on 3.40% of trials at its worst size and 0.50% at 1280 units; the stratified design reverses on none of them, at any size.

The reversal a coin cannot prevent

Randomisation removes Simpson's reversal in expectation, which is not the same as removing it. A correctly randomised trial of eighty units, on a population where the treatment helps in both groups, reports it losing overall on 3.40% of trials — and stratifying the randomisation takes that to zero at every size.

One odds ratio in every stratum, and a different one marginally. Five strata with baseline risks from 5% to 85%, a treatment allocated by a coin in each, and a conditional odds ratio of exactly 2.5 throughout. The marginal odds ratio is 1.789. Nothing is confounded; the odds ratio is simply not a weighted average of odds ratios.

The change that is not confounding

Five strata, a treatment allocated by a coin in every one, and an odds ratio of exactly 2.5 in all five. The odds ratio computed on the pooled table is 1.789. Nothing is confounded — an odds ratio is not a weighted average of odds ratios, and the risk difference, on the same table, is exactly its own stratum value.

What stratifying on a mediator estimates, and what it does not. The direct effect stays at -0.109 throughout, because it is defined with the mediator held fixed. The total effect runs from -0.218 to 0.027 and crosses zero at 1.5. On 15% of the sweep the two have opposite signs, and both are correct answers.

Conditioning on what the treatment caused

When the grouping variable lies on the path from treatment to outcome, the stratified answer is the direct effect and the aggregate is the total effect. Both are correct. Over 15% of a sweep of the indirect path they have opposite signs, and no arithmetic on the table says which question was being asked.

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