Community Medicine (PSM) · Screening of Diseases and Health Concepts

Which criterion of Bradford Hill's causation criteria is considered the MOST important single criterion for establishing causality?

  • A Strength of association (high RR/OR)
  • B Temporality (cause precedes effect)
  • C Dose-response relationship
  • D Biological plausibility
Correct answer: B. Temporality (cause precedes effect)

Explanation

Temporality — the cause must precede the effect — is the only logically indispensable criterion for causality in Bradford Hill's framework. Without establishing that exposure precedes disease, no causal inference is possible regardless of how strong or consistent the association is. Strength is the most important in terms of detecting confounding, but temporality is non-negotiable for causality.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

Sponsored

Want to test yourself?

Create a free account for timed mock tests, mistake tracking, and FSRS spaced-repetition revision across 23,000+ MCQs.

Start free → Log in

More Screening of Diseases and Health Concepts MCQs

See all Screening of Diseases and Health Concepts MCQs →