Average Adjusted Association: Efficient Estimation with High Dimensional Confounders

The log odds ratio is a common parameter to measure association between (binary) outcome and exposure variables. Much attention has been paid to its parametric but robust estimation, or its nonparametric estimation as a function of confounders. However, discussion on how to use a summary statistic by averaging the log odds ratio function is surprisingly difficult to find despite the popularity and importance of averaging in other contexts such as estimating the average treatment effect. We propose a couple of efficient double/debiased machine learning (DML) estimators of the average log odds ratio, where the odds ratios are adjusted for observed (potentially high dimensional) confounders and are averaged over them. The estimators are built from two equivalent forms of the efficient influence function. The first estimator uses a prospective probability of the outcome conditional on the exposure and confounders; the second one employs a retrospective probability of the exposure conditional on the outcome and confounders. Our framework encompasses random sampling as well as outcome-based or exposure-based sampling. Finally, we illustrate how to apply the proposed estimators using real data.