Multivariate incremental effects for continuous treatments: Studying the health effects of environmental mixtures

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Main Authors: Huang, Zhuochao, Dong, Kejin, Lin, Tuo, Antonelli, Joseph
Format: Preprint
Published: 2026
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author Huang, Zhuochao
Dong, Kejin
Lin, Tuo
Antonelli, Joseph
author_facet Huang, Zhuochao
Dong, Kejin
Lin, Tuo
Antonelli, Joseph
contents Evaluating the causal health effects of multivariate, continuous exposures, such as air pollution mixtures, is a critical public health challenge. A primary obstacle is the frequent violation of the positivity assumption, which renders the effects of standard deterministic interventions unidentified or heavily reliant on unreliable model extrapolation. In this paper, we develop a novel causal inference framework to address this challenge. We extend exponential tilting to multivariate exposures and address the critical question of how to compare different intervention directions fairly. This establishes a systematic framework for defining and evaluating various policy-relevant causal estimands, allowing researchers to address diverse scientific questions. We develop numerous methodological advancements, including efficient one-step estimation strategies, a Riemannian BFGS algorithm to solve a constrained manifold optimization problem, semiparametric efficiency bounds for causal estimands, minimax rates for estimators, and establishing asymptotic normality. We demonstrate our framework's utility by applying it to a nationwide environmental health dataset to identify the optimal strategy for reducing adverse health outcomes associated with a PM$_{2.5}$ chemical mixture.
format Preprint
id arxiv_https___arxiv_org_abs_2604_23534
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Multivariate incremental effects for continuous treatments: Studying the health effects of environmental mixtures
Huang, Zhuochao
Dong, Kejin
Lin, Tuo
Antonelli, Joseph
Methodology
Applications
Evaluating the causal health effects of multivariate, continuous exposures, such as air pollution mixtures, is a critical public health challenge. A primary obstacle is the frequent violation of the positivity assumption, which renders the effects of standard deterministic interventions unidentified or heavily reliant on unreliable model extrapolation. In this paper, we develop a novel causal inference framework to address this challenge. We extend exponential tilting to multivariate exposures and address the critical question of how to compare different intervention directions fairly. This establishes a systematic framework for defining and evaluating various policy-relevant causal estimands, allowing researchers to address diverse scientific questions. We develop numerous methodological advancements, including efficient one-step estimation strategies, a Riemannian BFGS algorithm to solve a constrained manifold optimization problem, semiparametric efficiency bounds for causal estimands, minimax rates for estimators, and establishing asymptotic normality. We demonstrate our framework's utility by applying it to a nationwide environmental health dataset to identify the optimal strategy for reducing adverse health outcomes associated with a PM$_{2.5}$ chemical mixture.
title Multivariate incremental effects for continuous treatments: Studying the health effects of environmental mixtures
topic Methodology
Applications
url https://arxiv.org/abs/2604.23534