To develop and demonstrate the utility of measures of sleep continuity based on survival analysis techniques.

In the analysis of causal effects in non-experimental studies, conditioning on observable covariates is one way to try to reduce unobserved confounder bias. However, a developing literature has shown that conditioning on certain covariates may increase bias, and the mechanisms underlying this phenomenon have not been fully explored. We add to the literature on bias-increasing covariates by first introducing a way to decompose omitted variable bias into three constituent parts: bias due to an unobserved confounder, bias due toexcludingobserved covariates, and bias due to amplification. This leads to two important findings. Although instruments have been the primary focus of the bias amplification literature to date, we identify the fact that the popular approach of adding group fixed effects can lead to bias amplification as well. This is an important finding because many practitioners think that fixed effects are a convenient way to account for any and all group-level confounding and are at worst harmless. The second finding introduces the concept of biasunmaskingand shows how it can be even more insidious than bias amplification in some cases. After introducing these new results analytically, we use constructed observational placebo studies to illustrate bias amplification and bias unmasking with real data. Finally, we propose a way to add bias decomposition information to graphical displays for sensitivity analysis to help practitioners think through the potential for bias amplification and bias unmasking in actual applications.