Demystifying Spatial Confounding

Spatial confounding is a fundamental issue in regression models for spatially indexed data. It arises because spatial random effects, included to approximate unmeasured spatial variation, are typically not independent of the covariates in the model. This can lead to significant bias in covariate effect estimates. Despite extensive research, it is still a topic of much confusion with sometimes puzzling and seemingly contradictory results. In this paper we develop a broad theoretical framework that brings mathematical clarity to the mechanisms of spatial confounding, providing explicit and interpretable analytical expressions for the resulting bias. From these, we see that it is a problem directly linked to spatial smoothing, and we can identify exactly how the features of the model and the data generation process affect the size and occurrence of bias. We also use our framework to understand and generalise some of the main results on spatial confounding in the past, including suggested methods for bias adjustment. Thus, our comprehensive and mathematically explicit approach clears up existing confusion and, indeed, demystifies the issue of spatial confounding.