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Summary A common concern when trying to draw causal inferences from observational data is that the measured covariates are insufficiently rich to account for all sources of confounding. In practice, many of the covariates may only be proxies of the latent confounding mechanism. Recent work has shown that in certain settings where the standard no-unmeasured-confounding assumption fails, proxy variables can be leveraged to identify causal effects. Results currently exist for the total causal effect of an intervention, but little consideration has been given to learning about the direct or indirect pathways of the effect through a mediator variable. In this work, we describe three separate proximal identification results for natural direct and indirect effects in the presence of unmeasured confounding. We then develop a semiparametric framework for inference on natural direct and indirect effects, which leads us to locally efficient, multiply robust estimators. 

Identification theory for causal effects in causal models associated with hidden variable directed acyclic graphs (DAGs) is well studied. However, the corresponding algorithms are underused due to the complexity of estimating the identifying functionals they output. In this work, we bridge the gap between identification and estimation of population-level causal effects involving a single treatment and a single outcome. We derive influence function based estimators that exhibit double robustness for the identified effects in a large class of hidden variable DAGs where the treatment satisfies a simple graphical criterion; this class includes models yielding the adjustment and front-door functionals as special cases. We also provide necessary and sufficient conditions under which the statistical model of a hidden variable DAG is nonparametrically saturated and implies no equality constraints on the observed data distribution. Further, we derive an important class of hidden variable DAGs that imply observed data distributions observationally equivalent (up to equality constraints) to fully observed DAGs. In these classes of DAGs, we derive estimators that achieve the semiparametric efficiency bounds for the target of interest where the treatment satisfies our graphical criterion. Finally, we provide a sound and complete identification algorithm that directly yields a weight based estimation strategy for any identifiable effect in hidden variable causal models.