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The video tutorial discusses H confounding and how to combat it with H adjustment. Comparing stratified rates can help with confounding, while adjustment is another method often used when comparing rates in different populations. Using a previous example of death rates in cities A and B, it is shown that the overall death rate was higher in city A due to its older age distribution, but the age stratified mortality rates were higher in city B. To eliminate age confounding, age-specific death rates can be applied to a standard population, such as city A. This process involves adjusting the rates to account for age distribution differences.