However, depending on the context, some suitable alternatives could be:
* Causation: This word focuses on the act of causing something.
* Origin: This emphasizes the starting point or beginning of something.
* Cause: This is a general term for something that produces a result.
* Pathogenesis: This is specifically used for the development of a disease.
* Aetiology: This is a more archaic spelling of etiology, but still commonly used in some contexts.
* Underlying factors: This refers to the contributing causes that led to something.
The best alternative will depend on the specific context and the nuance you are trying to convey.