Second-stage non-response in the Swiss health survey determinants and bias in outcomes 英文参考文献.docVIP
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VolkenBMCPublicHealth2013,13:167
/1471-2458/13/167
RESEARCH ARTICLE
OpenAccess
Second-stagenon-responseintheSwisshealth
survey:determinantsandbiasinoutcomes
ThomasVolken
Abstract
Background:Unitnon-responseoccursinsamplesurveyswhenatargetsubjectdoesnotrespondtoasurvey.
Potentialimplicationsaredecreasedpower,increasedstandarderror,andnon-responsebias.Theobjectiveofthis
studywastoassessthefactorsassociatedwithparticipationinawrittensurvey(MSHS)ofsubjectswhohad
previouslyparticipatedintheSwissHealthSurvey(SHS)andtoevaluatetowhatextentnon-participationcould
impacttheestimationofvariousMSHShealthoutcomes.
Methods:MultivariatelogisticregressionwasusedtoassessthefactorsassociatedwithMSHSparticipation
(n=14,393)byeligibleSHSparticipants(n=17,931).Crudeparticipationratesandtheadjustedoddsratiosof
participation(OR)werereported.InordertoreportpotentialbiasinMSHSoutcomes,theaverageage-standardized
andsex-specificoutcomevaluesinnon-participantswerepredictedbasedonseveraldifferentlinearregression
modelswhichhadbeenpreviouslyfittedonMSHSparticipants.
Results:Adjustingforallothervariables,women(OR=1.63)ascomparedwithmen,subjectswithasecondary
(OR=1.48)ortertiaryeducation(OR=1.76)ascomparedwiththosewithprimaryeducation,white-collarworkers
(highlevelnon-manualworkersOR=1.29,mediumandlowlevelnon-manualworkersOR=1.26andOR=1.25
respectively)ascomparedwithunskilledmanualworkers,Swissnationals(OR=1.60)ascomparedtonon-Swiss,and
subjectswithverygoodorgoodself-ratedhealth(OR=1.35)weremorelikelytoparticipateintheMSHS.People
whoworkfull-timewerelesslikelytoparticipatethanthosewithoutpaidwork(OR=0.76).Therewereno
statisticallysignificantdifferencesinthelikelihoodofparticipationbetweenruralandurbanareas,different
geographicregionsofSwitzerlandandhouseholdincomequartiles.
Exceptformyocardialinfarction,allage-standardizedandsex-specificaverageoutcomes(influenzavaccination,
arthrosis,osteoporosis,highbloodpressure,depression,mastery,andsenseofcoherence)weresignificantly
differentbetweenMSHSnon-p
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