second-stage non-response in the swiss health survey determinants and bias in outcomes阶段的情况在瑞士健康调查决定因素和偏见的结果.pdfVIP

Volken BMC Public Health 2013, 13:167 /1471-2458/13/167 RESEARCH ARTICLE Open Access Second-stage non-response in the Swiss health survey: determinants and bias in outcomes Thomas Volken Abstract Background: Unit non-response occurs in sample surveys when a target subject does not respond to a survey. Potential implications are decreased power, increased standard error, and non-response bias. The objective of this study was to assess the factors associated with participation in a written survey (MSHS) of subjects who had previously participated in the Swiss Health Survey (SHS) and to evaluate to what extent non-participation could impact the estimation of various MSHS health outcomes. Methods: Multivariate logistic regression was used to assess the factors associated with MSHS participation (n=14,393) by eligible SHS participants (n=17,931). Crude participation rates and the adjusted odds ratios of participation (OR) were reported. In order to report potential bias in MSHS outcomes, the average age-standardized and sex-specific outcome values in non-participants were predicted based on several different linear regression models which had been previously fitted on MSHS participants. Results: Adjusting for all other variables, women (OR=1.63) as compared with men, subjects with a secondary (OR=1.48) or tertiary education (OR=1.76) as compared with those with primary education, white-collar workers (high level non-manual workers OR=1.29, medium and low level non-manual workers OR=1.26 and OR=1.25 respectively) as compared with unskilled manual workers, Swiss nationals (OR=1.60) as compared to non-Swiss, and subjects with very good or good self-rated health (OR=1.35) were more likely to participate in the MSHS. People who work full-time were less likely to participate than those without paid work (OR=0.76). There w