When national drug surveys "take too long": An examination of who is at risk for survey fatigue.

When national drug surveys "take too long": An examination of who is at risk for survey fatigue.
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DOI:
10.1016/j.drugalcdep.2021.108769
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发表时间:
2021-08-01
影响因子:
4.2
通讯作者:
Palamar JJ
Palamar JJ
中科院分区:
医学2区
文献类型:
--
作者:
Le A;Han BH;Palamar JJ

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国家调查是估计药物使用和其他健康相关行为流行率的主要方法。然而,当参与者认为调查太耗时时,有更高的可能性是较低质量的响应。我们检查了2018年至2019年全国药物使用和健康调查的数据,这是美国年龄≥12岁的非机构化个体的全国代表性样本(N = 112,184)。参与者在这个长达一小时的调查中被问及13种药物类别,那些报告使用药物的人被问到后续问题。我们估计了患病率和参与者的相关性,说明调查需要太长时间才能完成。估计有9.4%(95% CI:8.9-9.8)的人认为调查时间太长。过去一年使用的药物越多,报告调查时间过长的几率就越高。特别是报告使用8-13种药物类别的患者的风险更高(aOR = 2.91,95%CI:1.44-5.87)。更多的缺失回答与更高的几率相关-特别是当跳过≥5个药物相关问题时(aOR = 3.26,95% CI:2.26-4.71)。不会说任何英语(aOR = 1.74,95%CI:1.31-2.32),难以集中注意力(aOR = 1.38,95%CI:1.23-1.54)和/或难以理解采访(aOR = 3.99,95%CI:3.51-4.53)的参与者的几率较高,老年人和非白人也是如此。高等教育和家庭收入与较低的几率相关。我们在一项全国性的药物调查中确定了最有可能出现疲劳的人群。研究人员应该认识到,长时间的调查和大量的后续问题可能会导致受访者疲劳。
National surveys are a leading method for estimating prevalence of substance use and other health-related behaviors. However, when a participant perceives a survey as too time-consuming, there is a higher probability of lower quality responses. We examined data from the 2018 to 2019 National Survey on Drug Use and Health, a nationally representative sample of non-institutionalized individuals ages ≥12 in the U.S. (N = 112,184). Participants were asked about 13 drug classes on this hour-long survey, and those reporting use of a drug were asked follow-up questions. We estimated prevalence and correlates of participants stating that the survey took too long to complete. An estimated 9.4 % (95 % CI: 8.9–9.8) felt the survey took too long. The more drugs used in the past year, the higher the odds of reporting that the survey took too long. Those reporting use of 8–13 drug classes in particular were at higher odds (aOR = 2.91, 95 % CI: 1.44–5.87). More missing responses was associated with higher odds—particularly when ≥5 drug-related questions were skipped (aOR = 3.26, 95 % CI: 2.26–4.71). Participants who did not speak any English (aOR = 1.74, 95 % CI: 1.31–2.32), have difficulty concentrating (aOR = 1.38, 95 % CI: 1.23–1.54), and/or had trouble understanding the interview (aOR = 3.99, 95 % CI: 3.51–4.53) were at higher odds, as were those who were older and non-white. Higher education and family income was associated with lower odds. We identified subgroups of individuals most likely to experience fatigue on a national drug survey. Researchers should recognize that long surveys with extensive follow-up questions may lead to respondent fatigue.
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