Assessing the representativeness of population-sampled health surveys through linkage to administrative data on alcohol-related outcomes.
Assessing the representativeness of population-sampled health surveys through linkage to administrative data on alcohol-related outcomes.
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DOI：
10.1093/aje/kwu207
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发表时间：
2014-11-01
影响因子：
5
通讯作者：
Gray L
中科院分区：
文献类型：
--
作者：
Gorman E;Leyland AH;McCartney G;White IR;Katikireddi SV;Rutherford L;Graham L;Gray L
健康调查是监测人口健康的重要资源，但选择性不回答可能会妨碍有效的推断。本研究旨在评估苏格兰人群抽样健康调查中的无应答偏倚，重点是酒精相关的结果。通过检查酒精相关伤害的发生率（即，苏格兰健康调查（1995年至2010年）的受访者的死亡率（住院或死亡）和全因死亡率与一般人群相当，以及任何偏差的程度是否因社会人口属性或时间而异。同意的受访者（年龄20-64岁）6苏格兰健康调查的数据与死亡和住院记录，并与一般人群的同行进行了比较。与一般人群相比，苏格兰健康调查受访者中与酒精相关的伤害和全因死亡的直接年龄标准化发病率较低。对于所有年份，酒精相关伤害发生率的调查与人口比率为0.69（95%置信区间：0.61，0.76），全因死亡率为0.89（95%置信区间：0.83，0.96）。在居住在更贫困地区的人中，偏见更为明显;区域或时间变化的证据有限。这表明，对人口饮酒率的相应低估可能是社会模式的。
Health surveys are an important resource for monitoring population health, but selective nonresponse may impede valid inference. This study aimed to assess nonresponse bias in a population-sampled health survey in Scotland, with a focus on alcohol-related outcomes. Nonresponse bias was assessed by examining whether rates of alcohol-related harm (i.e., hospitalization or death) and all-cause mortality among respondents to the Scottish Health Surveys (from 1995 to 2010) were equivalent to those in the general population, and whether the extent of any bias varied according to sociodemographic attributes or over time. Data from consenting respondents (aged 20–64 years) to 6 Scottish Health Surveys were confidentially linked to death and hospitalization records and compared with general population counterparts. Directly age-standardized incidence rates of alcohol-related harm and all-cause mortality were lower among Scottish Health Survey respondents compared with the general population. For all years combined, the survey-to-population rate ratios were 0.69 (95% confidence interval: 0.61, 0.76) for the incidence of alcohol-related harm and 0.89 (95% confidence interval: 0.83, 0.96) for all-cause mortality. Bias was more pronounced among persons residing in more deprived areas; limited evidence was found for regional or temporal variation. This suggests that corresponding underestimation of population rates of alcohol consumption is likely to be socially patterned.
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影响因子：
5
作者：
Goldberg, M;Chastang, JF;Imbernon, E
通讯作者：
Imbernon, E
影响因子：
6.3
作者：
Harald, Kennet;Salomaa, Veikko;Vartiainen, Erkki
通讯作者：
Vartiainen, Erkki
影响因子：
2.9
作者：
Frankel MR;Battaglia MP;Balluz L;Strine T
通讯作者：
Strine T
影响因子：
2.3
作者：
Hockey, Richard;Tooth, Leigh;Dobson, Annette
通讯作者：
Dobson, Annette
影响因子：
4.2
作者：
Fleming, Michael;Kirby, Brad;Penny, Kay I.
通讯作者：
Penny, Kay I.