Non-response and related factors in a nation-wide health survey
Non-response and related factors in a nation-wide health survey
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DOI：
10.1023/a:1020016922473
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发表时间：
2001-01-01
影响因子：
13.6
通讯作者：
Koskenvuo, M
中科院分区：
文献类型：
--
作者：
Korkeila, K;Suominen, S;Koskenvuo, M
目的：分析与意外低有效率相关的选择因素。对象和方法：1998年，对随机选择的芬兰工作年龄人口的心理社会健康进行了一项大型前瞻性随访研究，结果得到21,101份答复（40.0%）。非应答分析使用官方统计数据中的人口统计学和与健康相关的人口特征，以及早期和晚期应答者之间行为、身体和精神健康相关的结果差异，以预测可能的非应答偏差。不回应的原因，由迟来的回答者的答复缺失所表明，以及影响给予同意的因素也进行了分析。结果：男性、年龄较大、受教育程度较低、离婚和丧偶的受访者以及领取残疾养老金的受访者不回答的可能性较大。受访者与一般人群在身体健康方面的差异很小，这可以用定义上的差异来解释。较晚的受访者比较早的受访者吸烟和使用更多的精神药物，这表明非受访者也有类似的特征。敏感问题对回复率的影响很小。94.5%的早期应答者和90.9%的晚期应答者同意使用基于医疗登记册的随访（优势比：1.70；95%可信区间：1.49-1.93）。在报告目前吸烟、酗酒、恐慌症或使用镇静剂的受访者中，同意的可能性更大。结论：无应答的主要原因可能是易感的社会人口学和行为因素，问卷的长度和敏感性在一定程度上，怀疑书面同意和个人与同意书上提到的登记册之间的联系。
Objective: To analyse selective factors associated with an unexpectedly low response rate. Subjects and methods: The baseline questionnaire survey of a large prospective follow-up study on the psychosocial health of the Finnish working-aged randomly chosen population resulted in 21,101 responses (40.0%) in 1998. The non-respondent analysis used demographic and health-related population characteristics from the official statistics and behavioural, physical and mental health-related outcome differences between early and late respondents to predict possible non-response bias. Reasons for non-response, indicated by missing responses of late respondents, and factors affecting the giving of consent were also analysed. Results: The probability of not responding was greater for men, older age groups, those with less education, divorced and widowed respondents, and respondents on disability pension. The physical health-related differences between the respondents and the general population were small and could be explained by differences in definitions. The late respondents smoked and used more psychopharmaceutical drugs than the early ones, suggesting similar features in non-respondents. The sensitive issues had a small effect on the response rate. The consent to use a medical register-based follow-up was obtained from 94.5% of the early and 90.9% of the late respondents (odds ratio: 1.70; 95% confidence interval: 1.49-1.93). Consent was more likely among respondents reporting current smoking, heavy alcohol use, panic disorder or use of tranquillisers. Conclusions: The main reasons for non-response may be the predisposing sociodemographic and behavioural factors, the length and sensitive nature of the questionnaire to some extent, and a suspicion of written consent and a connection being made between the individual and the registers mentioned on the consent form.