Socioeconomic, demographic, occupational, and health factors associated with participation in a long-term epidemiologic survey: A prospective study of the french GAZEL cohort and its target population
Socioeconomic, demographic, occupational, and health factors associated with participation in a long-term epidemiologic survey: A prospective study of the french GAZEL cohort and its target population
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DOI：
10.1093/aje/154.4.373
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发表时间：
2001-08-15
影响因子：
5
通讯作者：
Imbernon, E
中科院分区：
文献类型：
--
作者：
Goldberg, M;Chastang, JF;Imbernon, E
这篇文章的目的是检验个人和健康因素，在研究开始和之后，与参与GAZEL队列有关的因素，在一家法国大公司中，作者使用Logistic回归分析参与者(n=20,093)和非参与者(n=24,829)参与和可获得的数据之间的关联。较高的参与率与特定地区的男性、婚姻、子女、管理地位和居住地有关。在男性中，较低的参与率与招募前一年和招募后的病假有关。在随访期间，参与与几组疾病呈负相关，特别是与饮酒有关的疾病。在随访期间，非参与者患上呼吸道、消化道和肺癌的风险更高。同样的现象也发生在女性身上，但在乳腺癌和生殖器官癌中没有那么明显。在随访期间，非参与者中男性的死亡率更高，特别是在与酒精相关的疾病中。女性之间的联系则不那么强烈。在男性中，酒精、吸烟或危险行为引起的疾病是参与者和非参与者之间健康差异的主要原因，但在女性中不是。总的来说，参与的最重要决定因素是文化因素和生活方式行为。
The purpose of this paper is to examine personal and health factors, both at the beginning of the study and thereafter, associated with participation in the GAZEL cohort, set up in 1989 in a large French company The authors used logistic regression to analyze the associations between participation and data available for both participants (n = 20,093) and nonparticipants (n = 24,829). Higher participation was associated with male sex, marriage, children, managerial status, and residence in particular regions. Among men, lower participation was associated with sick leave in the year before recruitment and afterwards. During follow-up, participation was negatively associated with several groups of diseases, especially those associated with alcohol consumption. The risk of upper respiratory and digestive tract and lung cancer during follow-up was higher among nonparticipants. The same phenomenon occurred among women, but less markedly, for cancers of the breast and genital organs. During follow-up, mortality among men was higher among nonparticipants, especially for alcohol-related diseases. The association among women was less strong. Among men, but not among women, diseases caused by alcohol, smoking, or dangerous behavior were the primary reason for the health differences observed between participants and nonparticipants. Overall, the most important determinants of participation were cultural factors and lifestyle behaviors.