Historique
Article de Périodique
What is wrong with non-respondents? Alcohol-, drug- and smoking-related mortality and morbidity in a 12-year follow-up study of respondents and non-respondents in the Danish Health and Morbidity Survey (2015)
Auteur(s) :
CHRISTENSEN, A. I. ;
EKHOLM, O. ;
GRAY, L. ;
GLUMER, C. ;
JUEL, K.
Année :
2015
Page(s) :
1505-1512
Langue(s) :
Anglais
Refs biblio. :
27
Domaine :
Alcool / Alcohol ; Drogues illicites / Illicit drugs ; Tabac / Tobacco / e-cigarette
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
DANEMARK
Thésaurus mots-clés
ENQUETE
;
ALCOOL
;
TABAC
;
PRODUIT ILLICITE
;
MORBIDITE
;
MORTALITE
;
COMPARAISON
;
BIAIS
Autres mots-clés
Note générale :
Commentaries:
- Exploring issues arising from survey non-response. Fergusson D.M., Boden J.M., p. 1513-1514.
- Response to Fergusson & Boden (2015): The importance of considering the impacts of survey non-participation. Christensen A.I., Ekholm O., Gray L., Glümer C., Juel K., p. 1514-1515.
- Exploring issues arising from survey non-response. Fergusson D.M., Boden J.M., p. 1513-1514.
- Response to Fergusson & Boden (2015): The importance of considering the impacts of survey non-participation. Christensen A.I., Ekholm O., Gray L., Glümer C., Juel K., p. 1514-1515.
Résumé :
Aim: Response rates in health surveys have diminished over the last two decades, making it difficult to obtain reliable information on health and health-related risk factors in different population groups. This study compared cause-specific mortality and morbidity among survey respondents and different types of non-respondents to estimate alcohol-, drug- and smoking-related mortality and morbidity among non-respondents.
Design: Prospective follow-up study of respondents and non-respondents in two cross-sectional health surveys.
Setting: Denmark.
Participants: A total sample of 39?540 Danish citizens aged 16 years or older.
Measurements: Register-based information on cause-specific mortality and morbidity at the individual level was obtained for respondents (n = 28?072) and different types of non-respondents (refusals n = 8954; illness/disabled n = 731, uncontactable n = 1593). Cox proportional hazards models were used to examine differences in alcohol-, drug- and smoking-related mortality and morbidity, respectively, in a 12-year follow-up period.
Findings: Overall, non-response was associated with a significantly increased hazard ratio (HR) of 1.56 [95% confidence interval (CI) = 1.36-1.78] for alcohol-related morbidity, 1.88 (95% CI = 1.38-2.57) for alcohol-related mortality, 1.55 (95% CI = 1.27-1.88) for drug-related morbidity, 3.04 (95% CI = 1.57-5.89) for drug-related mortality and 1.15 (95% CI = 1.03-1.29) for smoking-related morbidity. The hazard ratio for smoking-related mortality also tended to be higher among non-respondents compared with respondents, although no significant association was evident (HR = 1.14; 95% CI = 0.95-1.36). Uncontactable and ill/disabled non-respondents generally had a higher hazard ratio of alcohol-, drug- and smoking-related mortality and morbidity compared with refusal non-respondents.
Conclusion: Health survey non-respondents in Denmark have an increased hazard ratio of alcohol-, drug- and smoking-related mortality and morbidity compared with respondents, which may indicate more unfavourable health behaviours among non-respondents.
Design: Prospective follow-up study of respondents and non-respondents in two cross-sectional health surveys.
Setting: Denmark.
Participants: A total sample of 39?540 Danish citizens aged 16 years or older.
Measurements: Register-based information on cause-specific mortality and morbidity at the individual level was obtained for respondents (n = 28?072) and different types of non-respondents (refusals n = 8954; illness/disabled n = 731, uncontactable n = 1593). Cox proportional hazards models were used to examine differences in alcohol-, drug- and smoking-related mortality and morbidity, respectively, in a 12-year follow-up period.
Findings: Overall, non-response was associated with a significantly increased hazard ratio (HR) of 1.56 [95% confidence interval (CI) = 1.36-1.78] for alcohol-related morbidity, 1.88 (95% CI = 1.38-2.57) for alcohol-related mortality, 1.55 (95% CI = 1.27-1.88) for drug-related morbidity, 3.04 (95% CI = 1.57-5.89) for drug-related mortality and 1.15 (95% CI = 1.03-1.29) for smoking-related morbidity. The hazard ratio for smoking-related mortality also tended to be higher among non-respondents compared with respondents, although no significant association was evident (HR = 1.14; 95% CI = 0.95-1.36). Uncontactable and ill/disabled non-respondents generally had a higher hazard ratio of alcohol-, drug- and smoking-related mortality and morbidity compared with refusal non-respondents.
Conclusion: Health survey non-respondents in Denmark have an increased hazard ratio of alcohol-, drug- and smoking-related mortality and morbidity compared with respondents, which may indicate more unfavourable health behaviours among non-respondents.
Affiliation :
National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
Cote :
Abonnement