Heeren Timothy, Edwards Erika M, Dennis J Michael, Rodkin Sergei, Hingson Ralph W, Rosenbloom David L
Youth Alcohol Prevention Center, Boston University School of Public Health, Boston, Massachusetts 02118, USA.
Alcohol Clin Exp Res. 2008 Feb;32(2):222-9. doi: 10.1111/j.1530-0277.2007.00571.x. Epub 2007 Dec 21.
Given today's telecommunications environment, random digit dial (RDD) telephone surveys face declining response rates and coverage, and increasing costs. As an alternative to RDD, we surveyed participants in a randomly recruited standing Internet panel supplemented with a randomly sampled telephone survey of nonpanel members for a study of associations between onset of alcohol use and later alcohol-related problems. The purpose of this paper was to compare results from our survey with results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a face-to-face probability sample survey of 43,093 adults, with a focus on associations between demographics, age of drinking onset, and alcohol dependence.
Demographic and drinking characteristics from our survey of 4,021 ever-drinkers between the ages of 18 and 39 years were compared with the characteristics of 11,549 similarly aged ever-drinkers from the NESARC. Weighted analyses accounting for sampling design compared these 2 samples on drinking characteristics over the past year and during a respondent's heaviest period of drinking, and in multivariate models examining associations between demographics, age of drinking onset, and lifetime alcohol dependence.
Participants in the supplemented Internet panel were similar to the national population of 18- to 39-year-old ever drinkers on gender, education, and race/ethnicity, while adults who were aged 18 to 25 years were under-represented in the Internet panel. The supplemented Internet panel reported higher rates of moderate risk drinking over the past 12 months, lifetime high-risk drinking, and lifetime (ever) alcohol dependence. Estimates of the associations between alcohol dependence and age of drinking onset, risky drinking, and family history of alcohol problems did not significantly differ between the supplemented Internet sample and the NESARC survey.
Randomly recruited Internet-based panels may provide an alternative to random digit dial telephone surveys and in-person surveys for some studies of factors associated with alcohol-related problems.
鉴于当今的电信环境,随机数字拨号(RDD)电话调查面临着回应率下降、覆盖范围缩小以及成本上升的问题。作为RDD的替代方法,我们对一个随机招募的常设互联网样本中的参与者进行了调查,并对非样本成员进行了随机抽样电话调查,以研究饮酒开始与后来与酒精相关问题之间的关联。本文的目的是将我们的调查结果与全国酒精及相关疾病流行病学调查(NESARC)的结果进行比较,NESARC是一项对43,093名成年人进行的面对面概率抽样调查,重点关注人口统计学、饮酒开始年龄与酒精依赖之间的关联。
将我们对4,021名年龄在18至39岁之间的曾经饮酒者的调查中的人口统计学和饮酒特征,与NESARC中11,549名年龄相仿的曾经饮酒者的特征进行比较。考虑抽样设计的加权分析在过去一年以及受访者饮酒最严重时期的饮酒特征方面对这两个样本进行了比较,并在多变量模型中检验了人口统计学、饮酒开始年龄与终生酒精依赖之间的关联。
补充互联网样本中的参与者在性别、教育程度和种族/族裔方面与全国18至39岁曾经饮酒者的总体情况相似,但18至25岁的成年人在互联网样本中的代表性不足。补充互联网样本报告称,在过去12个月中中度风险饮酒、终生高风险饮酒和终生(曾经)酒精依赖的发生率较高。补充互联网样本与NESARC调查之间,酒精依赖与饮酒开始年龄、危险饮酒以及酒精问题家族史之间关联的估计值没有显著差异。
对于一些与酒精相关问题的因素研究,随机招募的基于互联网的样本可能为随机数字拨号电话调查和面对面调查提供一种替代方法。