Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Int J Soc Psychiatry. 2010 Mar;56(2):119-32. doi: 10.1177/0020764008098838.
In epidemiological studies, analyses are needed to investigate the consequences of non-response.
To analyse the consequences of attrition in the second wave of the population-based PART study, which was performed three years after the first wave.
Potential determinants for non-participation obtained from population registers and the first wave were analyzed. The relationships between potential determinants and reduced well-being or depressive mood in the first wave questionnaire were investigated separately for participants and non-participants in the second wave. Samples of respondents to the second wave questionnaire with reduced or not reduced well-being were summoned for interview regarding determinants of distress and disorder. The occurrence of potential determinants was compared between participants and non-participants in both groups.
Low income, low education, non-Nordic origin, not being married and previous psychiatric diagnosis were associated with lower participation rates. These variables were similarly related to depressive mood and low psychological well-being in the first wave among participants and non-participants in the second wave. Potential determinants were not or only weakly related to participation in the interview groups.
Although the true prevalence of distress and disorder is underestimated, the true associations between potential determinants and the outcomes seem reasonably well reproduced.
在流行病学研究中,需要进行分析以调查无应答的后果。
分析基于人群的 PART 研究第二波(在第一波之后三年进行)中失访的后果。
从人口登记册和第一波中获取非参与的潜在决定因素,并分别针对第二波的参与者和非参与者分析这些潜在决定因素与第一波问卷中幸福感降低或抑郁情绪之间的关系。对于第二波问卷中幸福感降低或未降低的受访者样本,邀请他们参加有关困扰和障碍决定因素的访谈。比较两组中参与者和非参与者之间潜在决定因素的发生情况。
低收入、低教育程度、非北欧血统、未婚和以前的精神科诊断与较低的参与率相关。这些变量在第二波的参与者和非参与者中也与第一波的抑郁情绪和低心理幸福感相关。潜在决定因素与访谈组的参与程度没有关系或只有微弱关系。
尽管真实的困扰和障碍患病率被低估,但潜在决定因素与结果之间的真实关联似乎得到了合理的再现。