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基于人群样本的妊娠状态筛查:与项目无应答相关的特征

Screening for Pregnancy Status in a Population-Based Sample: Characteristics Associated with Item Nonresponse.

作者信息

Hughes Suzanne C, Hogue Carol J, Clark Melissa A, Graber Jessica E, Eaker Elaine D, Herring Amy H

机构信息

Graduate School of Public Health, San Diego State University, 9245 Sky Park Court, Suite 102, San Diego, CA, 92123, USA.

Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA.

出版信息

Matern Child Health J. 2019 Mar;23(3):316-324. doi: 10.1007/s10995-018-2665-0.

DOI:10.1007/s10995-018-2665-0
PMID:30600508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6443242/
Abstract

OBJECTIVES

Population-based recruitment of a cohort of women who are currently pregnant or who may become pregnant in a given timeframe presents challenges unique to identifying pregnancy status or the likelihood of future pregnancy. Little is known about the performance of individual eligibility items on pregnancy screeners although they are critical to participant recruitment. This paper examined the patterns and respondent characteristics of key pregnancy screener items used in a large national study.

METHODS

Cross-sectional analyses were conducted. Descriptive statistics and multivariable logistic regression models were used to examine nonresponse patterns to three questions (currently pregnant, trying to get pregnant and able to get pregnant). The questions were asked of 50,529 women in 17 locations across the US, as part of eligibility screening for the National Children's Study Vanguard Study household-based recruitment.

RESULTS

Most respondents were willing to provide information about current pregnancy, trying, and able to get pregnant: 99.3% of respondents answered all three questions and 97.4% provided meaningful answers. Nonresponse ranged from 0.3 to 2.5% for individual items. Multivariable logistic regression results identified small but statistically significant differences in nonresponse by respondent age, marital status, race/ethnicity-language, and household-based recruitment group.

CONCLUSIONS FOR PRACTICE

The high levels of response to pregnancy-related items are impressive considering that the eligibility questions were fairly sensitive, were administered at households, and were not part of a respondent-initiated encounter.

摘要

目的

以人群为基础招募在特定时间段内处于孕期或可能怀孕的女性群体,在确定妊娠状态或未来怀孕可能性方面存在独特挑战。尽管妊娠筛查中的个体合格项目对参与者招募至关重要,但对于这些项目的表现却知之甚少。本文研究了一项大型全国性研究中使用的关键妊娠筛查项目的模式及应答者特征。

方法

进行横断面分析。使用描述性统计和多变量逻辑回归模型来研究对三个问题(当前怀孕、试图怀孕和能够怀孕)的无应答模式。在美国17个地点的50529名女性中询问了这些问题,作为全国儿童研究先锋研究基于家庭招募的合格性筛查的一部分。

结果

大多数应答者愿意提供有关当前怀孕、试图怀孕和能够怀孕的信息:99.3%的应答者回答了所有三个问题,97.4%提供了有意义的答案。单个项目的无应答率在0.3%至2.5%之间。多变量逻辑回归结果显示,在应答者年龄、婚姻状况、种族/族裔-语言和基于家庭的招募组方面,无应答存在虽小但具有统计学意义的差异。

实践结论

考虑到合格性问题相当敏感、在家庭中进行询问且并非应答者主动发起的接触的一部分,对与怀孕相关项目的高应答率令人印象深刻。

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本文引用的文献

1
The National Children's Study: Recruitment Outcomes Using an Enhanced Household-Based Approach.全国儿童研究:采用强化家庭式方法的招募结果
Pediatrics. 2016 Jun;137 Suppl 4(Suppl 4):S219-30. doi: 10.1542/peds.2015-4410C.
2
How to Establish and Follow up a Large Prospective Cohort Study in the 21st Century--Lessons from UK COSMOS.如何在21世纪建立和随访大型前瞻性队列研究——来自英国COSMOS的经验教训。
PLoS One. 2015 Jul 6;10(7):e0131521. doi: 10.1371/journal.pone.0131521. eCollection 2015.
3
Recruitment of women in the National Children's Study Initial Vanguard Study.国家儿童研究初始先锋队研究中的女性招募。
Am J Epidemiol. 2014 Jun 1;179(11):1366-74. doi: 10.1093/aje/kwu062. Epub 2014 May 2.
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Community outreach and engagement to prepare for household recruitment of National Children's Study participants in a rural setting.社区外展和参与,为在农村地区招募全国儿童研究参与者做准备。
J Rural Health. 2013 Winter;29(1):61-8. doi: 10.1111/j.1748-0361.2012.00418.x. Epub 2012 Aug 1.
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Intended and unintended births in the United States: 1982-2010.美国1982年至2010年的计划内生育与意外生育情况
Natl Health Stat Report. 2012 Jul 24(55):1-28.
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Clinical research enrolling pregnant women: a workshop summary.临床招募孕妇的研究:研讨会总结。
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Early experiences and predictors of recruitment success for the National Children's Study.国家儿童研究的早期经验和招募成功的预测因素。
Pediatrics. 2011 Feb;127(2):261-8. doi: 10.1542/peds.2010-2334. Epub 2011 Jan 24.
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National Children's Study: update in 2010.国家儿童研究:2010年更新
Mt Sinai J Med. 2011 Jan-Feb;78(1):119-25. doi: 10.1002/msj.20227.
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Statistical and practical issues in the design of a national probability sample of births for the Vanguard Study of the National Children's Study.在全国儿童研究先锋研究的全国出生概率抽样设计中的统计和实际问题。
Stat Med. 2010 Jun 15;29(13):1368-76. doi: 10.1002/sim.3891.
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Arch Pediatr Adolesc Med. 2009 Feb;163(2):108-14. doi: 10.1001/archpediatrics.2008.521.