Baseline participation in a health examination survey of the population 65 years and older: who is missed and why?

BMC Geriatrics
Beate GaertnerChrista Scheidt-Nave

Abstract

Public health monitoring depends on valid health and disability estimates in the population 65+ years. This is hampered by high non-participation rates in this age group. There is limited insight into size and direction of potential baseline selection bias. We analyzed baseline non-participation in a register-based random sample of 1481 inner-city residents 65+ years, invited to a health examination survey according to demographics available for the entire sample, self-report information as available and reasons for non-participation. One year after recruitment, non-responders were revisited to assess their reasons. Five groups defined by participation status were differentiated: participants (N = 299), persons who had died or moved (N = 173), those who declined participation, but answered a short questionnaire (N = 384), those who declined participation and the short questionnaire (N = 324), and non-responders (N = 301). The results confirm substantial baseline selection bias with significant underrepresentation of persons 85+ years, persons in residential care or from disadvantaged neighborhoods, with lower education, foreign citizenship, or lower health-related quality of life. Finally, reasons for non-participation could be...Continue Reading

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Citations

Sep 29, 2017·International Journal of Environmental Research and Public Health·Jens HoebelThomas Lampert
May 3, 2019·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Jessica E RamsayCathleen M Connell
Jul 3, 2019·BMC Medical Research Methodology·Cornelia EnzenbachMarkus Loeffler
Nov 11, 2019·BMC Public Health·Arianna PoliAndreas Motel-Klingebiel
May 30, 2019·European Journal of Ageing·Michael WagnerRoman Kaspar
Jun 10, 2020·Archives of public health = Archives belges de santé publique·Diem NguyenJohan Van der Heyden
Feb 12, 2020·Age and Ageing·Oliver M ToddAndrew P Clegg
Aug 17, 2018·International Journal of Environmental Research and Public Health·Divyanshu RahejaNadine Rouphael
Apr 8, 2019·Journal of the American Medical Directors Association·Matheus H L ArtsRichard C Oude Voshaar
Oct 16, 2021·Contemporary Clinical Trials·S NeumannE J Henderson

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