Recommendations for design and analysis of health examination surveys under selective non-participation

European Journal of Public Health
Juha KarvanenHanna Tolonen

Abstract

The decreasing participation rates and selective non-participation peril the representativeness of health examination surveys (HESs). Finnish HESs conducted in 1972-2012 are used to demonstrate that survey participation rates can be enhanced with well-planned recruitment procedures and auxiliary information about survey non-participants can be used to reduce selection bias. Experiments incorporated to pilot surveys and experience from previously conducted surveys lead to practical improvements. For example, SMS reminders were taken as a routine procedure to the Finnish HESs after testing their effect on a pilot study and finding them as a cost-effective way to increase participation rate especially among younger age groups. Auxiliary information about survey non-participants can be obtained from many sources: sampling frames, previous measurements in longitudinal setting, re-contacts and non-response questionnaires, and record linkage to administrative data sources. These data can be used in statistical modelling to adjust the population level estimates for the selection bias. Information on the characteristics of non-participants also helps to improve targeting the recruitment in the future. All methods discussed and recommend...Continue Reading

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Citations

Apr 16, 2019·Chiropractic & Manual Therapies·Stanley I InnesBruce F Walker
Nov 22, 2019·Archives of public health = Archives belges de santé publique·Katri KilpeläinenMika Gissler
Nov 10, 2020·Scandinavian Journal of Public Health·Anne Illemann ChristensenAnne Helms Andreasen
Nov 20, 2021·Journal of Immigrant and Minority Health·Christina DornquastLilian Krist

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