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Association between variables used in the field substitution and post-stratification adjustment in the Belgian health interview survey and non-response

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

Field substitution and post-stratification adjustment have been proposed to reduce non-response bias in population surveys. We investigated if variables involved in those techniques in the Belgian health interview survey 2004 are associated with non-response and assessed the impact of field substitution and post-stratification adjustment on the survey results.

Methods

Data were obtained from all selected households (n = 12.204). The association between non-response and the selected variables was explored through multilevel logistic regression models with municipality and statistical sector as random effects.

Results

All investigated variables were significantly related with non-response. Especially households that could not be contacted differed substantially from those who participated. Only post-stratification had a clear impact on the survey results.

Conclusions

Even if variables used in the field substitution procedure of health surveys are strongly associated with non-response, the impact of field substitution on the survey results may be minimal, either because there was no bias of relevance or it was not captured. The usefulness of field substitution to correct for non-response bias in population health surveys seems to be quite limited.

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References

  • Aromaa A, Koponen P, Tafforeau J, Vermeire C (2003) Evaluation of health interview surveys and health examination surveys in the European Union. Eur J Publ Health 13(3 Suppl):67–72

    Article  Google Scholar 

  • Barriball KL, While AE (1999) Non-response in survey research: a methodological discussion and development of an explanatory model. J Adv Nurs 30(3):677–686

    Article  CAS  PubMed  Google Scholar 

  • Burzykowski T, Molenberghs G, Tafforeau J, Van Oyen H, Demarest S, Bellamammer L (1999) Missing data in the health interview survey 1997 in Belgium. Arch Public Health 57:107–129

    Google Scholar 

  • Company Stata (2007) Stata statistical software: release 10. StataCorp, College Station

    Google Scholar 

  • Demarest S, Van der Heyden J, Charafeddine R, Tafforeau J, Van Oyen H, Van Hal G (2012) Socio-economic differences in participation of households in a Belgian national health survey. Eur J Public Health. doi:10.1093/eurpub/cks158

  • Drivsholm T, Eplov LF, Davidsen M, Jorgensen T, Ibsen H, Hollnagel H et al (2006) Representativeness in population-based studies: a detailed description of non-response in a Danish cohort study. Scand J Public Health 34(6):623–631

    Article  PubMed  Google Scholar 

  • Ekholm O, Hesse U, Davidsen M, Kjoller M (2009) The study design and characteristics of the Danish national health interview surveys. Scand J Public Health 37(7):758–765

    Article  PubMed  Google Scholar 

  • Ekholm O, Gundgaard J, Rasmussen NK, Hansen EH (2010) The effect of health, socio-economic position, and mode of data collection on non-response in health interview surveys. Scand J Public Health 38(7):699–706

    Article  PubMed  Google Scholar 

  • Galea S, Tracy M (2007) Participation rates in epidemiologic studies. Ann Epidemiol 17(9):643–653

    Article  PubMed  Google Scholar 

  • Goodman A, Gatward R (2008) Who are we missing? Area deprivation and survey participation. Eur J Epidemiol 23(6):379–387

    Article  PubMed  Google Scholar 

  • Groves R, Couper M (1998) Nonresponse in household interview surveys. Wiley, New York

    Book  Google Scholar 

  • Groves R, Dillman D, Eltinge J, Little R (2002) Survey nonresponse. Wiley, New York

    Google Scholar 

  • Groves R, Fowler F, Couper M, Lepkowski J, Singer E, Tourangeau R (2004) Survey methodology. Wiley, Hoboken

    Google Scholar 

  • Heerwegh K, Abts K, Loosveldt G (2007) Minimizing survey refusal and noncontact rates: do our efforts pay off? Surv Res Methods 1(1):3–10

    Google Scholar 

  • Helasoja V, Prattala R, Dregval L, Pudule I, Kasmel A (2002) Late response and item nonresponse in the Finbalt Health Monitor survey. Eur J Public Health 12(2):117–123

    Article  PubMed  Google Scholar 

  • Kessler RC, Little RJ, Groves RM (1995) Advances in strategies for minimizing and adjusting for survey nonresponse. Epidemiol Rev 17(1):192–204

    CAS  PubMed  Google Scholar 

  • Kilpeläinen K, Aromaa A, ECHIM Core Group (2008) European health indicators: development and initial implementation. Final report of the ECHIM project. National Public Health Institute, Helsinki

  • Kish L, Frankel MR (1974) Inference from complex samples. J Roy Stat Soc B 36:1–37

    Google Scholar 

  • Korkeila K, Suominen S, Ahvenainen J, Ojanlatva A, Rautava P, Helenius H et al (2001) Non-response and related factors in a nation-wide health survey. Eur J Epidemiol 17(11):991–999

    Article  CAS  PubMed  Google Scholar 

  • Larsen K, Merlo J (2005) Appropriate assessment of neighborhood effects on individual health: integrating random and fixed effects in multilevel logistic regression. Am J Epidemiol 161(1):81–88

    Article  PubMed  Google Scholar 

  • Lorant V, Demarest S, Miermans PJ, Van Oyen H (2007) Survey error in measuring socio-economic risk factors of health status: a comparison of a survey and a census. Int J Epidemiol 36(6):1292–1299

    Article  PubMed  Google Scholar 

  • Lynn P, Clarke P (2002) Separating refusal bias and non-contact bias: evidence from UK national surveys. J Royal Stat Soc Ser D (The Stat) 51(3):319–333

    Article  Google Scholar 

  • MacDonald SE, Newburn-Cook CV, Schopflocher D, Richter S (2009) Addressing nonresponse bias in postal surveys. Public Health Nurs 26(1):95–105

    Article  PubMed  Google Scholar 

  • Mannetje A, Eng A, Douwes J, Ellison-Loschmann L, McLean D, Pearce N (2011) Determinants of non-response in an occupational exposure and health survey in New Zealand. Aust N Z J Public Health 35(3):256–263

    Article  Google Scholar 

  • Marcus B, Schutz A (2005) Who are the people reluctant to participate in research? Personality correlates of four different types of nonresponse as inferred from self- and observer ratings. J Pers 73(4):959–984

    Article  PubMed  Google Scholar 

  • Merlo J, Chaix B, Ohlsson H, Beckman A, Johnell K, Hjerpe P et al (2006) A brief conceptual tutorial of multilevel analysis in social epidemiology: using measures of clustering in multilevel logistic regression to investigate contextual phenomena. J Epidemiol Community Health 60(4):290–297

    Article  PubMed  Google Scholar 

  • Schneider KL, Clark MA, Rakowski W, Lapane KL (2012) Evaluating the impact of non-response bias in the behavioral risk factor surveillance system (BRFSS). J Epidemiol Community Health 66(4):290–295

    Article  PubMed  Google Scholar 

  • Scientific Institute of Public Health (2005) Health Interview Survey 2004. Research Protocol, Belgium. Scientific Institute of Public Health, Brussels, Belgium

  • Scientific Institute of Public Health (2012) Highlights of the Belgian Health Interview Survey 2008, Brussels

  • Van Loon AJ, Tijhuis M, Picavet HS, Surtees PG, Ormel J (2003) Survey non-response in the Netherlands: effects on prevalence estimates and associations. Ann Epidemiol 13(2):105–110

    Article  PubMed  Google Scholar 

  • Van Oyen H, Tafforeau J, Hermans H, Quataert P, Schiettecatte E, Lebrun L et al (1997) The Belgian health interview survey. Arch Public Health 55:1–13

    Google Scholar 

  • Vehovar V (1999) Field substitution and unit nonresponse. J Official Stat 15(2):335–350

    Google Scholar 

  • Vives A, Ferreccio C, Marshall G (2009) A comparison of two methods to adjust for non-response bias: field substitution and weighting non-response adjustments based on response propensity. Gac Sanit 23(4):266–271

    Article  PubMed  Google Scholar 

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Correspondence to Johan Van der Heyden.

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Van der Heyden, J., Demarest, S., Van Herck, K. et al. Association between variables used in the field substitution and post-stratification adjustment in the Belgian health interview survey and non-response. Int J Public Health 59, 197–206 (2014). https://doi.org/10.1007/s00038-013-0460-7

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  • DOI: https://doi.org/10.1007/s00038-013-0460-7

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