Survey non-response in the Netherlands: Effects on prevalence estimates and associations
Abstract
Purpose Differences in respondent characteristics may lead to bias in prevalence estimates and bias in associations. Both forms of non-response bias are investigated in a study on psychosocial factors and cancer risk, which is a sub-study of a large-scale monitoring survey in the Netherlands.Methods Respondents of a cross-sectional monitoring project (MORGEN; N = 22,769) were also asked to participate in a prospective study on psychosocial factors and cancer risk (HLEQ; N = 12,097). To investigate diverse aspects of non-response in the HLEQ on prevalence estimates and associations are studied, based on information gathered in the MORGEN-project.Results A response percentage of 45% was obtained in the MORGEN-project. Response rates were found to be lower among men and younger people. The HLEQ showed a response percentage of 56%, and respondents reported higher socioeconomic status, better subjective health and healthier lifestyle behaviors than non-respondents. However, associations between smoking status and either socioeconomic status or subjective health based on respondents only were not statistically different from those based on the entire MORGEN-population.Conclusion Non-response leads to bias in prevalence estimates of current smoking, current alcohol intake, and low physical activity or poor subjective health. However, non-response did not cause bias in the examined associations.
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Prior research has found survey respondents to be somewhat healthier than nonrespondents.
“Indeed, prior research has found survey respondents to be somewhat healthier than nonrespondents.16,29”
From Prevalence and Profile of High-Impact Chronic Pain in the United States (2019) · cites this paper as [29]
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- Authors
- Van Loon, A.
- Venue
- Annals of Epidemiology
- Publisher
- Elsevier BV
- Published
- 2003-02
- Volume
- 13
- Issue
- 2
- Pages
- 105-110
- ISSN
- 1047-2797 (ISSN-L)
- OpenAlex
- W2165713489
- Cited by
- 423
- References
- 22
- Citations by year
- 2026: 4 · 2025: 13 · 2024: 6 · 2023: 21 · 2022: 16 · 2021: 20 · 2020: 25 · 2019: 23 · 2018: 16 · 2017: 23 · 2016: 24 · 2015: 27 · 2014: 24 · 2013: 24 · 2012: 22
- FWCI
- 55.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
- Rivm (National Institute for Public Health and the Environment) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Physical Sciences › Mathematics › Statistics and Probability › Survey Sampling and Estimation Techniques
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Keywords
- survey nonresponse, nonresponse bias, prevalence estimates, psychosocial factors, cancer risk, smoking, alcohol consumption, physical activity, self-rated health, socioeconomic status, response rate
- MeSH terms
- Adult, Alcohol Drinking, Female, Health Surveys, Humans, Life Style, Male, Netherlands, Smoking, Socioeconomic Factors, Bias, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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