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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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“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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Metadata
- 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
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