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    The importance of estimating selection bias on prevalence estimates shortly after a disaster.

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    Authors
    Grievink, Linda
    Velden, Peter G van der
    Yzermans, C Joris
    Roorda, Jan
    Stellato, Rebecca K
    Type
    Article
    Language
    en
    
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    Title
    The importance of estimating selection bias on prevalence estimates shortly after a disaster.
    Publiekssamenvatting
    PURPOSE: The aim was to study selective participation and its effect on prevalence estimates in a health survey of affected residents 3 weeks after a man-made disaster in The Netherlands (May 13, 2000). METHODS: All affected adult residents were invited to participate. Survey (questionnaire) data were combined with electronic medical records of residents' general practitioners (GPs). Data for demographics, relocation, utilization, and morbidity 1 year predisaster and 1 year postdisaster were used. RESULTS: The survey participation rate was 26% (N = 1171). Women (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.28-1.67), those living with a partner (OR, 2.00; 95% CI, 1.72-2.33), those aged 45 to 64 years (OR, 2.00; 95% CI, 1.59-2.52), and immigrants (OR, 1.50; 95% CI, 1.30-1.74) were more likely to participate. Participation rate was not affected by relocation because of the disaster. Participants in the survey consulted their GPs for health problems in the year before and after the disaster more often than nonparticipants. Although there was selective participation, multiple imputation barely affected prevalence estimates of health problems in the survey 3 weeks postdisaster. CONCLUSIONS: Estimating actual selection bias in disaster studies gives better information about the study representativeness. This is important for policy making and providing effective health care.
    DOI
    10.1016/j.annepidem.2006.04.008
    PMID
    16882468
    URI
    http://hdl.handle.net/10029/6657
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.annepidem.2006.04.008
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