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The value of combining individual and small area sociodemographic data for assessing and handling selective participation in cohort studies: Evidence from the Swedish CardioPulmonary bioImage Study
Univ Gothenburg, Sweden.
Lund Univ, Sweden; Lund Univ, Sweden.
Lund Univ, Sweden; Skane Univ Hosp, Sweden.
Umea Univ, Sweden.
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2022 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 17, no 3, article id e0265088Article in journal (Refereed) Published
Abstract [en]

Objectives To study the value of combining individual- and neighborhood-level sociodemographic data to predict study participation and assess the effects of baseline selection on the distribution of metabolic risk factors and lifestyle factors in the Swedish CardioPulmonary bioImage Study (SCAPIS). Methods We linked sociodemographic register data to SCAPIS participants (n = 30,154, ages: 50-64 years) and a random sample of the studys target population (n = 59,909). We assessed the classification ability of participation models based on individual-level data, neighborhood-level data, and combinations of both. Standardized mean differences (SMD) were used to examine how reweighting the sample to match the population affected the averages of 32 cardiopulmonary risk factors at baseline. Absolute SMDs > 0.10 were considered meaningful. Results Combining both individual-level and neighborhood-level data gave rise to a model with better classification ability (AUC: 71.3%) than models with only individual-level (AUC: 66.9%) or neighborhood-level data (AUC: 65.5%). We observed a greater change in the distribution of risk factors when we reweighted the participants using both individual and area data. The only meaningful change was related to the (self-reported) frequency of alcohol consumption, which appears to be higher in the SCAPIS sample than in the population. The remaining risk factors did not change meaningfully. Conclusions Both individual- and neighborhood-level characteristics are informative in assessing study selection effects. Future analyses of cardiopulmonary outcomes in the SCAPIS cohort can benefit from our study, though the average impact of selection on risk factor distributions at baseline appears small.

Place, publisher, year, edition, pages
PUBLIC LIBRARY SCIENCE , 2022. Vol. 17, no 3, article id e0265088
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-187895DOI: 10.1371/journal.pone.0265088ISI: 000835141200043PubMedID: 35259202OAI: oai:DiVA.org:liu-187895DiVA, id: diva2:1691899
Note

Funding Agencies|Swedish Research Council for Health, Working life and Welfare (Forte) [2017-00414, 2020-00962]; Swedish Research Council (VR) [2019-00198]; Swedish Heart-Lung Foundation; Knut and Alice Wallenberg Foundation [2014-0047]; VINNOVA (Swedens Innovation agency) [2012-04476]; Swedish Research Council [822-2013-2000]; Uppsala University and University Hospital; Umea University and University Hospital; Skane University Hospital; Lund University; Linkoping University and University Hospital; Stockholm county council; University of Gothenburg; Sahlgrenska University Hospital; Karolinska Institutet

Available from: 2022-08-31 Created: 2022-08-31 Last updated: 2022-08-31

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Östgren, Carl Johan
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Division of Prevention, Rehabilitation and Community MedicineFaculty of Medicine and Health SciencesPrimary Health Care Center Ekholmen
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