Marital status, educational level and household income explain part of the excess mortality of survey non-respondents

Survey respondents and non-respondents differ in their demographic and socio-economic position. Many of the health behaviours are also known to be associated with socio-economic differences. We aimed to investigate how much of the excess mortality of survey non-respondents can be explained by the so...

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Veröffentlicht in:European journal of epidemiology 2010-02, Vol.25 (2), p.69-76
Hauptverfasser: Tolonen, Hanna, Laatikainen, Tiina, Helakorpi, Satu, Talala, Kirsi, Martelin, Tuija, Prättälä, Ritva
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container_issue 2
container_start_page 69
container_title European journal of epidemiology
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creator Tolonen, Hanna
Laatikainen, Tiina
Helakorpi, Satu
Talala, Kirsi
Martelin, Tuija
Prättälä, Ritva
description Survey respondents and non-respondents differ in their demographic and socio-economic position. Many of the health behaviours are also known to be associated with socio-economic differences. We aimed to investigate how much of the excess mortality of survey non-respondents can be explained by the socio-economic differences between respondents and non-respondents. Questionnaire-based adult health behaviour surveys have been conducted in Finland annually since 1978. Data from the 1978 to 2002 surveys, including non-respondents, were linked with mortality data from the Finnish National Cause of Death statistics and with demographic and socio-economic register data (marital status, education and household income) obtained from Statistics Finland. The mortality follow-up lasted until 2006, in which period there were 12,762 deaths (7,994 in men and 4,768 in women) during the follow-up. Total and cause-specific mortality were higher among non-respondents in both men and women. Adjusting results for marital status, educational level and average household income decreased the excess total and cause-specific mortality of non-respondents in both men and women. Of the total excess mortality of non-respondents, 41% in men and 20% in women can be accounted for demographic and socio-economic factors. A part of the excess mortality among non-respondents can be accounted for their demographic and socio-economic characteristics. Based on these results we can assume that non-respondents tend to have more severe health problems, acute illnesses and unhealthy behaviours, such as smoking and excess alcohol use. These can be reasons for persons not taking part in population surveys.
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Many of the health behaviours are also known to be associated with socio-economic differences. We aimed to investigate how much of the excess mortality of survey non-respondents can be explained by the socio-economic differences between respondents and non-respondents. Questionnaire-based adult health behaviour surveys have been conducted in Finland annually since 1978. Data from the 1978 to 2002 surveys, including non-respondents, were linked with mortality data from the Finnish National Cause of Death statistics and with demographic and socio-economic register data (marital status, education and household income) obtained from Statistics Finland. The mortality follow-up lasted until 2006, in which period there were 12,762 deaths (7,994 in men and 4,768 in women) during the follow-up. Total and cause-specific mortality were higher among non-respondents in both men and women. 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Many of the health behaviours are also known to be associated with socio-economic differences. We aimed to investigate how much of the excess mortality of survey non-respondents can be explained by the socio-economic differences between respondents and non-respondents. Questionnaire-based adult health behaviour surveys have been conducted in Finland annually since 1978. Data from the 1978 to 2002 surveys, including non-respondents, were linked with mortality data from the Finnish National Cause of Death statistics and with demographic and socio-economic register data (marital status, education and household income) obtained from Statistics Finland. The mortality follow-up lasted until 2006, in which period there were 12,762 deaths (7,994 in men and 4,768 in women) during the follow-up. Total and cause-specific mortality were higher among non-respondents in both men and women. Adjusting results for marital status, educational level and average household income decreased the excess total and cause-specific mortality of non-respondents in both men and women. Of the total excess mortality of non-respondents, 41% in men and 20% in women can be accounted for demographic and socio-economic factors. A part of the excess mortality among non-respondents can be accounted for their demographic and socio-economic characteristics. Based on these results we can assume that non-respondents tend to have more severe health problems, acute illnesses and unhealthy behaviours, such as smoking and excess alcohol use. 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subjects Adult
Alcohol drinking
Alcohol Drinking - mortality
Alcohols
Biological and medical sciences
Cardiology
Cause of Death
Chronic Disease - mortality
Cross-Sectional Studies
Data Collection - statistics & numerical data
Economic factors
Economics
Education
Educational attainment
Educational levels
Epidemiology
Female
Finland - epidemiology
General aspects
Health Behavior
Health problems
Health surveys
Household income
Humans
Income
Infectious Diseases
Male
Marital Status
Marriage
Medical sciences
Medicine
Medicine & Public Health
Men
Methods
Middle Aged
Miscellaneous
Mortality
Oncology
Polls & surveys
Proportional Hazards Models
Public Health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research Subjects - psychology
Response rates
Sex Distribution
Smoking - mortality
Socioeconomic Factors
Socioeconomics
Surveys and Questionnaires
Tobacco smoking
title Marital status, educational level and household income explain part of the excess mortality of survey non-respondents
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