Differential loss of participants does not necessarily cause selection bias

Abstract Background: Most research is affected by differential participation, where individuals who do not participate have different characteristics to those who do. This is often assumed to induce selection bias. However, selection bias only occurs if the exposure‐outcome association differs for p...

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Main Authors: Kristie N. Carter, Fiona Imlach‐Gunasekara, Sarah K. McKenzie, Tony Blakely
Format: Article
Language:English
Published: Elsevier 2012-06-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/j.1753-6405.2012.00867.x
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author Kristie N. Carter
Fiona Imlach‐Gunasekara
Sarah K. McKenzie
Tony Blakely
author_facet Kristie N. Carter
Fiona Imlach‐Gunasekara
Sarah K. McKenzie
Tony Blakely
author_sort Kristie N. Carter
collection DOAJ
description Abstract Background: Most research is affected by differential participation, where individuals who do not participate have different characteristics to those who do. This is often assumed to induce selection bias. However, selection bias only occurs if the exposure‐outcome association differs for participants compared to non‐participants. We empirically demonstrate that selection bias does not necessarily occur when participation varies in a study. Methods: We used data from three waves of the longitudinal Survey of Family, Income and Employment (SoFIE). We examined baseline associations of labour market activity and education with self‐rated health using logistic regression in five participation samples: A) the original sample at year one (n=22,260); B) those remaining in the sample (n=18,360); C) those (at year 3) consenting to data linkage (n=14,350); D) drop outs over three years (n=3,895); and E) those who dropped out or did not consent (n=7,905). Results: Loss to follow‐up was more likely among lower socioeconomic groups and those with poorer health. However, for labour market activity and education, the odds of reporting fair/poor health were similar across all samples. Comparisons of the mutually exclusive samples (C and E) showed no difference in the odds ratios after adjustment for sociodemographic (participation) variables. Thus, there was little evidence of selection bias. Conclusions: Differential loss to follow‐up (drop out) need not lead to selection bias in the association between exposure (labour market activity and education) and outcome (self‐rated health).
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spelling doaj.art-1207d179884b46a6bb10897d832ce54f2023-08-02T04:44:55ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052012-06-0136321822210.1111/j.1753-6405.2012.00867.xDifferential loss of participants does not necessarily cause selection biasKristie N. Carter0Fiona Imlach‐Gunasekara1Sarah K. McKenzie2Tony Blakely3Department of Public Health, University of Otago, New ZealandDepartment of Public Health, University of Otago, New ZealandDepartment of Public Health, University of Otago, New ZealandDepartment of Public Health, University of Otago, New ZealandAbstract Background: Most research is affected by differential participation, where individuals who do not participate have different characteristics to those who do. This is often assumed to induce selection bias. However, selection bias only occurs if the exposure‐outcome association differs for participants compared to non‐participants. We empirically demonstrate that selection bias does not necessarily occur when participation varies in a study. Methods: We used data from three waves of the longitudinal Survey of Family, Income and Employment (SoFIE). We examined baseline associations of labour market activity and education with self‐rated health using logistic regression in five participation samples: A) the original sample at year one (n=22,260); B) those remaining in the sample (n=18,360); C) those (at year 3) consenting to data linkage (n=14,350); D) drop outs over three years (n=3,895); and E) those who dropped out or did not consent (n=7,905). Results: Loss to follow‐up was more likely among lower socioeconomic groups and those with poorer health. However, for labour market activity and education, the odds of reporting fair/poor health were similar across all samples. Comparisons of the mutually exclusive samples (C and E) showed no difference in the odds ratios after adjustment for sociodemographic (participation) variables. Thus, there was little evidence of selection bias. Conclusions: Differential loss to follow‐up (drop out) need not lead to selection bias in the association between exposure (labour market activity and education) and outcome (self‐rated health).https://doi.org/10.1111/j.1753-6405.2012.00867.xselection biasnon‐responsesurvey data
spellingShingle Kristie N. Carter
Fiona Imlach‐Gunasekara
Sarah K. McKenzie
Tony Blakely
Differential loss of participants does not necessarily cause selection bias
Australian and New Zealand Journal of Public Health
selection bias
non‐response
survey data
title Differential loss of participants does not necessarily cause selection bias
title_full Differential loss of participants does not necessarily cause selection bias
title_fullStr Differential loss of participants does not necessarily cause selection bias
title_full_unstemmed Differential loss of participants does not necessarily cause selection bias
title_short Differential loss of participants does not necessarily cause selection bias
title_sort differential loss of participants does not necessarily cause selection bias
topic selection bias
non‐response
survey data
url https://doi.org/10.1111/j.1753-6405.2012.00867.x
work_keys_str_mv AT kristiencarter differentiallossofparticipantsdoesnotnecessarilycauseselectionbias
AT fionaimlachgunasekara differentiallossofparticipantsdoesnotnecessarilycauseselectionbias
AT sarahkmckenzie differentiallossofparticipantsdoesnotnecessarilycauseselectionbias
AT tonyblakely differentiallossofparticipantsdoesnotnecessarilycauseselectionbias