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Total and cause specific mortality among participants and non-participants of population based health surveys: a comprehensive follow up of 54 372 Finnish men and women.
J Epidemiol Community Health. 2005 Apr; 59(4):310-5.JE

Abstract

STUDY OBJECTIVE

To assess total and cause specific mortality among participants and non-participants of large population based health surveys.

DESIGN

A prospective follow up study. Baseline surveys were conducted in 1972, 1977, 1982, 1987, and 1992. Study end points were overall, cardiovascular, cancer and violent mortality, and deaths related to smoking and alcohol. Study cohorts were followed up until the end of 2000 through computerised record linkage. All analyses were adjusted for age.

SETTING

Finland.

PARTICIPANTS

Participants and non-participants of five population based risk factor surveys. The samples included 54 372 men and women aged 25 to 64 years at baseline.

MAIN RESULTS

The average participation rate was 81.7% among men and 87% among women. At eight year follow up, the non-participating men had twice and non-participating women 2.5-fold higher overall mortality than the participating men and women. Non-participants had also significantly higher cause specific mortality, except cancer and smoking related mortality among women. Relative differences in mortality were largest in violent and alcohol related deaths. Non-participants had considerably higher overall mortality than smoking participants, and their mortality was threefold compared with non-smoking participants.

CONCLUSIONS

Observed differences in mortality show that health behaviour and health status substantially differ between non-participants and participants. Low participation rate may considerably bias the results of population based health surveys.

Links

PMC Free PDF

Authors+Show Affiliations

Jousilahti P
National Public Health Institute, Department of Epidemiology and Health Promotion, Mannerheimintie 166, FIN-00300 Helsinki, Finland. pekka.jousilahti@ktl.fi
Salomaa V
No affiliation info available
Kuulasmaa K
No affiliation info available
Niemelä M
No affiliation info available
Vartiainen E
No affiliation info available

MeSH

AdultAlcohol DrinkingCardiovascular DiseasesCause of DeathFemaleFinlandHealth SurveysHumansMaleMiddle AgedNeoplasmsOdds RatioProspective StudiesSex DistributionSmokingViolence

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15767385

Citation

Jousilahti, Pekka, et al. "Total and Cause Specific Mortality Among Participants and Non-participants of Population Based Health Surveys: a Comprehensive Follow Up of 54 372 Finnish Men and Women." Journal of Epidemiology and Community Health, vol. 59, no. 4, 2005, pp. 310-5.
Jousilahti P, Salomaa V, Kuulasmaa K, et al. Total and cause specific mortality among participants and non-participants of population based health surveys: a comprehensive follow up of 54 372 Finnish men and women. J Epidemiol Community Health. 2005;59(4):310-5.
Jousilahti, P., Salomaa, V., Kuulasmaa, K., Niemelä, M., & Vartiainen, E. (2005). Total and cause specific mortality among participants and non-participants of population based health surveys: a comprehensive follow up of 54 372 Finnish men and women. Journal of Epidemiology and Community Health, 59(4), 310-5.
Jousilahti P, et al. Total and Cause Specific Mortality Among Participants and Non-participants of Population Based Health Surveys: a Comprehensive Follow Up of 54 372 Finnish Men and Women. J Epidemiol Community Health. 2005;59(4):310-5. PubMed PMID: 15767385.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Total and cause specific mortality among participants and non-participants of population based health surveys: a comprehensive follow up of 54 372 Finnish men and women. AU - Jousilahti,Pekka, AU - Salomaa,Veikko, AU - Kuulasmaa,Kari, AU - Niemelä,Matti, AU - Vartiainen,Erkki, PY - 2005/3/16/pubmed PY - 2005/4/5/medline PY - 2005/3/16/entrez SP - 310 EP - 5 JF - Journal of epidemiology and community health JO - J Epidemiol Community Health VL - 59 IS - 4 N2 - STUDY OBJECTIVE: To assess total and cause specific mortality among participants and non-participants of large population based health surveys. DESIGN: A prospective follow up study. Baseline surveys were conducted in 1972, 1977, 1982, 1987, and 1992. Study end points were overall, cardiovascular, cancer and violent mortality, and deaths related to smoking and alcohol. Study cohorts were followed up until the end of 2000 through computerised record linkage. All analyses were adjusted for age. SETTING: Finland. PARTICIPANTS: Participants and non-participants of five population based risk factor surveys. The samples included 54 372 men and women aged 25 to 64 years at baseline. MAIN RESULTS: The average participation rate was 81.7% among men and 87% among women. At eight year follow up, the non-participating men had twice and non-participating women 2.5-fold higher overall mortality than the participating men and women. Non-participants had also significantly higher cause specific mortality, except cancer and smoking related mortality among women. Relative differences in mortality were largest in violent and alcohol related deaths. Non-participants had considerably higher overall mortality than smoking participants, and their mortality was threefold compared with non-smoking participants. CONCLUSIONS: Observed differences in mortality show that health behaviour and health status substantially differ between non-participants and participants. Low participation rate may considerably bias the results of population based health surveys. SN - 0143-005X UR - https://www.unboundmedicine.com/medline/citation/15767385/Total_and_cause_specific_mortality_among_participants_and_non_participants_of_population_based_health_surveys:_a_comprehensive_follow_up_of_54_372_Finnish_men_and_women_ DB - PRIME DP - Unbound Medicine ER -