Alcohol-related Outcomes and All-cause Mortality in the Health 2000 Survey by Participation Status and Compared with the Finnish Population

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dc.contributor University of Helsinki, Demography en
dc.contributor University of Helsinki, Helsinki Inequality Initiative (INEQ) en
dc.contributor.author McMinn, Megan A.
dc.contributor.author Gray, Linsay
dc.contributor.author Harkanen, Tommi
dc.contributor.author Tolonen, Hanna
dc.contributor.author Pitkanen, Joonas
dc.contributor.author Molaodi, Oarabile R.
dc.contributor.author Leyland, Alastair H.
dc.contributor.author Martikainen, Pekka
dc.date.accessioned 2021-04-06T07:17:01Z
dc.date.available 2021-04-06T07:17:01Z
dc.date.issued 2020-07
dc.identifier.citation McMinn , M A , Gray , L , Harkanen , T , Tolonen , H , Pitkanen , J , Molaodi , O R , Leyland , A H & Martikainen , P 2020 , ' Alcohol-related Outcomes and All-cause Mortality in the Health 2000 Survey by Participation Status and Compared with the Finnish Population ' , Epidemiology , vol. 31 , no. 4 , pp. 534-541 . https://doi.org/10.1097/EDE.0000000000001200 en
dc.identifier.issn 1044-3983
dc.identifier.other PURE: 158957734
dc.identifier.other PURE UUID: b349e430-36a4-4f56-8f8e-5f4102667155
dc.identifier.other WOS: 000540758100011
dc.identifier.other ORCID: /0000-0001-9374-1438/work/86937562
dc.identifier.uri http://hdl.handle.net/10138/328728
dc.description.abstract Background: In the context of declining levels of participation, understanding differences between participants and non-participants in health surveys is increasingly important for reliable measurement of health-related behaviors and their social differentials. This study compared participants and non-participants of the Finnish Health 2000 survey, and participants and a representative sample of the target population, in terms of alcohol-related harms (hospitalizations and deaths) and all-cause mortality. Methods: We individually linked 6,127 survey participants and 1,040 non-participants, aged 30-79, and a register-based population sample (n = 496,079) to 12 years of subsequent administrative hospital discharge and mortality data. We estimated age-standardized rates and rate ratios for each outcome for non-participants and the population sample relative to participants with and without sampling weights by sex and educational attainment. Results: Harms and mortality were higher in non-participants, relative to participants for both men (rate ratios = 1.5 [95% confidence interval = 1.2, 1.9] for harms; 1.6 [1.3, 2.0] for mortality) and women (2.7 [1.6, 4.4] harms; 1.7 [1.4, 2.0] mortality). Non-participation bias in harms estimates in women increased with education and in all-cause mortality overall. Age-adjusted comparisons between the population sample and sampling weighted participants were inconclusive for differences by sex; however, there were some large differences by educational attainment level. Conclusions: Rates of harms and mortality in non-participants exceed those in participants. Weighted participants' rates reflected those in the population well by age and sex, but insufficiently by educational attainment. Despite relatively high participation levels (85%), social differentiating factors and levels of harm and mortality were underestimated in the participants. en
dc.format.extent 8
dc.language.iso eng
dc.relation.ispartof Epidemiology
dc.rights en
dc.subject 5142 Social policy en
dc.subject Alcohol consumption en
dc.subject Bias en
dc.subject Finland en
dc.subject Health 2000 Survey en
dc.subject Non-participation en
dc.subject Population sample en
dc.title Alcohol-related Outcomes and All-cause Mortality in the Health 2000 Survey by Participation Status and Compared with the Finnish Population en
dc.type Article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1097/EDE.0000000000001200
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion
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