Skip to main content
Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 1992 Aug;46(4):455–459. doi: 10.1136/jech.46.4.455

Demographic characteristics and health behaviours of consenters to medical examination. Results from the Welsh Heart Health Survey.

E Pullen 1, D Nutbeam 1, L Moore 1
PMCID: PMC1059619  PMID: 1431726

Abstract

STUDY OBJECTIVE--The aim was to compare the demographic characteristics and health related behaviours of people who consented to a medical examination as part of a population survey with those who did not. STUDY DESIGN--The study formed part of the (1985) Welsh Heart Health Survey, which comprised a three stage design involving household interview, self completion questionnaire, and medical examination. Subjects for medical examination were selected from responders to the questionnaire survey (67%). Sixty six per cent of this group consented to medical examination (n = 11,637). Odds ratio analysis techniques were used to compare consenters and non-consenters. MEASUREMENTS AND MAIN RESULTS--The analysis was based on self reported information available from previously completed questionnaires, and from personal interviews. The study supported the findings of previous research indicating that consenters to medical examination are more likely to be from non-manual social groups, to be aged 25-44 years, to be educated beyond school age, and to be married. Individuals with healthy lifestyle characteristics (diet, physical activity) were overrepresented among consenters. The only exception to this finding was in relation to excessive alcohol consumption. CONCLUSIONS--These findings emphasise the importance of maximising response rates in all forms of social research including surveys with a clinical component. They also have methodological and analytical implications for the Welsh Heart Health Survey.

Full text

PDF
455

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson R. M. Public attitudes to and experience of medical check-ups. Community Med. 1983 Feb;5(1):11–20. doi: 10.1007/BF02548579. [DOI] [PubMed] [Google Scholar]
  2. Campbell M. J., Waters W. E. Does anonymity increase response rate in postal questionnaire surveys about sensitive subjects? A randomised trial. J Epidemiol Community Health. 1990 Mar;44(1):75–76. doi: 10.1136/jech.44.1.75. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Criqui M. H., Barrett-Connor E., Austin M. Differences between respondents and non-respondents in a population-based cardiovascular disease study. Am J Epidemiol. 1978 Nov;108(5):367–372. doi: 10.1093/oxfordjournals.aje.a112633. [DOI] [PubMed] [Google Scholar]
  4. Greenlick M. R., Bailey J. W., Wild J., Grover J. Characteristics of men most likely to respond to an invitation to be screened. Am J Public Health. 1979 Oct;69(10):1011–1015. doi: 10.2105/ajph.69.10.1011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kopec J. A., Esdaile J. M. Bias in case-control studies. A review. J Epidemiol Community Health. 1990 Sep;44(3):179–186. doi: 10.1136/jech.44.3.179. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Nutbeam D., Smith C., Catford J. Evaluation in health education. A review of progress, possibilities, and problems. J Epidemiol Community Health. 1990 Jun;44(2):83–89. doi: 10.1136/jech.44.2.83. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Pirie P. L., Elias W. S., Wackman D. B., Jacobs D. R., Jr, Murray D. M., Mittelmark M. B., Luepker R. V., Blackburn H. Characteristics of participants and nonparticipants in a community cardiovascular disease risk factor screening: the Minnesota Heart Health Program. Am J Prev Med. 1986 Jan-Feb;2(1):20–25. [PubMed] [Google Scholar]
  8. Sonne-Holm S., Sørensen T. I., Jensen G., Schnohr P. Influence of fatness, intelligence, education and sociodemographic factors on response rate in a health survey. J Epidemiol Community Health. 1989 Dec;43(4):369–374. doi: 10.1136/jech.43.4.369. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Stromberg J., Dowd J., Glasunov I., Jaksić Z., Kesić B., Prebeg Z., Ray D., Steinberger C., Vuletić S. Predicting participation in a screening examination for ischaemic heart disease risk factors. Experience from the Zagreb preliminary study. Soc Sci Med. 1974 May;8(5):275–286. doi: 10.1016/0037-7856(74)90097-3. [DOI] [PubMed] [Google Scholar]
  10. Walker M., Shaper A. G., Cook D. G. Non-participation and mortality in a prospective study of cardiovascular disease. J Epidemiol Community Health. 1987 Dec;41(4):295–299. doi: 10.1136/jech.41.4.295. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Wallston K. A., Wallston B. S., DeVellis R. Development of the Multidimensional Health Locus of Control (MHLC) Scales. Health Educ Monogr. 1978 Spring;6(2):160–170. doi: 10.1177/109019817800600107. [DOI] [PubMed] [Google Scholar]
  12. Wilhelmsen L., Ljungberg S., Wedel H., Werkö L. A comparison between participants and non-participants in a primary preventive trial. J Chronic Dis. 1976 May;29(5):331–339. doi: 10.1016/0021-9681(76)90093-x. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Epidemiology and Community Health are provided here courtesy of BMJ Publishing Group

RESOURCES