Abstract
There is a potential for nonresponse bias in most population studies using health examinations. This is true of the Mexican American portion of the Hispanic Health and Nutrition Examination Survey (HHANES), conducted by the National Center for Health Statistics, in which unit nonresponse to the examination accounted for 24 percent of the sample. Even though the full effect of nonresponse can never be really known, ancillary information from the interview sample can be used in an attempt to adjust for bias in estimates. Two techniques for nonresponse bias adjustment are presented and illustrated using health status level and hypertension status from published studies based on the HHANES of 1982-84. The first approach uses conditional probabilities and the second approach uses direct standardization. The examples examine whether or not an adjustment for socioeconomic status, sex, and age--variables related to both response status and the conditions under study--changes the prevalence estimates of (a) Mexican Americans who report poor, fair, or good health status and (b) hypertension among Mexican Americans.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Caralis P. V. Hypertension in the Hispanic-American population. Am J Med. 1990 Mar 12;88(3B):9S–16S. doi: 10.1016/0002-9343(90)90004-w. [DOI] [PubMed] [Google Scholar]
- Forthofer R. N. Investigation of nonresponse bias in NHANES II. Am J Epidemiol. 1983 Apr;117(4):507–515. doi: 10.1093/oxfordjournals.aje.a113568. [DOI] [PubMed] [Google Scholar]
- Geronimus A. T., Neidert L. J., Bound J. A note on the measurement of hypertension in HHANES. Am J Public Health. 1990 Dec;80(12):1437–1442. doi: 10.2105/ajph.80.12.1437. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Johnson C. L., Woteki C. E. The art and science of interpreting survey data. Am J Public Health. 1990 Dec;80(12):1427–1429. doi: 10.2105/ajph.80.12.1427. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pappas G., Gergen P. J., Carroll M. Hypertension prevalence and the status of awareness, treatment, and control in the Hispanic Health and Nutrition Examination Survey (HHANES), 1982-84. Am J Public Health. 1990 Dec;80(12):1431–1436. doi: 10.2105/ajph.80.12.1431. [DOI] [PMC free article] [PubMed] [Google Scholar]