American Journal of Epidemiology Vol. 140, No. 2: 161-171
Copyright © 1994 by The Johns Hopkins University School of Hygiene and Public Health
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Race- and Ethnicity-specific Characteristics of Participants Lost to Follow-up in a Telephone Cohort
1Department of Medicine, School of Medicine, University of Washington Seattle, WA
2Department of Epidemiology, School of Public Health and Community Medicine, University of Washington Seattle, WA
3Department of Health Services, School of Public Health and Community Medicine, University of Washington Seattle, WA
4Department of Biostatistics, School of Public Health and Community Medicine, University of Washington Seattle, WA
5Center for Health Studies, Group Health Cooperative of Puget Sound Seattle, WA
6Center for Health Promotion, Group Health Cooperative of Puget Sound Seattle, WA
Reprint requests to Dr. Edward H. Wagner, Center for Health Studies, Group Health Cooperative of Puget Sound, Metropolitan Park. East Tower, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101
The purpose of this study was to describe race- and ethnicity-specific characteristics of subjects lost to follow-up. For a study of community-based health interventions, adult subjects from 11 US communities were initially recruited by random digit dialing and interviewed by telephone in 1988; 2 years later, they were recontacted, and the same survey was administered a second time. Associations with loss to follow-up were assessed in separate models for whites, African Americans, Hispanic Americans, and Asian Americans. After 2 years, 40.8% of the 5,851 participants were lost to follow-up; cohort attrition was highest among African Americans (51.3%) and lowest among whites (37.5%). Age, aspects of employment, education, marital status, and income were significant independent predictors of loss to follow-up for one or more of the four racial and ethnic groups. Characteristics of subjects lost to follow-up in this telephone cohort differed among various racial and ethnic groups. After adjustment for demographic, socioeconomic, and health status variables, the important behavioral predictors of loss to follow-up were current smoking for whites (p < 0.05), having a high fat diet for African Americans (p < 0.10), consuming one or more alcoholic drinks per day for Hispanic Americans (p <0.10), and high levels of physical activity for Asian Americans (p <0.05).
epidemiologic methods; ethnic groups; follow-up studies; health behavior; health status; health surveys; interviews; sampling studies
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