Non-response bias in estimates of HIV prevalence due to the mobility of absentees in national population-based surveys: a study of nine national surveys
2008

Impact of Mobility on HIV Prevalence Estimates

Sample size: 9 publication 10 minutes Evidence: moderate

Author Information

Author(s): Milly Marston, Katherine Slaymaker, Eleanor Harris

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

Does the mobility of absentees in national population-based surveys bias estimates of HIV prevalence?

Conclusion

The mobility of absentees does not substantially bias estimates of HIV prevalence from population-based surveys.

Supporting Evidence

  • Non-response groups were corrected to have higher risks of HIV than those who participated in the tests.
  • Adjusted prevalence for absentees was significantly higher in Lesotho compared to those present.
  • Overall effects of non-response on national estimates of HIV prevalence are minimal.

Takeaway

This study looked at how people being away from home affects the accuracy of HIV prevalence estimates. It found that being away doesn't change the numbers much.

Methodology

Data from nine demographic and health surveys and AIDS indicator surveys were analyzed using multiple imputation methods with logistic regression models.

Potential Biases

Non-response bias may occur if non-responders differ significantly from those who participate in HIV testing.

Limitations

The study was limited by the availability of data in non-response groups and the sample size may be inadequate in low-prevalence areas.

Participant Demographics

The study included men and women aged 15-59 from various countries.

Statistical Information

P-Value

p<0.05

Confidence Interval

1.01 to 3.32

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1136/sti.2008.030353

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