Adolescent survey non-response and later risk of death. A prospective cohort study of 78 609 persons with 11-year follow-up
2007

Adolescent Survey Non-Response and Risk of Death

Sample size: 78609 publication 10 minutes Evidence: high

Author Information

Author(s): Ville Mattila, Jari Parkkari, Arja Rimpelä

Primary Institution: University of Tampere

Hypothesis

Are adolescent survey non-respondents at a higher risk of death compared to respondents?

Conclusion

Adolescent non-respondents have significantly higher rates of death, particularly from disease and violence-related causes.

Supporting Evidence

  • Non-respondents had a higher risk of death from intoxication (HR 3.2).
  • The risk of death from disease was also significantly higher among non-respondents (HR 3.1).
  • The association between non-response and death persisted beyond the age of 25.

Takeaway

If teenagers don't answer health surveys, they might be more likely to get hurt or sick later on.

Methodology

The study linked survey data from adolescents aged 12-18 with national death registry data over an 11-year follow-up.

Potential Biases

Non-respondents may have poorer health behaviors and socio-economic backgrounds.

Limitations

The study may not account for all factors influencing non-response and death risk.

Participant Demographics

Finnish adolescents aged 12-18, with a response rate of 79.6% (lower in males and older age groups).

Statistical Information

P-Value

0.46

Confidence Interval

95% CI: 1.5–2.6

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-7-87

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