Participation in a US Community-Based Cardiovascular Health Study: Investigating Nonrandom Selection Effects Related to Employment, Perceived Stress, Work-Related Stress, and Family Caregiving

Details

• Personal Author:
  Fujishiro K ; Hein, Misty J. ; Howard VJ ; Landsbergis P ; MacDonald, Leslie A.
• Description:
  Purpose: Participation in health studies may be inversely associated with employment and stress. We investigated whether employment, perceived stress, work-related stress, and family caregiving were related to participation in a longitudinal US community-based health study of black and white men and women aged >/= 45 years. Methods: Prevalence ratios and confidence intervals were estimated for completion of the second stage (S2) of a two-stage enrollment process by employment (status, type), and stress (perceived stress, work-related stress, caregiving), adjusting for age, sex, race, region, income, and education. Eligibility and consent for a follow-up occupational survey were similarly evaluated. Results: Wage- but not self-employed participants were less likely than the unemployed to complete S2. Among the employed, S2 completion did not vary by stress; however, family caregivers with a short time burden of care (<2 hour/d) were more likely to complete S2, compared to noncaregivers. Eligibility and participation in the follow-up occupational survey were higher among those employed (vs. unemployed) at enrollment but were not associated with enrollment stress levels. Conclusions: Limited evidence of selection bias was seen by employment and stress within a large US community-based cohort, but findings suggest the need for enrollment procedures to consider possible barriers to participation among wage-employed individuals. [Description provided by NIOSH]
• Subjects:
  Cohort Studies Demography Employment Epidemiology Family Health Personnel Occupational Health Safety Surveys And Questionnaires
• Keywords:
  Author Keywords: Selection Bias Caregivers Cohort Studies Community Based Data Processing Demographic Characteristics Employees Families Health Care Workers Health Surveys Humans Job Analysis Occupations Psychological Stress Unemployment Worker Health

  More +
• ISSN:
  1047-2797
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Alabama ; New York ; Ohio ; OSHA Region 2 ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  27
• Issue:
  9
• NIOSHTIC Number:
  nn:20050406
• Citation:
  Ann Epidemiol 2017 Sep; 27(9):545-552.e2
• Contact Point Address:
  Leslie A. MacDonald, ScD, National Institute for Occupational Safety and Health, 1090 Tusculum Avenue, MS R-15, Cincinnati, OH 45226-1998
• Email:
  lmacdonald@cdc.gov
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  True
• Source Full Name:
  Annals of Epidemiology
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0d96e9d6e7ba4298f3b94cc5805ab06c6b0ad0b5a90bc7377dfe2b346b2f96d03a2e4045cc360e679183fe2faa448acbe44e3230960c858142afaedb1b5b6a94
• Download URL:
  https://stacks.cdc.gov/view/cdc/210767/cdc_210767_DS1.pdf
• File Type:
  [PDF - 245.49 KB ]