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Evaluation of Nonresponse Bias in a Case–Control Study of Pleural Mesothelioma

Author

Listed:
  • Chiara Airoldi

    (Department of Translational Medicine, Unit of Medical Statistics and Cancer Epidemiology, University of Eastern Piedmont, CPO-Piedmont, 28100 Novara, Italy)

  • Daniela Ferrante

    (Department of Translational Medicine, Unit of Medical Statistics and Cancer Epidemiology, University of Eastern Piedmont, CPO-Piedmont, 28100 Novara, Italy)

  • Dario Mirabelli

    (Department of Medical Sciences, Unit of Cancer Epidemiology, CPO Piemonte and University of Turin, 10126 Turin, Italy
    Interdepartmental Centre G. Scansetti for Studies on Asbestos and other Toxic Particulates, University of Turin, 10125 Turin, Italy)

  • Danila Azzolina

    (Department of Translational Medicine, Unit of Medical Statistics and Cancer Epidemiology, University of Eastern Piedmont, CPO-Piedmont, 28100 Novara, Italy)

  • Corrado Magnani

    (Department of Translational Medicine, Unit of Medical Statistics and Cancer Epidemiology, University of Eastern Piedmont, CPO-Piedmont, 28100 Novara, Italy
    Interdepartmental Centre G. Scansetti for Studies on Asbestos and other Toxic Particulates, University of Turin, 10125 Turin, Italy)

Abstract

Nonparticipation limits the power of epidemiological studies, and can cause bias. In a case–control study on pleural malignant mesothelioma (MM), we found low participation in interviews (63%) among controls. Our goal was to characterize nonresponder controls and assess nonresponse bias in our study. We selected all nonresponder controls (204) and a random sample of responder controls (174). Data were obtained linking hospital admissions and town registrars, and concordance between sources was assessed. Nonresponse bias was evaluated using a logistic regression model applying the inverse probability weighting approach. The odds ratio (OR) for the status of the respondents was 0.61 (95% confidence interval (CI): 0.33–1.16) for controls aged 61–70, 0.37 (CI: 0.20–0.66) for those aged 71–80, and 0.40 (CI: 0.20–0.80) for those aged above 80 (reference group: ≤60 years). Controls with low education level had lower OR (0.47; CI: 0.26–0.84). After adjustment, the ORs for MM by categories of cumulative exposure to asbestos were similar to the unadjusted results, ranging from 4.6 (CI: 1.8–11.7) for cumulative exposures between 0.1 and 1 f/mL-y to 57.5 (CI: 20.2–163.9) above 10 f/mL-y. Responder controls were younger and had higher education level. Nevertheless, there was little evidence of bias from nonresponse in the risk estimates of MM.

Suggested Citation

  • Chiara Airoldi & Daniela Ferrante & Dario Mirabelli & Danila Azzolina & Corrado Magnani, 2020. "Evaluation of Nonresponse Bias in a Case–Control Study of Pleural Mesothelioma," IJERPH, MDPI, vol. 17(17), pages 1-9, August.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6146-:d:403240
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    References listed on IDEAS

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    1. Enrico Oddone & Jordy Bollon & Consuelo Rubina Nava & Marcella Bugani & Dario Consonni & Alessandro Marinaccio & Corrado Magnani & Francesco Barone-Adesi, 2020. "Predictions of Mortality from Pleural Mesothelioma in Italy After the Ban of Asbestos Use," IJERPH, MDPI, vol. 17(2), pages 1-11, January.
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    Cited by:

    1. Angel Belenguer-Varea & Juan Antonio Avellana-Zaragoza & Marta Inglés & Cristina Cunha-Pérez & David Cuesta-Peredo & Consuelo Borrás & José Viña & Francisco José Tarazona-Santabalbina, 2023. "Effect of Familial Longevity on Frailty and Sarcopenia: A Case–Control Study," IJERPH, MDPI, vol. 20(2), pages 1-16, January.

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