Participation Rates in Epidemiologic Studies

Participation rates for epidemiologic studies have been declining during the past 30 years with even steeper declines in recent years. This wholesale decrease in participation rate, or at the very least the increase in refusal, has, quite understandably, occasioned some concern among epidemiologists...

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Bibliographic Details
Published in:Annals of epidemiology Vol. 17; no. 9; pp. 643 - 653
Main Authors: Galea, Sandro, Tracy, Melissa
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.09.2007
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ISSN:1047-2797, 1873-2585
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Summary:Participation rates for epidemiologic studies have been declining during the past 30 years with even steeper declines in recent years. This wholesale decrease in participation rate, or at the very least the increase in refusal, has, quite understandably, occasioned some concern among epidemiologists who have long considered a high study participation rate as one of the hallmarks of a “good” epidemiologic study. In this review we synthesize the issues that are central to epidemiologic thinking around declining study participation rates. We consider the reasons why study participation has been declining, summarize what we know about who does participate in epidemiologic studies, and discuss the implications of declining participation rates. We conclude with a discussion of methods that may help improve study participation rates.
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ISSN:1047-2797
1873-2585
DOI:10.1016/j.annepidem.2007.03.013