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Addressing Missing Data in Substance Use Research: A Review and Data Justice-based Approach
Caroline King1, Honora Englander, Kelsey C Priest
1MD/PhD Program, Oregon Health & Science University, Portland, OR (CK, KCP); Department of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, OR (CK); Division of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR (HE); Section of Addiction Medicine, Division of General Internal Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR (HE, PTK); OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, OR (PTK); Elson S. Floyd College of Medicine and Program for Excellence in Addiction Research, Washington State University, Spokane, Washington, DC (SM).
Missing data in substance use disorder (SUD) research hinders reliable findings. Addressing this gap requires better use and development of statistical tools, especially for underserved populations, to ensure complete data stories.
Area of Science:
- Public Health
- Biostatistics
- Data Science
Background:
- Missing data is a significant challenge in substance use disorder (SUD) research, impacting the reliability of study findings.
- Existing statistical tools for handling missing data are underutilized and may not cover all types of missingness.
- Missing data in SUD research disproportionately affects underserved populations, leading to incomplete narratives and potentially flawed policy decisions.
Purpose of the Study:
- To review the types of missing data encountered in SUD research.
- To highlight the underuse of existing statistical methods for managing missing data.
- To advocate for the increased development and application of statistical tools through a data justice framework.
Main Methods:
- Literature review of missing data types in SUD research.
- Analysis of the implications of missing data from a data justice perspective.
- Examination of current statistical tools and their limitations in SUD contexts.
Main Results:
- Identified various types of missing data prevalent in SUD research.
- Demonstrated how missing data can obscure critical information, particularly for vulnerable groups.
- Highlighted the gap between available statistical methods and their practical application in SUD studies.
Conclusions:
- Emphasizes that missing data in SUD research is not merely a statistical issue but a data justice concern.
- Stresses the urgent need for greater adoption and innovation in statistical methodologies to address missing data.
- Advocates for a more equitable approach to data collection and analysis in SUD research to ensure all voices and stories are represented.
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