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Methods for determining long-term survival in a population based study.

M A Austin, S Berreyesa, J L Elliott

    American Journal of Epidemiology
    |December 1, 1979
    PubMed
    Summary
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    Achieving a 98.8% response rate in a community health survey follow-up required intensive tracing methods. This comprehensive approach ensured accurate vital status data, crucial for prospective study validity.

    Area of Science:

    • Epidemiology
    • Public Health Research
    • Longitudinal Studies

    Background:

    • A community-based health survey was initially conducted in 1972-1973.
    • Study participants were predominantly older adults in a suburban, upper-middle-class community.
    • A follow-up study was designed to determine the vital status of these participants three years later.

    Purpose of the Study:

    • To present the methodology used for a high-response-rate follow-up study.
    • To assess the vital status of participants from an initial community health survey.
    • To highlight the importance of complete follow-up in prospective epidemiological research.

    Main Methods:

    • Contacting 1700 households with a 30% residential mobility rate.
    • Utilizing two mailings, direct phone calls to last known addresses, and intensive telephone tracing.
    Keywords:
    AmericasDemographic FactorsDeveloped CountriesEvaluationEvaluation MethodologyHealthLength Of LifeLife ExpectancyMortalityNorth AmericaNorthern AmericaPopulationPopulation DynamicsResearch MethodologySampling StudiesStudiesSurveysUnited States

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  • Employing diverse local and non-local information sources to locate "hard to trace" households.

    • Main Results:

    • A total response rate of 98.8% was achieved.
    • "Hard to trace" households differed significantly in mobility, household size, and death rates.
    • Excluding "hard to trace" individuals would have underestimated the three-year death rate by 15.5%.

    Conclusions:

    • Comprehensive follow-up methodologies are essential for accurate prospective study outcomes.
    • Intensive tracing techniques are necessary to overcome challenges like residential mobility.
    • Complete data capture is critical to avoid underestimation of key health indicators such as mortality rates.