谁做出回应是不是很重要? : 探索华盛顿集团短集残疾估计中的潜在代理响应偏差
Aaron Beuoy1, Kelsey S Goddard1
1Institute for Health and Disability Policy Studies, University of Kansas, Lawrence, KS, United States.
Frontiers in research metrics and analytics
|November 17, 2025
概括
代理受访者使用华盛顿集团短集 (WG-SS) 显著更有可能被归类为具有残疾. 这一发现突显了残疾患病率估计中的潜在偏差,并影响了健康公平研究.
科学领域:
- 公共卫生 公共卫生
- 关于残疾人的研究.
- 调查方法 调查方法
背景情况:
- 华盛顿集团简短集 (WG-SS) 是在人口调查中识别残疾的一个关键工具.
- 认知测试显示了WG-SS的自我报告和代理报告之间的响应差异.
- 代理报告在国家调查中很常见,这引发了对残疾数据准确性的担忧.
研究的目的:
- 通过使用WG-SS.调查代理受访者与残疾分类之间的关系.
- 评估报告来源对残疾患病率估计的影响.
主要方法:
- 采用了二进制物流回归分析.
- 利用了2010-2018年国家卫生访谈调查 (NHIS) 的数据.
- 对社会人口统计学特征进行了控制.
主要成果:
- 在调整了社会人口统计数据后,代理受访者被归类为WG-SS残疾的可能性比自我报告者高4.48倍.
- 这表明,当使用代理受访者时,严重高估了残疾.
结论:
- 代理报告中的差异可能会扭曲残疾患病率估计,影响健康公平和政策.
- 报告来源 (本人与代理) 应该是WG-SS数据质量和股权评估中的关键变量.
- 未来的研究必须考虑报告来源,以确保准确的残疾数据.
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