Psychosocial and sociodemographic predictors of attrition in a longitudinal study of major depression in primary care: the predictD-Spain study.
J Epidemiol Community Health
; 64(10): 874-84, 2010 Oct.
Article
em En
| MEDLINE
| ID: mdl-19759057
ABSTRACT
BACKGROUND:
Few data exist on the psychosocial factors associated with attrition in longitudinal surveys. This study was undertaken to determine psychosocial and sociodemographic predictors of attrition from a longitudinal study of the onset and persistence of episodes of major depression in primary care.METHODS:
A systematic random sample of general practice attendees was recruited in seven Spanish provinces between October 2005 and February 2006. Major depression was diagnosed using the Composite International Diagnostic Interview and a set of 39 individual and environmental risk factors for depression were assessed at baseline and after 6 and 12â months of follow-up. Data were analysed using multilevel logistic regression.RESULTS:
7777 primary care attendees aged 18-75â years were selected, of whom 1251 (16.1%) were excluded. Of the remaining 6526, 1084 (16.6%) refused to participate. Thus, 5442 patients (attending 231 family physicians in 41 health centres) were interviewed at baseline, of whom 3804 (70%) and 3567 (66%) remained at 6 and 12â months of follow-up, respectively. The province and sociodemographic factors were stronger predictors of attrition than psychosocial factors. Depression and anxiety had no effect but other psychosocial factors affected attrition. There were different profiles for the patients lost at 12â months when predictors measured at baseline versus 6â months were included.CONCLUSIONS:
These findings suggest that several psychosocial factors might be considered factors of attrition in primary care cohorts and confirm that baseline characteristics are insufficient for analysing non-response in longitudinal studies, indicating that different retention strategies should be applied for patients interviewed at 6 and 12â months.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Comportamentos Relacionados com a Saúde
/
Recusa de Participação
/
Transtorno Depressivo Maior
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Espanha