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首页> 外文期刊>Annals of epidemiology >Sociodemographic, clinical, and psychological factors associated with attrition in a prospective study of cardiovascular prevention: The Heart Strategies Concentrating on Risk Evaluation study
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Sociodemographic, clinical, and psychological factors associated with attrition in a prospective study of cardiovascular prevention: The Heart Strategies Concentrating on Risk Evaluation study

机译：心血管预防前瞻性研究中与减员相关的社会人口统计学，临床和心理因素：专注于风险评估的心脏策略研究

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Purpose: To identify factors associated with attrition in a longitudinal study of cardiovascular prevention. Methods: Demographic, clinical, and psychosocial variables potentially associated with attrition were investigated in 1841 subjects enrolled in the southwestern Pennsylvania Heart Strategies Concentrating on Risk Evaluation study. Attrition was defined as study withdrawal, loss to follow-up, or missing 50% or more of study visits. Results: Over 4 years of follow-up, 291 subjects (15.8%) met criteria for attrition. In multivariable regression models, factors that were independently associated with attrition were black race (odds ratio [OR], 2.21; 95% confidence interval [CI], 1.55-3.16; P < .001), younger age (OR per 5-year increment, 0.88; 95% CI, 0.79-0.99; P < .05), male gender (OR, 1.79; 95% CI, 1.27-2.54; P < .05), no health insurance (OR, 2.04; 95% CI, 1.20-3.47; P < .05), obesity (OR, 1.80; 95% CI, 1.07-3.02; P < .05), CES-D depression score 16 or higher (OR, 2.02; 95% CI, 1.29-3.19; P < .05), and higher ongoing life events questionnaire score (OR, 1.09; 95% CI, 1.04-1.13; P < .001). Having a spouse/partner participating in the study was associated with lower odds of attrition (OR, 0.60; 95% CI, 0.37-0.97; P < .05). A synergistic interaction was identified between black race and depression. Conclusions: Attrition over 4 years was influenced by sociodemographic, clinical, and psychological factors that can be readily identified at study entry. Recruitment and retention strategies targeting these factors may improve participant follow-up in longitudinal cardiovascular prevention studies.
机译：目的：在心血管疾病预防的纵向研究中确定与减员有关的因素。方法：在宾夕法尼亚州西南部心脏策略集中于风险评估研究的1841名受试者中，调查了与磨损相关的潜在人口统计学，临床和社会心理变量。损耗定义为退出研究，失去随访或错过50％或更多的研究访问。结果：在4年的随访中，有291名受试者（15.8％）达到了减员标准。在多变量回归模型中，与减员独立相关的因素是黑人（赔率[OR]为2.21; 95％置信区间[CI]为1.55-3.16; P <.001），年龄较小（每5年OR）增量，0.88; 95％CI，0.79-0.99; P <.05），男性（OR，1.79; 95％CI，1.27-2.54; P <.05），没有医疗保险（OR，2.04; 95％CI ，1.20-3.47; P <.05），肥胖（OR，1.80; 95％CI，1.07-3.02; P <.05），CES-D抑郁评分16或更高（OR，2.02; 95％CI，1.29- 3.19; P <.05），以及进行中的生活事件问卷得分较高（OR，1.09; 95％CI，1.04-1.13; P <.001）。配偶/伴侣参与研究与降低的磨损几率相关（OR，0.60; 95％CI，0.37-0.97; P <.05）。在黑人种族和抑郁症之间发现了协同相互作用。结论：超过4年的人员流失受社会人口统计学，临床和心理因素的影响，这些因素可以在研究开始时立即确定。针对这些因素的招募和保留策略可能会改善纵向心血管预防研究中的参与者随访。

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