Parents’ voluntary consent to participate in research: biased sampling in relation to the population?
Abstract
The Moscow Research Institute of Pediatrics and Pediatric Surgery is taking part in the international MecMilk study. Its purpose is to reveal and estimate possible differences between those who have consented to participate in the MecMilk study and those who have refused. A Moscow cohort of 393 infants, the mothers of 200 babies of them agreed to take part in the MecMilk study, was recruited in 2011. Familial allergy history data in these neonatal infants were collected. A year later, 363 (92,4%) mothers were interviewed using the United Kingdom Working Party criteria for atopic dermatitis. The incidence of allergic manifestations was two-fold higher in the families who had agreed to participate in the MecMilk study. The manifestations of atopical dermatitis were recorded in 8 of the 200 babies aged one year whose mothers had consented to participate in the study while 193 infants whose mothers had refused presented with no symptoms of atopic dermatitis (р=0,0074). Thus, those who had agreed to participate in the MecMilk study differed from those who had refused in the incidence of allergic manifestations among the babies and their relatives. The probability of biased sampling in relation to the population should be taken in consideration when planning a study and interpreting its results. Otherwise it will be not difficult, but also incorrect to compare obtained results.
About the Authors
M. S. ТrenevaRussian Federation
D. B. Мunblit
United Kingdom
A. N. Pampura
Russian Federation
References
1. Nohr E.A., Frydenberg M., Henriksen T.B., Olsen J. Does low participation in cohort studies induce bias? Epidemiology 2006; 17: 4: 413—418.
2. Galea S., Tracy M. Participation rates in epidemiologic studies. Ann Epidemiol 2007; 17: 9: 643—653.
3. Boyle T., Landrigan J., Bulsara C. et al. Increasing study participation. Epidemiology 2013; 22: 2: 279.
4. de Souto Barreto P., Ferrandez A.M., Saliba-Serre B. Are older adults who volunteer to participate in an exercise study fitter and healthier than nonvolunteers? The participation bias of the study population. J Phys Act Health 2013; 10: 3: 359—367.
5. Markanday S., Brennan S.L., Gould H., Pasco J.A. Sexdifferences in reasons for non-participation at recruitment: Geelong Osteoporosis Study. BMC Res Notes 2013; 6: 104.
6. Burg J.A., Allred S.L., Sapp J.H. 2nd. The potential for bias due to attrition in the National Exposure Registry: an examination of reasons for nonresponse, nonrespondent characteristics, and the response rate. Toxicol Ind Health 1997; 13: 1: 1—13.
7. Eagan T.M., Eide G.E., Gulsvik A., Bakke P.S. Nonresponse in a community cohort study: predictors and consequences for exposure-disease associations. J Clin Epidemiol 2002; 55: 8: 775—781.
8. Hille E.T., Elbertse L., Gravenhorst J.B. et al. Nonresponse bias in a follow-up study of 19-year-old adolescents born as preterm infants. Pediatrics 2005; 116: 5: e662—666.
9. Partin M.R., Malone M., Winnett M. et al. The impact of survey nonresponse bias on conclusions drawn from a mammography intervention trial. J Clin Epidemiol 2003; 56: 9: 867—873.
10. Williams H. So how do I define atopic eczema? А practical manual for researchers wishing to define atopic eczema. 1996. Available at: http://www.nottingham.ac.uk/dermatology/ eczema/contents/html.
11. Тренева М.С., Мунблит Д.Б., Ермолаева Е.И., Пампура А.Н. Распространенность атопического дерматита в популяции детей годовалого возраста Москвы. Рос аллергол журн 2013: 4; 39—43. (Treneva M.S., Munblit D.B., Ermolaeva E.I., Pampura A.N. Atopic dermatitis prevalence in population of Moscow 1-year old children. Ros аllergol zhurn 2013: 4; 39—43).
12. Agresti A., Coull B.A. Approximate is Better than "exact" for interval estimation of binomial proportions. The American Statistician 1998; 52: 119—126.
13. Clopper C.J., Pearson E.S. The use of confidence or fiducial limits illustrated in the case of the binomial. Biometrika 1934; 26: 404—413.
14. Тренева М.С. Отбор детей для первичной профилактики аллергических заболеваний: прогностическая значимость и высокая специфичность сведений об аллергических заболеваниях родственников-мужчин. Рос аллергол журн 2010; 6: 34—37. (Treneva M.S. Allergic diseases primary prevention children setting: positive predictive value and high specificity of information on allergic diseases in male relatives. Ros аllergol zhurn 2010; 6: 34—37.)
15. Dunn K.M., Jordan K., Lacey R.J. et al. Patterns of consent in epidemiologic research: evidence from over 25,000 responders. Am J Epidemiol 2004; 159: 11: 1087—1094.
Review
For citations:
Тreneva M.S., Мunblit D.B., Pampura A.N. Parents’ voluntary consent to participate in research: biased sampling in relation to the population? Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2014;59(1):82-87. (In Russ.)