Smoking, Alcohol, Diabetes, Obesity, Socioeconomic Status, and the Risk of Colorectal Cancer in a Population-Based Case–Control Study

Purpose: Although previous research has identified factors that may determine willingness to participate in research, relatively few studies have attempted to quantify the impact non-participation may have on exposure–disease associations. The aims of this study were to (a) investigate the associat...

Full description

Bibliographic Details
Main Authors: Boyle, T., Fritschi, Lin, Tabatabaei, S., Ringwald, K., Heyworth, J.
Format: Journal Article
Published: Kluwer Academic Publishers 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/28672
_version_ 1848752599579230208
author Boyle, T.
Fritschi, Lin
Tabatabaei, S.
Ringwald, K.
Heyworth, J.
author_facet Boyle, T.
Fritschi, Lin
Tabatabaei, S.
Ringwald, K.
Heyworth, J.
author_sort Boyle, T.
building Curtin Institutional Repository
collection Online Access
description Purpose: Although previous research has identified factors that may determine willingness to participate in research, relatively few studies have attempted to quantify the impact non-participation may have on exposure–disease associations. The aims of this study were to (a) investigate the associations between smoking, alcohol, diabetes, obesity, and socioeconomic status and the risk of colorectal cancer in a case–control study (59.7 and 47.2 % response fractions among cases and controls, respectively); and (b) perform sensitivity analyses to examine the possible influence of non-participation. Methods: Logistic regression was used to estimate the exposure–disease associations. We then investigated the associations between various demographic and health factors and the likelihood that an individual would participate in the case–control study and then performed two sensitivity analyses (sampling weights and multiple imputation) to examine whether non-participation bias may have influenced the exposure–disease associations. Results: The exposures alcohol, smoking, and diabetes were associated with an increased risk of colorectal cancer. We found some differences between cases and controls when examining the factors associated with the participation in the study, and in the sensitivity analyses, the exposure–disease associations were slightly attenuated when compared with those from the original analysis. Conclusion: Non-participation may have biased the risk estimates away from the null, but generally not enough to change the conclusions of the study.
first_indexed 2025-11-14T08:11:11Z
format Journal Article
id curtin-20.500.11937-28672
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T08:11:11Z
publishDate 2014
publisher Kluwer Academic Publishers
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-286722019-02-19T05:35:34Z Smoking, Alcohol, Diabetes, Obesity, Socioeconomic Status, and the Risk of Colorectal Cancer in a Population-Based Case–Control Study Boyle, T. Fritschi, Lin Tabatabaei, S. Ringwald, K. Heyworth, J. Alcohol Smoking Participation Case–control study Colorectal cancer Response bias Purpose: Although previous research has identified factors that may determine willingness to participate in research, relatively few studies have attempted to quantify the impact non-participation may have on exposure–disease associations. The aims of this study were to (a) investigate the associations between smoking, alcohol, diabetes, obesity, and socioeconomic status and the risk of colorectal cancer in a case–control study (59.7 and 47.2 % response fractions among cases and controls, respectively); and (b) perform sensitivity analyses to examine the possible influence of non-participation. Methods: Logistic regression was used to estimate the exposure–disease associations. We then investigated the associations between various demographic and health factors and the likelihood that an individual would participate in the case–control study and then performed two sensitivity analyses (sampling weights and multiple imputation) to examine whether non-participation bias may have influenced the exposure–disease associations. Results: The exposures alcohol, smoking, and diabetes were associated with an increased risk of colorectal cancer. We found some differences between cases and controls when examining the factors associated with the participation in the study, and in the sensitivity analyses, the exposure–disease associations were slightly attenuated when compared with those from the original analysis. Conclusion: Non-participation may have biased the risk estimates away from the null, but generally not enough to change the conclusions of the study. 2014 Journal Article http://hdl.handle.net/20.500.11937/28672 10.1007/s10552-014-0470-7 Kluwer Academic Publishers fulltext
spellingShingle Alcohol
Smoking
Participation
Case–control study
Colorectal cancer
Response bias
Boyle, T.
Fritschi, Lin
Tabatabaei, S.
Ringwald, K.
Heyworth, J.
Smoking, Alcohol, Diabetes, Obesity, Socioeconomic Status, and the Risk of Colorectal Cancer in a Population-Based Case–Control Study
title Smoking, Alcohol, Diabetes, Obesity, Socioeconomic Status, and the Risk of Colorectal Cancer in a Population-Based Case–Control Study
title_full Smoking, Alcohol, Diabetes, Obesity, Socioeconomic Status, and the Risk of Colorectal Cancer in a Population-Based Case–Control Study
title_fullStr Smoking, Alcohol, Diabetes, Obesity, Socioeconomic Status, and the Risk of Colorectal Cancer in a Population-Based Case–Control Study
title_full_unstemmed Smoking, Alcohol, Diabetes, Obesity, Socioeconomic Status, and the Risk of Colorectal Cancer in a Population-Based Case–Control Study
title_short Smoking, Alcohol, Diabetes, Obesity, Socioeconomic Status, and the Risk of Colorectal Cancer in a Population-Based Case–Control Study
title_sort smoking, alcohol, diabetes, obesity, socioeconomic status, and the risk of colorectal cancer in a population-based case–control study
topic Alcohol
Smoking
Participation
Case–control study
Colorectal cancer
Response bias
url http://hdl.handle.net/20.500.11937/28672