abstract: 'Purpose: Participation in health studies may be inversely associated

  with employment and stress. We investigated whether employment,

  perceived stress, work-related stress, and family caregiving were

  related to participation in a longitudinal US community-based health

  study of black and white men and women aged >= 45 years.

  Methods: Prevalence ratios and confidence intervals were estimated for

  completion of the second stage (S2) of a two-stage enrollment process by

  employment (status, type), and stress (perceived stress, work related

  stress, caregiving), adjusting for age, sex, race, region, income, and

  education. Eligibility and consent for a follow-up occupational survey

  were similarly evaluated.

  Results: Wage- but not self-employed participants were less likely than

  the unemployed to complete S2. Among the employed, S2 completion did not

  vary by stress; however, family caregivers with a short time burden of

  care (<2 hourid) were more likely to complete S2, compared to

  noncaregivers. Eligibility and participation in the follow-up

  occupational survey were higher among those employed (vs. unemployed) at

  enrollment but were not associated with enrollment stress levels.

  Conclusions: Limited evidence of selection bias was seen by employment

  and stress within a large US community-based cohort, but findings

  suggest the need for enrollment procedures to consider possible barriers

  to participation among wage-employed individuals. Published by Elsevier

  Inc.'
affiliation: 'MacDonald, LA (Corresponding Author), NIOSH, 1090 Tusculum Ave,MS R-15,
  Cincinnati, OH 45226 USA.

  MacDonald, Leslie A.; Fujishiro, Kaori; Hein, Misty J., NIOSH, Div Surveillance
  Hazard Evaluat \& Field Studies, Cincinnati, OH 45226 USA.

  Howard, Virginia J., Univ Alabama Birmingham, Sch Publ Hlth, Dept Epidemiol, Birmingham,
  AL 35294 USA.

  Landsbergis, Paul, State Univ New York Downstate, Sch Publ Hlth, New York, NY USA.'
author: MacDonald, Leslie A. and Fujishiro, Kaori and Howard, Virginia J. and Landsbergis,
  Paul and Hein, Misty J.
author-email: lmacdonald@cdc.gov
author_list:
- family: MacDonald
  given: Leslie A.
- family: Fujishiro
  given: Kaori
- family: Howard
  given: Virginia J.
- family: Landsbergis
  given: Paul
- family: Hein
  given: Misty J.
da: '2023-09-28'
doi: 10.1016/j.annepidem.2017.08.008
eissn: 1873-2585
files: []
issn: 1047-2797
journal: ANNALS OF EPIDEMIOLOGY
keywords: Selection bias; Employment; Psychological stress; Caregivers
keywords-plus: 'UNITED-STATES; NONRESPONSE BIAS; RISK-FACTORS; SOCIOECONOMIC-STATUS;

  RACIAL-DIFFERENCES; SURVEY RESPONSE; STROKE BELT; POPULATION; DISEASE;

  RATES'
language: English
month: SEP
number: '9'
number-of-cited-references: '41'
orcid-numbers: 'Howard, Virginia/0000-0003-4912-9975

  Landsbergis, Paul/0000-0002-4066-566X

  Fujishiro, Kaori/0000-0003-1743-625X

  MacDonald, Leslie/0000-0003-3967-534X'
pages: 545-552
papis_id: 79e863ed25372de92a1e27dfd00cdfd4
ref: Macdonald2017participationus
times-cited: '2'
title: 'Participation in a US community-based cardiovascular health study: investigating
  nonrandom selection effects related to employment, perceived stress, work-related
  stress, and family caregiving'
type: article
unique-id: WOS:000413174900001
usage-count-last-180-days: '0'
usage-count-since-2013: '6'
volume: '27'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2017'