Exploring patterns of response across the lifespan: the Cambridge Centre for Ageing and Neuroscience (Cam-CAN) study.

Authors
Bennett, Holly 
Brayne, Carol 
Cam-CAN 
Matthews, Fiona E 

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Article
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Abstract

BACKGROUND: With declining rates of participation in epidemiological studies there is an important need to attempt to understand what factors might affect response. This study examines the pattern of response at different adult ages within a contemporary cross-sectional population-based cohort, the Cambridge Centre for Ageing and Neuroscience (Cam-CAN). METHODS: Using logistic regression, we investigated associations between age, gender and Townsend deprivation level for both participants and non-participants. Weighted estimates of the odds ratios with confidence intervals for each demographic characteristic were calculated. Reasons given for refusal were grouped into three broad categories: 'active', 'passive' and illness preventing interview. RESULTS: An association of age and participation was found, with individuals in middle age groups more likely to participate (age group 48-57 OR: 1.8, 95% CI: 1.5-2.2 and age group 58-67 OR: 2.1, 95% CI: 1.7-2.4). Overall, there was no difference in participation between men and women. An association with deprivation was found, with those living in the most deprived areas being the least willing to participate (fifth quintile OR: 0.6, 95% CI: 0.5-0.7). An interaction between age and gender was found whereby younger women and older men were more likely to agree to participate (p = 0.01). CONCLUSION: Our findings highlight some of the factors affecting recruitment into epidemiological studies in the UK and suggest that targeted age-specific recruitment strategies might be needed to increase participation rates in future cohort investigations.

Publication Date
2018-06-19
Online Publication Date
2018-06-19
Acceptance Date
2018-06-03
Keywords
Ageing, Cognition, Epidemiological study, Lifespan, Neuroscience, Non-participation, Age Factors, Aged, Cohort Studies, Cross-Sectional Studies, Epidemiologic Studies, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, United Kingdom
Journal Title
BMC Public Health
Journal ISSN
1471-2458
1471-2458
Volume Title
18
Publisher
Springer Science and Business Media LLC
Sponsorship
Wellcome Trust (103838/Z/14/Z)
Biotechnology and Biological Sciences Research Council (BB/H008217/1)
Medical Research Council (G9901400)
Medical Research Council (G0601022)
Medical Research Council (MC_U105597119)
Medical Research Council (MC_UU_00005/12)