presents
Dr. Nathaniel Schenker
From: National Center for Health Statistics
Centers for Disease Control and Prevention
Ttile
Improving on analyses of self-reported data in a large-scale health surveyAbstract
Common data sources for assessing the health of a
population of interest include large-scale surveys based on interviews that
often pose questions requiring a self-report, such as, ‘Has a doctor or other
health professional ever told you that you have _________( health condition of
interest)?’ or ‘What is your height/weight?’ Answers to such questions might
not always reflect the true prevalences of health conditions (for example, if a
respondent misreports height/weight or does not have access to a doctor or
other health professional). Such ‘measurement error’ in health data could
affect inferences about measures of health and health disparities. Drawing on
two surveys conducted by the National Center for Health Statistics, this paper
describes an imputation-based strategy for using clinical information from an
examination-based health survey to improve on analyses of self-reported data in
a larger interview-based health survey. Models predicting clinical values from
self-reported values and covariates are fitted to data from the National Health
and Nutrition Examination Survey (NHANES), which asks self-report questions
during an interview component and also obtains clinical measurements during a
physical examination component. The fitted models are used to multiply impute
clinical values for the National Health Interview Survey (NHIS), a larger
survey that obtains data solely via interviews. Illustrations involving
hypertension, diabetes, and obesity suggest that estimates of health measures
based on the multiply imputed clinical values are different from those based on
the NHIS self-reported data alone and have smaller estimated standard errors
than those based solely on the NHANES clinical data. The paper discusses the
relationship of the methods used in the study to two-phase/two-stage/validation
sampling and estimation, along with limitations, practical considerations, and
areas for future research.
Friday, September 3
3:00pm - 4:00pm
2203 SAS Hall