A Comparative Analysis of Telephone and In-Person Survey Administration for Public Health Surveillance in Rural American Indian Communities
| Autor: | Judith Espinoza, Dornell Pete, Amanda Tjemsland, Kevin C. English |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Rural Population Comparative Effectiveness Research Adolescent Interview New Mexico Population 03 medical and health sciences Underserved Population 0302 clinical medicine Public health surveillance Surveys and Questionnaires Environmental health Humans 030212 general & internal medicine education Response rate (survey) education.field_of_study 030505 public health Behavioral Risk Factor Surveillance System Health Policy Public Health Environmental and Occupational Health Middle Aged Educational attainment Geography Population Surveillance Indians North American Female Public Health 0305 other medical science Administration (government) |
| Zdroj: | Journal of Public Health Management and Practice. 25:S70-S76 |
| ISSN: | 1078-4659 |
| DOI: | 10.1097/phh.0000000000001007 |
| Popis: | OBJECTIVE Public health surveillance systems suffer from insufficient inclusion of American Indian/Alaska Native (AI/AN) populations. These health surveys have also gravitated to telephone administration because of the rising cost of face-to-face interviewing. Several studies have demonstrated that telephone surveys underrepresent people with low incomes, less educational attainment, and minorities. This study assessed the impact of administration mode upon survey participation in rural AI/AN tribes. DESIGN Using a modified Behavioral Risk Factor Surveillance System instrument, the Albuquerque Area Southwest Tribal Epidemiology Center partnered with 3 tribes to administer the survey to a target population of 900 AI/AN adults. Half of the sample was assigned to telephone survey administration and the other half was surveyed in-person by trained community interviewers. Significance testing was performed to assess differences in response rates, demographic characteristics, and costs by survey administration type. RESULTS Several notable differences between the survey administration modes were observed. In-person administration yielded a higher response rate (68.8%) than the telephone survey (35.7%). Likewise, in-person participants were, on average, younger and had lower household incomes and educational attainment than those who completed the survey via telephone. In-person survey administration was also slightly more cost-effective than telephone administration ($192 vs $211 per completed survey) due to the low response rate of telephone administration. CONCLUSIONS The findings from this study have important implications for public health surveillance with rural AI/AN populations, where telephone survey administration is unlikely to yield sufficient coverage of this underserved population. This discovery is particularly disconcerting, given the fact that face-to-face interviewing has largely been replaced by telephone interviewing (and increasingly mobile phones) for public health surveillance in the United States. Without change and innovation, the AI/AN population will continue to lack meaningful health data, further challenging capacity to document and address persistent disparities and inequities witnessed among AI/ANs nationwide. |
| Databáze: | OpenAIRE |
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