Effect of survey errors on relative risk

Publication: Research - peer-reviewJournal article – Annual report year: 2012

  • Author: Houwing, Sjoerd

    SWOV, Institute for Road Safety Research

  • Author: Hagenzieker, Marjan

    SWOV, Institute for Road Safety Research

  • Author: Mathijssen, René P.M.

    SWOV, Institute for Road Safety Research

  • Author: Legrand, Sara-Ann

    Department of Clinical Chemistry, Ghent University

  • Author: Verstraete, Alain G.

    Department of Clinical Chemistry, Ghent University

  • Author: Hels, Tove

    Traffic modelling and planning, Department of Transport, Technical University of Denmark, Bygningstorvet 116B, 2800, Kgs. Lyngby

  • Author: Bernhoft, Inger Marie

    Traffic modelling and planning, Department of Transport, Technical University of Denmark, Bygningstorvet 116B, 2800, Kgs. Lyngby

  • Author: Simonsen, Kirsten Wiese

    Department of Forensic Medicine, Copenhagen University

  • Author: Lillsunde, Pirjo

    Alcohol and Drug Analytics Unit, National Institute for Health and Welfare

  • Author: Favretto, Donata

    TFA-UNPD - Universita di Padova

  • Author: Capliskiene, Marija

    VTMT – State Forensic Medicine Service under the Ministry of Justice of the Republic of Lithuania

  • Author: Movig, Kris L.L.

    Department of Clinical Pharmacy, Medisch Spectrum Twente

  • Author: Brookhuis, Karel A.

    Faculty of Behavioral and Social Sciences, University of Groningen

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Between 2006 and 2010, six population based case-control studies were conducted as part of the European research-project DRUID (DRiving Under the Influence of Drugs, Alcohol and Medicines). The aim of these case-control studies was to calculate odds ratios indicating the relative risk of serious injury in car crashes. The calculated odds ratios in these studies showed large variations, despite the use of uniform guidelines for the study designs. The main objective of the present article is to provide insight into the potential effect of survey errors on the observed odds ratios for the six DRUID case-control studies. Relevant information was gathered from the DRUID-reports for eleven indicators for survey errors. The results showed that differences between the odds ratios in the DRUID case-control studies may indeed be (partially) explained by survey errors. Selection bias and random errors due to small sample sizes and cell counts were the most frequently observed survey errors in the six DRUID case-control studies. Therefore, it is recommended that epidemiological studies that assess the risk of psychoactive substances in traffic pay specific attention to describe these potential sources of bias. The list of indicators that was identified in this study is useful both as guidance for review studies and as checklist for epidemiological studies in the field of driving under the influence in order to decrease the effect of potential sources of bias already at the start of the study.
Original languageEnglish
JournalAccident Analysis & Prevention
Publication date2012
Number of pages18
ISSN0001-4575
StateAccepted

Keywords

  • Case-control studies, Survey errors, Psychoactive substances, Alcohol, Drugs

ID: 10084687