Turning Knowledge into Practice. Research Triangle Park, North Carolina
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1 Turning Knowledge into Practice Research Triangle Park, North Carolina
2 Panel Attrition and its Effects on Results from a Longitudinal Study: An Examination of Changes in Participants and Attitudes in a Web-based Panel Survey of HIV and AIDS Stigma Attitudes Rodney Baxter and Elizabeth Dean Paper presented at the American Association for Public Opinion Research, Phoenix, Arizona, May, 2004
3 Presentation Overview Introduction Web Panel Background Methodology Results Attitudes/Beliefs Socio-Demographics Respondents Conclusions/Future Directions
4 Introduction Longitudinal versus cross-sectional Change over time in participation and responses 2003 CDC HIV And AIDS Stigma Study Stigma attitudes Knowledge of AIDS transmission Adding to data obtained by Herek et al in 1991, 1997, and 1999 Measures utilized created by Herek Herek et al findings: C Stigma: , C Inaccurate Knowledge: ,
5 Importance of Study Topic Importance of study topic Negative attitudes towards people with AIDS, and Inaccurate knowledge of disease transmission can: C Result in social isolation and discrimination C Affect treatment choices and sharing of HIV status Both can contribute to further spread of AIDS
6 Web Panel Background Knowledge Networks (KN) web-enabled panel Built from probability-based RDD sample all US phone numbers Panel constructed with: Complex stratification design that incorporates known probabilities of selection associated with: C Geographical location C Number of phone lines C Number of people in household C Whether phone number is listed
7 Web Panel Background (cont d) RDD respondents who agree to participate provided with: Free hardware Free Web access Free accounts for each resident in hh over age 13 Ongoing technical support Incentive program Hardware: Microsoft s WebTV
8 Web Panel Background (cont d) Advantages of a web-enabled panel: Rapid data collection Relatively inexpensive Allows access to a known population designed to match the demographic characteristics of the US population Disadvantages: Response rates No prompting for missing answers
9 Methodology 2000 Survey on Health and Aging Panel T1: 5868 members 2003 HIV Stigma Study Panel T2: 2461 members Notification via WebTV (Click button to start survey) Reminder sent 1 week later Participation: C 1,978 responded to invitation (78% contact rate) C 1,553 completed interview (63% completion rate) Field period: May 14 to June 12, 2003
10 Attitudes and Beliefs
11 Stigma Attitudes People who got AIDS through sex or drug use have gotten what they deserve. Strongly Agree (scored as stigma) Agree (scored as stigma) Disagree Strongly Disagree
12 Stigma Attitudes Year Survey Percent (%) n p 1991 Herek Herek Herek ns 2000 CDC CDC ns
13 Stigma Attitude: Weighted vs Unweighted Year Survey Unweighted Percent (%) Weighted Percent (%) n 2000 CDC T1 all CDC T2 all CDC panel CDC panel
14 Inaccurate Beliefs about HIV Transmission How likely is it that a person could become infected with HIV (the virus that causes AIDS) by being coughed or sneezed upon? Very likely Somewhat Likely Somewhat Unlikely Very Unlikely (Counted as correct) Impossible (Counted as correct)
15 Inaccurate Knowledge Year Survey Percent (%) n p 1991 Herek Herek Herek ns 2000 CDC CDC
16 Attrition/Participation Type T1 Panel - Includes: T1 Only - Left panel before T2 survey (Attrition) T2 Respondents T2 Non-Respondents - Answered invitation with decline to participate (Non-response) T2 Panel T2 Respondents T2 Non-Respondents Responses T1 Answers T2 Answers
17 Stigma: T1 Only Respondents vs T2 Respondents Unweighted T1 Only Panel T2 (ans to T1) Total % n % n % n Agree/Strongly Agree Disagree/Strongly Disagree Total Weighted T1 Only Panel T2 (ans to T1) Total % n % n % n Agree/Strongly Agree Disagree/Strongly Disagree Total
18 Knowledge: T1 Only Respondents vs T2 Respondents Unweighted T1 Only Panel T2 (ans to T1) Total % n % n % n Very/Somehwat Likely Very Unlikely/Impossible Total Weighted T1 Only Panel T2 (ans to T1) Total % n % n % n Very/Somehwat Likely Very Unlikely/Impossible Total
19 Stigma: Panel T2 respondents T1 and T2 Panel T2 (ans to T1) Panel T2 (ans to T2) % n % n Agree/Strongly Agree Disagree/Strongly Disagree Total
20 Knowledge: Panel T2 respondents T1 and T2 Panel T2 (ans to T1) Panel T2 (ans to T2) % n % n Very/Somehwat Likely Very Unlikely/Impossible Total
21 Socio-Demographic Comparisons
22 Panel T1 vs Panel T2 Panel T1 Panel T2 Absolute Difference Gender Male Female Age *** *** *** ** *** *** Race White *** Black *** American Indian Asian/Pacific Islander *p<.05, **p<.01, ***p<.001
23 Panel T1 vs Panel T2 (cont d) Panel T1 Panel T2 Absolute Difference Education No HS diploma HS diploma *** Some college ** BA Income LT 10K K-24K ** 25K-49K * 50K-75K K *** *p<.05, **p<.01, ***p<.001
24 Respondent Comparisons
25 T1 and T2 Panel Respondents Panel T1 Panel T2 R Absolute Difference Gender Male Female Age *** *** ** *** *** *** Race White *** Black *** American Indian Asian/Pacific Islander *p<.05, **p<.01, ***p<.001
26 T1 and T2 Panel Respondents (cont d) Panel T1 Panel T2 R Absolute Difference Education No HS diploma HS diploma * Some college BA Income LT 10K K-24K * 25K-49K * 50K-75K K *** *p<.05, **p<.01, ***p<.001
27 Summary Decrease in stigma attitudes and inaccurate knowledge What were possible causes of these differences? Panel lost members with lower stigma attitudes and more accurate knowledge Non-respondents to T2 were more likely to have higher stigma attitudes and more inaccurate knowledge End result may be that the panel attrition from T1 and T2 and the non-response effects may cancel each other out Respondents at both T1 and T2 showed continued decrease in stigma attitudes and increase in accurate knowledge Younger, Black, those with some college, highest income more likely to drop out of panel
28 Conclusion/Future Directions Results suggest: Longitudinal panels can be used for web surveys With caveats - Panel should be replenished on a regular basis Rolling Panel Improve retention methods Improve invitation methods to get representative results
29 Contact Information Rodney Baxter Elizabeth Dean Full paper available at
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