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  4. Racial Differences in Data Quality and Completeness: Spinal Cord Injury Model Systems’ Experiences

Racial Differences in Data Quality and Completeness: Spinal Cord Injury Model Systems’ Experiences

Top Spinal Cord Inj Rehabil, 2018 · DOI: 10.1310/sci2402-110 · Published: January 1, 2018

Spinal Cord InjuryResearch Methodology & DesignPublic Health

Simple Explanation

Minorities with spinal cord injuries often face a greater burden of disease. This study looks at whether the quality of data collected from these groups is as good as the data from non-Hispanic whites. The study found that non-Hispanic blacks and Hispanics were more likely to have missing information in their responses, especially on questions about their economic situation. This could be due to a lack of trust or cultural differences. The researchers suggest that efforts should be made to improve data collection methods for minority groups, such as increasing diversity among data collectors and adapting questionnaires to be more culturally relevant.

Study Duration
2001-2006
Participants
7,507 participants (5,483 non-Hispanic whites, 1,414 non-Hispanic blacks, and 610 Hispanics)
Evidence Level
Not specified

Key Findings

  • 1
    The overall missing data rate was significant across several measures, including economic self-sufficiency, alcohol use, drug use, life satisfaction, depression, and pain severity.
  • 2
    Missing data rates for economic self-sufficiency were significantly higher among non-Hispanic blacks and Hispanics compared to non-Hispanic whites.
  • 3
    Missing data in other outcome measures were significantly higher among non-Hispanic blacks than non-Hispanic whites, but not significantly different between Hispanics and non-Hispanic whites.

Research Summary

This study investigated racial/ethnic differences in response completeness within a longitudinal spinal cord injury (SCI) database, including 7,507 participants. The study found that missing data rates were higher among non-Hispanic blacks and Hispanics, particularly for measures of economic self-sufficiency. The authors conclude that research methodology should be designed to improve response completeness, especially among non-Hispanic blacks, to reduce racial/ethnic disparities in the SCI population.

Practical Implications

Improve Data Collection Methods

Implement culturally sensitive data collection methods and materials.

Increase Data Collector Diversity

Increase the diversity of data collectors to improve trust and rapport with participants.

Standardize Refusal Handling

Standardize protocols for handling refusals during data collection, particularly with minority participants.

Study Limitations

  • 1
    The study could not address the effect of language barriers on missing data due to a small number of non-English/Spanish speakers.
  • 2
    Other races were excluded due to limited sample size, affecting the generalizability to all racial/ethnic groups.
  • 3
    The study acknowledges general constraints of the NSCID, such as hospital-based sampling and loss to follow-up, which may limit generalizability.

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