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Attrition in a Follow-Up Study <= /span>of Driving While Impaired Offenders: Who is Lost?
Sandra Lapham, MD, MPH
George Baum,
Betty Skipper, Ph.D.
Iyiin Chang
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Purpose of Study
= nMain Study: To locate and interview DWI offenders 5 years after their 1st offense to determine current alcohol/drug use and psychiatric problems
nThis Analysis: To determine risk factors for inability to locate and interview subjects
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FIfF+vkYOpOR/ur/AIV24DJ80wE+alONnuruz/8AJfxM6tejUVpJ/wBfMxmI2nntW5qv/H+f+ucf /oC1EPFGtDgXpA/65p/hVG4vrm7neeeUvI5yzYAzX0vs8ROopVIpJJ7Nve391djkvFKyf9fef//Z ------=_NextPart_01C5181C.D5062DB0 Content-Location: file:///C:/DE49AC8D/attritionLHS-Lapham_files/slide0007.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Long Term Recovery Among Convicted Drunk Drivers
Sample Selection
nStudy Population: Individuals who had <= span style=3D'position:absolute;top:25.88%;left:3.81%;width:92.74%;height:24.7%= '>participated in a court-mandated DWI screening program, the Lovelace Comprehensive Screening = Program (LCSP) five years previously<= /b>
n Sample Included: 1208 consecutive females and 1407 males were referred to the LCSP from April 1989 – March 1992 who initially reported to the program.
n Tracking information revealed 56 subjects who were deceased. T= hey were removed from the sample.
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Minorities are Over-represented Among DWI Offenders
148        = ;         6%
Other ra= ce
2559<= span style=3D'mso-spacerun:yes'>        = ;    100%
Total Selected
301        = ;       12%
American Indian
124        = ;        5%
Mexican National
1027        = ;    40%
Hispanic=
959        = ;      37%
Non-Hisp= anic White
Selec= ted Percentage
Ethni= city
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Locating and Tracking Clients
nThe primary data source for locating clients was  record data; we also used NM = Motor Vehicle Department files= , Polk City Directory, Haynes Directory, and a credit database.
n <= /div>
nSubjects were mailed a series of letters at 2-week intervals. A letter seq= uence included:
–Five identical letters explaining the study <= /span>
–One “pleading letter” emphasizing the importance of t= he study
n
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Locating and Tracking Clients Continued
nCalls were made to all availab= le telephone numbers and, when necessary, project staff visited homes to determine whe= ther subjects lived at the listed addresses.
nThose who refused were contact= ed by the principal investigator and for those who agreed, an appointment was scheduled to = complete the interview.
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Success Rates
n
= 226;Of the 2559 sel= ected subjects, 2062 = (81%) were located, and (68%) of those located were interviewed.
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Client Classification
n
–1) Interviewed= &#= 13;
–2) <= span style=3D'font-family:Arial;font-size:114%;color:yellow'>Refused Indi= rectly: located, but = either did not schedule an appointment or failed to keep a scheduled appoi= ntment after being contacted
–3) <= span style=3D'font-family:Arial;font-size:114%;color:yellow'>Refused Dire= ctly: located but <= /b>explicitly and unambiguously refused to be interviewed <= /span>
–4) <= span style=3D'font-family:Arial;font-size:114%;color:yellow'>Not Located<= /u>&#= 13;
<= span style=3D'font-family:Arial;color:yellow;visibility:hidden'>n
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Statistical Methods
nLogistic regression models compared: =
–1) Located vs. not-Located subjects <= /div>
»This model included all subjects <= span style=3D'position:absolute;top:25.0%;left:2.94%;width:97.05%;height:25.96%= '>selected for the follow-up study who were not known to be deceased. <= /b>
–2) Interviewed subjects Vs. all Refusers
–3) Direct Refusers Vs. Indirect Refusers
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Located vs. Not Located
OR for males 0.75 Vs. females = ;
<= span style=3D'font-family:Arial;color:yellow'>OR for those aged 30 years + was = 2.27 Vs. those under 30 years of age&#= 13;
<= span style=3D'font-family:Arial;color:yellow'>Compared to NHW: Hispanics 1.44; = Mexican nationals 0.48. The OR fo= r location were higher for those wi= th telephones (2.03) and lower for subjects with outstanding warrants (0.52).
<= span style=3D'font-family:Arial;color:yellow'>No significant associations betwe= en arrest BAL or alcohol diagnosis a= nd location status
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Interviewed vs. Refused
nIncl= uded all subjects who were located
<= span style=3D'font-family:Arial;color:yellow'>Odds ratios for being interviewed= were lower among males (0.54), those w= ith Mexican national ethnicity (0.38)= , and those with outstanding arrest war= rants (0.67), Vs. the reference groups.=
OR for subjects aged 30+ (2.19) V= s. younger Ss
<= span style=3D'font-family:Arial;color:yellow'>OR for persons who had been non-<= /span>compliant with screening but even= tually completed it (1.62) Vs. compliant Ss
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Refused Directly vs. Refused Indirectly
nIncluded those who refused to participate in the follow-up study.
n32% of located subjects refused to be interviewed.
nRefused in one of two ways:
–1) Directly: Definitively stating their unwillingness to participate in follow-up
–2) Indirectly: Not keeping appointment or delaying the scheduling of an appointment
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Refused Directly vs. Refused Indirectly <= /span>Continued=
OR for older Refusers (1.70) = ;
<= span style=3D'font-family:Arial;color:yellow'>nHispanics (0.50) and those in the “other race” group (0.40) Vs. NHWs.
<= span style=3D'font-family:Arial;color:yellow'>Mexican Nationals had an odds rat= io for direct refus= al of 0.14, Vs. NHWs.
<= span style=3D'font-family:Arial;color:yellow'>The odds of being a Direct Refuse= r also were lower f= or subject with outstanding warrants (0.50) and those who had been non-compliant, but completed= the screening program (0.53).<= /span>
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Discussion
nTwo findings of this study are mo= st noteworthy:
–alcohol diagnoses = did not appear to affect the investigators’ ability to locate or interview respondents.
n This finding does not support previously cited studies that fou= nd higher attrition rates among alco= hol abusers than non-alcohol abusers&= #13;
<= span style=3D'font-family:Arial;font-size:114%;color:yellow;visibility:hidden'>= –
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Discussion Continued
–Ss with different ethnic backgrounds posed substantially different tracking and interviewing challenges compared with non-Hispanic whites
nThe follow-up rate for this study was more limited by its high rate of non-<= /span>participation than by inability to locate subjects. One reason could be clients’ attitudes towards the court-mandated screening program
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Discussion Continued
nMexican nationals were located at= a rate of 60% the lowest location r= ate for any group
nHispanics who were not Mexican nationals were the easiest popula= tion to locate (85%) and were about 1.4 times more likely to be located than non-Hispanic whites
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Discussion Continued
<= span style=3D'font-family:Arial;color:yellow'>The fact that 81% of the subjects= were located after 5 years indicates t= hat it is possible to achieve high location rates for a criminal justice population, even = after an extended period of time&= #13;
To reduce refusals even further, = researchers must expend extra eff= ort and extend increased attention to ethnic minorities, and to those who have continued to experience legal problems
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nDr. Sandra C. Lapham
n          Director
n= 3;
nBehavioral Health Research Center of the Southwest
n612 Encino Place, NE
nAlbuquerque,  New Mexico 87102 <= /div>
n= 3;
n        = ;  = www.bhrcs.org= 3;
n
<= ![if !vml]>
Phone: 505-244-3099
Fax: 505-244-3408
E-mail: slapham@bhrcs.org
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