Background: Evidence on the effectiveness of postal recruitment methods for Indigenous peoples is lacking. Mayi Kuwayu, the National Study of Aboriginal and Torres Strait Islander Wellbeing, uses multi-staged sampling. We aimed to test postal surveys as a primary recruitment method, analysing preliminary response rate data to inform the Study’s ongoing sampling approach.
Methods: 20,000 adults aged ≥16 years were sampled from Aboriginal and Torres Strait Islander people enrolled in the Medicare Australia Enrolment Database. We calculated response rates at 4 and 15 weeks, overall and by age group, gender, state/territory and remoteness.
Results: The overall response rate was 2.3% (n=456/20000). Highest response rates were observed among males and females ≥50 years from major cities (6.0%, 95%CI 4.4–7.9 and 5.5%, 4.1–7.2, respectively) and regional areas (6.0%, 4.6–7.6 and 6.2%, 4.9–7.7, respectively). Younger age groups and remote areas had lower response rates; all remote age groups <50 years had a response rate ≤0.6%. While most participants responded on the paper surveys, online responses were more common among younger age groups and, respondents with higher education levels and whose first language was not English.
Conclusion: Using a postal survey, we observed response rates of ≥5.5% among older Aboriginal and Torres Strait Islander adults in major cities and regional areas; response rates were lower in other groups. A two-stage postal distribution approach provided an opportunity to adapt sampling approaches to different demographic groups. Based on initial response rates, the sampling strategy was revised to send postal surveys to groups with higher response rates groups and focus field recruitment strategies on low response groups.
Figure 1
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Posted 08 Apr, 2020
On 03 Apr, 2020
On 02 Apr, 2020
On 01 Apr, 2020
On 01 Apr, 2020
On 24 Mar, 2020
Received 23 Mar, 2020
On 22 Jan, 2020
Received 15 Jan, 2020
On 08 Jan, 2020
Invitations sent on 07 Jan, 2020
On 23 Dec, 2019
On 22 Dec, 2019
On 22 Dec, 2019
On 20 Dec, 2019
Posted 08 Apr, 2020
On 03 Apr, 2020
On 02 Apr, 2020
On 01 Apr, 2020
On 01 Apr, 2020
On 24 Mar, 2020
Received 23 Mar, 2020
On 22 Jan, 2020
Received 15 Jan, 2020
On 08 Jan, 2020
Invitations sent on 07 Jan, 2020
On 23 Dec, 2019
On 22 Dec, 2019
On 22 Dec, 2019
On 20 Dec, 2019
Background: Evidence on the effectiveness of postal recruitment methods for Indigenous peoples is lacking. Mayi Kuwayu, the National Study of Aboriginal and Torres Strait Islander Wellbeing, uses multi-staged sampling. We aimed to test postal surveys as a primary recruitment method, analysing preliminary response rate data to inform the Study’s ongoing sampling approach.
Methods: 20,000 adults aged ≥16 years were sampled from Aboriginal and Torres Strait Islander people enrolled in the Medicare Australia Enrolment Database. We calculated response rates at 4 and 15 weeks, overall and by age group, gender, state/territory and remoteness.
Results: The overall response rate was 2.3% (n=456/20000). Highest response rates were observed among males and females ≥50 years from major cities (6.0%, 95%CI 4.4–7.9 and 5.5%, 4.1–7.2, respectively) and regional areas (6.0%, 4.6–7.6 and 6.2%, 4.9–7.7, respectively). Younger age groups and remote areas had lower response rates; all remote age groups <50 years had a response rate ≤0.6%. While most participants responded on the paper surveys, online responses were more common among younger age groups and, respondents with higher education levels and whose first language was not English.
Conclusion: Using a postal survey, we observed response rates of ≥5.5% among older Aboriginal and Torres Strait Islander adults in major cities and regional areas; response rates were lower in other groups. A two-stage postal distribution approach provided an opportunity to adapt sampling approaches to different demographic groups. Based on initial response rates, the sampling strategy was revised to send postal surveys to groups with higher response rates groups and focus field recruitment strategies on low response groups.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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