Abstract

BackgroundPeople who opt to participate in scientific studies tend to be healthier, wealthier and more educated than the broader population. Although selection bias does not always pose a problem for analysing the relationships between exposures and diseases or other outcomes, it can lead to biased effect size estimates. Biased estimates may weaken the utility of genetic findings because the goal is often to make inferences in a new sample (such as in polygenic risk score analysis).MethodsWe used data from UK Biobank, Generation Scotland and Partners Biobank and conducted phenotypic and genome-wide association analyses on two phenotypes that reflected mental health data availability: (i) whether participants were contactable by e-mail for follow-up; and (ii) whether participants responded to follow-up surveys of mental health.ResultsIn UK Biobank, we identified nine genetic loci associated (P <5 × 10–8) with e-mail contact and 25 loci associated with mental health survey completion. Both phenotypes were positively genetically correlated with higher educational attainment and better health and negatively genetically correlated with psychological distress and schizophrenia. One single nucleotide polymorphism association replicated along with the overall direction of effect of all association results.ConclusionsRe-contact availability and follow-up participation can act as further genetic filters for data on mental health phenotypes.

Highlights

  • Selection bias in epidemiological and cohort studies occurs when characteristics of individuals that influence their likelihood of becoming or remaining as study participants are related to exposure to risk factors or to outcomes of interest.[1]

  • Re-contact availability and follow-up participation can act as further genetic filters for data on mental health phenotypes

  • Participants who take part in follow-up studies of mental health differ from participants who do not, and tend to be healthier, better educated and to have a family history of dementia and/or depression

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Summary

Introduction

Selection bias in epidemiological and cohort studies occurs when characteristics of individuals that influence their likelihood of becoming or remaining as study participants are related to exposure to risk factors or to outcomes of interest.[1]. Results: In UK Biobank, we identified nine genetic loci associated (P

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