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Am J Public Health. 1994 Jul;84(7):1086-93.

The validity of self-reported smoking: a review and meta-analysis.

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  • 1Department of Health Services, University of Washington, Seattle 98195.

Abstract

OBJECTIVES:

The purpose of this study was to identify circumstances in which biochemical assessments of smoking produce systematically higher or lower estimates of smoking than self-reports. A secondary aim was to evaluate different statistical approaches to analyzing variation in validity estimates.

METHODS:

Literature searches and personal inquiries identified 26 published reports containing 51 comparisons between self-reported behavior and biochemical measures. The sensitivity and specificity of self-reports of smoking were calculated for each study as measures of accuracy.

RESULTS:

Sensitivity ranged from 6% to 100% (mean = 87.5%), and specificity ranged from 33% to 100% (mean = 89.2%). Interviewer-administered questionnaires, observational studies, reports by adults, and biochemical validation with cotinine plasma were associated with higher estimates of sensitivity and specificity.

CONCLUSIONS:

Self-reports of smoking are accurate in most studies. To improve accuracy, biochemical assessment, preferably with cotinine plasma, should be considered in intervention studies and student populations.

PMID:
8017530
[PubMed - indexed for MEDLINE]
PMCID:
PMC1614767
Free PMC Article
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