THE VALIDITY OF SELF-REPORTED SMOKING - A REVIEW AND METAANALYSIS
THE VALIDITY OF SELF-REPORTED SMOKING - A REVIEW AND METAANALYSIS
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DOI：
10.2105/ajph.84.7.1086
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发表时间：
1994-07-01
影响因子：
12.7
通讯作者：
KINNE, S
中科院分区：
文献类型：
--
作者：
PATRICK, DL;CHEADLE, A;KINNE, S
目标.本研究的目的是确定在何种情况下，吸烟的生化评估系统地产生更高或更低的估计吸烟比自我报告。第二个目的是评估不同的统计方法来分析有效性估计的变化。文献检索和个人调查确定了26份已发表的报告，其中包含自我报告的行为和生化指标之间的51项比较。计算每项研究的自我报告吸烟的敏感性和特异性作为准确性的指标。灵敏度范围为6%至100%（平均值= 87.5%），特异性范围为：33%至100%（平均值= 89.2%）。访谈者问卷调查、观察性研究、成人报告和可替宁血浆生化验证与较高的敏感性和特异性估计值相关。在大多数研究中，吸烟的自我报告是准确的。为了提高准确性，生化评估，最好与可替宁血浆，应考虑在干预研究和学生群体。
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.