APPARENT UNDERREPORTING OF CIGARETTE CONSUMPTION AMONG MEXICAN-AMERICAN SMOKERS
APPARENT UNDERREPORTING OF CIGARETTE CONSUMPTION AMONG MEXICAN-AMERICAN SMOKERS
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DOI：
10.2105/ajph.80.9.1057
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发表时间：
1990-09-01
影响因子：
12.7
通讯作者：
BENOWITZ, NL
中科院分区：
文献类型：
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作者：
PEREZSTABLE, EJ;MARIN, BV;BENOWITZ, NL
为了确定墨西哥裔美国吸烟者自我报告卷烟消费的准确性，我们比较了西班牙裔健康和营养检查调查 (HHANES) 中 547 名参与者样本的自我报告卷烟使用情况和血清可替宁浓度。我们将香烟使用少报定义为每日可替宁与香烟的比率> 0.142 μM/l，这代表自我报告的消费量与血清可替宁之间存在显着差异。在自称每天吸一到九支烟的 98 名男性和 97 名女性中，分别有 20.4% 和 24.7% 的人少报了自己的香烟消费量。每天吸 10 至 19 支烟（分别为 8.3% 和 10.8%）以及每天吸 20 支或更多烟（分别为 2.2% 和 2.9%）的男性和女性漏报的情况较少见。按性别和每日吸烟量类别的人口统计特征，漏报者与其他吸烟者的比较显示没有差异。可替宁代谢的差异和极其有效的吸烟是这些数据不能排除的另一种解释。然而，我们认为，一部分墨西哥裔美国轻度吸烟者可能会少报每天吸烟的数量，并且可能确实是中度或重度吸烟者。
To determine the accuracy of self-report of cigarette consumption among Mexican American smokers, we compared self-reported cigarette use and serum cotinine concentrations in a sample of 547 partipants in the Hispanic Health and Nutrition Examination Survey (HHANES). We defined underreporting of cigarette use as a cotinine to cigarette-per-day ratio of > 0.142 .mu.M/l which represented a substantial discrepancy between self-reported consumption and serum cotinine. Of the 98 men and 97 women who reported smoking one to nine cigarettes/day, 20.4 percent and 24.7 percent, respectively, underreported their cigarette consumption. Underreporting was less common among men and women smoking 10 to 19 cigarettes/day (8.3 percent and 10.8 percent, respectively) and 20 or more cigarettes/day (2.2 percent and 2.9 percent, respectively). Comparison of underreporters to other smokers by demographic characteristics within sex and cigarettes/day categories showed no differences. Differences in cotinine metabolism and extremely efficient smoking are alternative explanations that can not be ruled out with these data. We believe, however, that a proportion of Mexican American light smokers may underreport the quantity of cigarettes smoked per day, and may truly be moderate or heavy smokers.