Accuracy of Self-Reported Smoking and Secondhand Smoke Exposure in the US Workforce: The National Health and Nutrition Examination Surveys
Accuracy of Self-Reported Smoking and Secondhand Smoke Exposure in the US Workforce: The National Health and Nutrition Examination Surveys
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DOI：
10.1097/jom.0b013e318188b90a
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发表时间：
2008-12-01
影响因子：
3.2
通讯作者：
Erard, Michael J.
中科院分区：
文献类型：
--
作者：
Arheart, Kristopher L.;Lee, David J.;Erard, Michael J.
目标：职业健康研究通常依赖于自我报告的二手烟 (SHS) 暴露情况。本研究检验了自我报告的烟草使用和二手烟暴露的准确性。方法：从三项国家健康和营养检查调查（n = 17,011）中提取美国工人的血清可替宁、自我报告的烟草使用情况和 SITS 暴露数据。血清可替宁水平用于将工人分为 SIT 暴露类别。计算了自我报告的烟草使用和二手烟暴露与可替宁类别之间的一致性百分比。结果：报告烟草使用情况的工人准确率为 88%，而报告工作、家庭或家庭+工作暴露情况的工人准确度为 87% 至 92%。报告没有接触过二手烟的工人的准确率只有 28%。结论：工作人员准确地报告了他们的吸烟状况和工作场所家庭二手烟暴露情况，但大量报告“未暴露”的人在血液中检测到了可替宁水平，表明暴露于二手烟。 （职业环境医学杂志。2008；50：1414-1420）
Objectives: Occupational health studies often rely on self-reported secondhand smoke (SHS) exposure. This study examines the accuracy of self-reported tobacco use and SHS exposure. Methods: Data on serum cotinine, self-reported tobacco use, and SITS exposure for US workers were extracted from three National Health and Nutrition Examination Surveys (n = 17,011). Serum cotinine levels were used to classify workers into SIT exposure categories. The percent agreement between self-reported tobacco use and SHS exposure with the cotinine categories was calculated. Results: Workers reporting tobacco use were 88% accurate whereas workers reporting work, home, or home+work exposures were 87% to 92% accurate. Workers reporting no SHS exposure were only 28% accurate. Conclusions: Workers accurately reported their smoking status and workplace-home SHS exposures, but substantial numbers reporting "no exposures" had detectable levels of cotinine in their blood, indicating exposure to SHS. (J Occup Environ Med. 2008;50:1414-1420)