Validity of Self-Reported Tobacco Smoke Exposure among Non-Smoking Adult Public Housing Residents.
Validity of Self-Reported Tobacco Smoke Exposure among Non-Smoking Adult Public Housing Residents.
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DOI：
10.1371/journal.pone.0155024
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Levy DE
中科院分区：
文献类型：
--
作者：
Fang SC;Chen S;Trachtenberg F;Rokicki S;Adamkiewicz G;Levy DE
公共多单元住房（MUH）中的烟草烟雾暴露（TSE）令人关注。然而，在此类住房的非吸烟居民中，自我报告用于确定TSE的有效性尚不清楚。我们分析了波士顿地区285名居住在非吸烟家庭的非吸烟公共医院居民的数据。参与者在过去7天内在不同地点接受了关于个人TSE的访谈，并完成了7天的家庭TSE日记。自我报告的TSE与可测唾液可替宁（检测下限（LOD） 0.02 ng/ml）和空气传播的尼古丁（LOD 5 ng）进行验证。相关性、测量间一致性的估计和逻辑回归评估了自我报告的TSE项目与可测量的可替宁和尼古丁之间的关联。该样本中可替宁和尼古丁含量较低（中位数分别为0.026 ng/ml和0.022 μg/m3）。通过自我报告检测到的个人TSE患病率为66.3%，通过可替宁检测到的患病率为57.0%（可替宁>LOD组中位浓度为0.057 ng/ml），一致性较差（kappa = 0.06，敏感性= 68.9%，特异性= 37.1%）。家中、汽车和其他人家中的TSE与可替宁水平呈弱相关（Spearman相关rs = 0.15-0.25），而公共场所的TSE与可替宁无关。在有空气中尼古丁和日常日记资料的人群（n = 161）中，通过自我报告有家庭TSE的比例（41.6%）低于可测量的空气中尼古丁（53.4%）（烟碱浓度中位数：0.04 μg/m3） （kappa = 0.09，灵敏度= 46.5%，特异性= 62.7%）。单独的自我报告不足以识别TSE个体，因为31%的可替宁可测组和53%的尼古丁可测组没有报告TSE。在低收入非吸烟人群中，家庭外私人室内空间的TSE自我报告与可测量的可替宁最相关。
Tobacco smoke exposure (TSE) in public multi-unit housing (MUH) is of concern. However, the validity of self-reports for determining TSE among non-smoking residents in such housing is unclear. We analyzed data from 285 non-smoking public MUH residents living in non-smoking households in the Boston area. Participants were interviewed about personal TSE in various locations in the past 7 days and completed a diary of home TSE for 7 days. Self-reported TSE was validated against measurable saliva cotinine (lower limit of detection (LOD) 0.02 ng/ml) and airborne apartment nicotine (LOD 5 ng). Correlations, estimates of inter-measure agreement, and logistic regression assessed associations between self-reported TSE items and measurable cotinine and nicotine. Cotinine and nicotine levels were low in this sample (median = 0.026 ng/ml and 0.022 μg/m3, respectively). Prevalence of detectable personal TSE was 66.3% via self-report and 57.0% via measurable cotinine (median concentration among those with cotinine>LOD: 0.057 ng/ml), with poor agreement (kappa = 0.06; sensitivity = 68.9%; specificity = 37.1%). TSE in the home, car, and other peoples’ homes was weakly associated with cotinine levels (Spearman correlations rs = 0.15–0.25), while TSE in public places was not associated with cotinine. Among those with airborne nicotine and daily diary data (n = 161), a smaller proportion had household TSE via self-report (41.6%) compared with measurable airborne nicotine (53.4%) (median concentration among those with nicotine>LOD: 0.04 μg/m3) (kappa = 0.09, sensitivity = 46.5%, specificity = 62.7%). Self-report alone was not adequate to identify individuals with TSE, as 31% with measurable cotinine and 53% with measurable nicotine did not report TSE. Self-report of TSE in private indoor spaces outside the home was most associated with measurable cotinine in this low-income non-smoking population.