The accuracy of self-report of smoking status in pregnant women
The accuracy of self-report of smoking status in pregnant women
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DOI：
10.1016/0306-4603(95)00097-6
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发表时间：
1996-09-01
影响因子：
4.4
通讯作者：
Adamson, L
中科院分区：
文献类型：
--
作者：
Walsh, RA;Redman, S;Adamson, L
关于普通护理提供者检测怀孕吸烟者的准确性，人们知之甚少。这项研究探索了公共产前诊所的助产士错误地将孕妇归类为非吸烟者的比例。助产士归类为非吸烟者的204名女性样本被要求完成一份自填式问卷，并提供尿样用于可替宁分析。结果表明，助产士没有发现很大比例的吸烟者。根据问卷和尿检程序，助产士确认的非吸烟者可以重新归类为吸烟者的比例保守估计为7.4%(95%CI 3.8-10.9%)，中等估计为8.8%(95%CI 4.9-12.7%)，最坏情况估计为15.2%(95%CI 10.3-20.1%)。为了增加戒烟计划的覆盖年龄，产前诊所应该考虑将生化测量纳入常规筛查程序。未来检查怀孕期间吸烟状况的研究应该详细说明用于对受试者进行分类的方法，并记录与每次自我报告和生化测量有关的应答率。
Little is known about the accuracy of usual-care providers' detection of pregnant smokers. This study explored the proportion of pregnant women misclassified as nonsmokers by midwives in a public antenatal clinic. A sample of 204 women whom midwives classified as nonsmokers were asked to complete a self-administered questionnaire and to provide a urine specimen for cotinine analysis. Results indicate that midwives failed to detect a significant proportion of smokers. The conservative estimate of the proportion of midwife-identified nonsmokers who could be reclassified as smokers on the basis of the questionnaire and urinalysis procedures was 7.4% (95% CI 3.8-10.9%), the medium estimate was 8.8% (95% CI 4.9-12.7%) and the worst-case estimate was 15.2% (95% CI 10.3-20.1%). To increase the cover age achieved by smoking-cessation programs, antenatal clinics should consider incorporating biochemical measurements into routine screening procedures. Future studies examining smoking status in pregnancy should detail the methods used to classify subjects and document response rates in relation to each self-report and biochemical measurement.