Screening adolescents for nicotine dependence: The hooked on nicotine checklist

Screening adolescents for nicotine dependence: The hooked on nicotine checklist
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DOI:
10.1016/j.jadohealth.2003.10.004
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发表时间:
2004-09-01
影响因子:
7.6
通讯作者:
Difranza, JR
Difranza, JR
中科院分区:
医学2区
文献类型:
--
作者:
Wheeler, KC;Fletcher, KE;Difranza, JR

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目的:评估尼古丁成瘾量表(HONC)的内部一致性、随时间推移的可靠性、与自我描述的吸烟行为的相关性,并将结果与以往关于青少年尼古丁依赖发作的研究进行比较。(Ss; n = 371; 91%的9年级班级)48.8%为男性,97%为白色,年龄13.8 - 15.6岁。学生自填一份关于吸烟经历的问卷。88名(23.7%)至少吸过一次烟的人完成了HONC; 74名在2周后重新测试。对10个HONC项目中的任何一个回答"是"表示;尼古丁依赖(ND);认可的项目数量表示其severity.Results的程度:HONC的内部一致性总体上是高的(α = 0.90; n = 88),并且整个HONC的重测信度是极好的(组内相关性= 0.88,p <0.001)。随着时间的推移,单个项目通常显示出良好至极好的可靠性(Yules 'Y中位数= 0.71,范围= 0.41 - 0.82)。HONC评分与自我报告的吸烟密切相关(r = 0.70,p <0.001,n = 88)。结论:将HONC添加到常规的青少年健康检查,健康课程和预防计划中,可能会使青少年更了解他们的ND症状,并在ND进展之前进行干预。(C)青少年医学协会,2004年。
Purpose: To evaluate the Hooked On Nicotine Checklist's (HONC) internal consistency, reliability over time, correlation with self-described smoking behavior, and to compare the results with previous studies of the onset of nicotine dependence in youths.Methods: Ninth-grade students were recruited from a regional school district, Subjects (Ss; n = 371; 91% of the 9th-grade class) were 48.8% male, 97% white, aged 13.8-15.6 years. Ss self-administered a questionnaire on smoking experiences. The HONC was completed by 88 (23.7%) who had puffed on a cigarette at least once; 74 were retested 2 weeks later. Responding "yes" to any of the 10 HONC items indicate; nicotine dependence (ND); the number of items endorsed indicates the degree of its severity.Results: The internal consistency of the HONC is high overall (alpha = 0.90; n = 88), and test-retest reliability for the entire HONC is excellent (intraclass correlation = 0.88, p < .001). Individual items generally showed good to excellent reliability over time (Median Yules' Y = 0.71, range = 0.41-0.82). HONC scores were strongly correlated with self-reported smoking (r = 0.70, p < .001, n = 88).Conclusions: Adding the HONC to routine adolescent health examinations, health classes, and prevention programs may make adolescents more aware of their symptoms of ND and enable intervention before ND progresses. (C) Society for Adolescent Medicine, 2004.