Effect of proxy-reported smoking status on population estimates of smoking prevalence

Effect of proxy-reported smoking status on population estimates of smoking prevalence
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DOI:
10.1093/aje/145.8.746
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发表时间:
1997-04-15
影响因子:
5
通讯作者:
Giffen, CA
Giffen, CA
中科院分区:
医学2区
文献类型:
--
作者:
Hyland, A;Cummings, KM;Giffen, CA

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在旨在提供人口吸烟率估计的调查中使用代理受访者提供了一种获取这些数据的廉价方法。作为国家癌症研究所戒烟社区干预试验的一部分,在 22 个北美社区进行的成年人烟草使用调查的数据分析中检验了该信息的准确性。代理报告的吸烟状况是在 1993 年 8 月至 1994 年 1 月进行的一项横断面电话调查中获得的(n = 99,682)。自我报告的吸烟状况是通过对电话调查中年龄在 25 至 64 岁之间的受访者样本进行深入访谈而获得的(n = 31,417)。通过比较特定个体(n = 10,226)的代理报告和自我报告吸烟状况来计算差异率,在两项调查中,受访者被分类为当前吸烟者(目前吸烟且一生中至少吸过 100 支烟的人)、近期戒烟者(戒烟后不到或等于 8 年)、长期戒烟者(戒烟后超过 8 年)和从不吸烟者。自我报告与代理报告之间的总体差异率为5.4%。黑人、西班牙裔、亚裔、最近戒烟者或年龄在 25-34 岁的自我受访者更有可能获得不一致的代理报告。作者估计,在纠正吸烟状况差异时,筛查访谈低估了真实吸烟率 0.1%。这些结果证实,代理报告的吸烟状况是监测成年人吸烟率的准确有效的手段。
The use of proxy respondents in surveys designed to provide population estimates of smoking prevalence offers an inexpensive way to obtain these data. The accuracy of this information is examined in analyzing data from tobacco use surveys of adults conducted in 22 North American communities as part of the National Cancer Institute's Community intervention Trial for Smoking Cessation. Proxy-reported smoking status was obtained in a cross-sectional telephone survey conducted from August 1993 to January 1994 (n = 99,682). Self-reported smoking status was obtained from an in-depth interview of a sample of the respondents aged 25-64 years enumerated from the telephone survey (n = 31,417). Discrepancy rates were calculated by comparing the proxy-reported and self-reported smoking statuses of a given individual (n = 10,226), in both surveys, respondents were categorized as current smokers (those who currently smoke and have smoked at least 100 cigarettes in their lifetime), recent quitters (less than or equal to 8 years since cessation), long-term quitters (>8 years since cessation), and never smokers. The overall discrepancy rate between the self-report and the proxy report was 5.4%. Self-respondents who were black, Hispanic, Asian, recent quitters, or aged 25-34 years were more likely to have inconsistent proxy reports, The authors estimate that the screener interview underestimated the true smoking prevalence by 0.1% when they corrected for smoking status discrepancies. These results confirm that proxy-reported smoking status is an accurate and effective means to monitor populationwide smoking prevalence of adults.