The Prevalence of Self-Reported Smoking and Validation with Urinary Cotinine Among Commercial Drivers in Major Parks in Lagos, Nigeria

The Prevalence of Self-Reported Smoking and Validation with Urinary Cotinine Among Commercial Drivers in Major Parks in Lagos, Nigeria
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尼日利亚拉各斯主要公园商业司机自我报告吸烟的流行率和尿可替宁验证

DOI:
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发表时间:
2014
影响因子:
0.8
通讯作者:
E. Irusen
E. Irusen
中科院分区:
--
文献类型:
--
作者:
O. Ozoh;M. G. Dania;E. Irusen

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自我报告吸烟的有效性是值得怀疑的,因为吸烟者倾向于否认吸烟。我们的目标是确定拉各斯市内商业司机中自我报告吸烟的流行率,并基于尿可替宁评估其有效性。这项研究是在尼日利亚拉各斯的三个主要汽车公园进行的。在面对面的访谈中,使用结构化问卷从500名连续的男性司机那里获得了有关吸烟状况和习惯的信息。通过系统随机抽样,选择了81名自我报告的吸烟者和不吸烟者,使用可替宁试纸条进行尿可替宁评估。将自我报告吸烟的发生率与基于尿可替宁的吸烟发生率进行比较,并确定自我报告吸烟的特异度和阳性预测值。自我报告的当前吸烟率为32%,17.9%的不吸烟者是被动吸烟者。在81名接受尿可替宁评估的司机中,基于自我报告的吸烟率为34(42%),而基于尿可替宁的吸烟率为41(50.6%),(X2=38.56P<0.001)。自报非吸烟者误判为吸烟者的比例为21.3%,自报吸烟者误判为非吸烟者的误分率为8.8%。自报吸烟对吸烟状况准确分类的敏感度为91.2%,特异度为78.7%。在拉各斯,自称吸烟的商业司机的比例很高,而自称不吸烟的人中有相当大一部分是被动吸烟者。在面对面访谈中获得的自我报告的吸烟状况在获得我们当地准确的吸烟数据方面似乎不可靠。
The validity of self-reported smoking is questionable because smokers are inclined to deny smoking. We aimed to determine the prevalence of self-reported smoking among intra-city commercial drivers in Lagos, and assess its validity based on urinary cotinine assessment. This study was conducted at three major motor parks in Lagos, Nigeria. Information on smoking status and habits was obtained from 500 consecutive male drivers using a structured questionnaire during a face-to-face interview. Eighty-one self-reported smokers and non-smokers were selected by systematic random sampling for urinary cotinine assessment using cotinine strips. The prevalence of self-reported smoking was compared to the prevalence of smoking based on urinary cotinine and the specificity and positive predictive values of self-reported smoking was determined. Prevalence of self-reported current smoking was 32% and 17.9% of non-smokers were passive smokers. Among 81 drivers in whom urinary cotinine assessment was performed, the prevalence of smoking based on self-report was 34 (42%) compared to 41 (50.6%) when based on urinary cotinine, (X2=38.56, P<0.001). The rate of misclassification among self-reported non-smokers as smokers was 21.3% and misclassification rate for self-reported smokers as non-smokers was 8.8%. The sensitivity of self-reported smoking in accurately classifying smoking status was 91.2% and the specificity was 78.7%. The prevalence of self-reported cigarette smoking among commercial drivers in Lagos is high and a significant proportion of self-reported non-smokers are passive smokers. Self-reported smoking status obtained during face-to-face interview appears unreliable in obtaining accurate smoking data in our locality.
DOI: 10.2105/ajph.84.7.1086
发表时间: 1994-07-01
影响因子: 12.7
作者:
PATRICK, DL;CHEADLE, A;KINNE, S
通讯作者: KINNE, S