Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Validity of Self-reported Smoking Using Urinary Cotinine among Vocational High School Students

  • Park, Soon-Woo (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Kim, Jong-Yeon (Department of Preventive Medicine, Catholic University of Daegu School of Medicine)
  • Published : 2009.07.31
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Abstract

Objectives : This study was conducted to validate self-reported smoking among high school students using urinary cotinine. Methods : A self report of smoking behavior was collected together with urine sample for cotinine analysis from 130 male and female students in two vocational high school students in November, 2007. Validity and agreement between self-reported smoking and urinary cotinine was analyzed with STATA 9.0 for different definitions of current smokers, and frequent and daily smokers. Urinary cotinine concentration was measured by the DRI Cotinine Assay for urine (Microgenics Corp., Fremont, CA) on Toshiba 200FR. The cut-off point of urinary cotinine was 50 ng/dl. Results : The concentrations of urinary cotinine were significantly different according to the frequency and amount of smoking. Sensitivity and specificity was 90.9% and 91.8% respectively, and the Cohen s kappa value was 0.787 among the current smokers who smoked at least one day during one month preceding the survey. The comparable high sensitivity, specificity, and kappa value were shown also among the other definitions of current smokers, that is, subjective smokers, and weekly smokers. Conclusions : The results showed the high validity of self-reported smoking among high school students. However, due to the small sample size and limitation of the participants, it is cautious to generalize the results to overall high school students.

Keywords

References

  1. Breslau N, Peterson EL. Smoking cessation in young adults: Age at initiation of cigarette smoking and other suspected influences. Am J Public Health 1996; 86(2): 214-220 https://doi.org/10.2105/AJPH.86.2.214
  2. Mathers M, Toumbourou JW, Catalano RF, Williams J, Patton GC. Consequences of youth tobacco use: A review of prospective behavioural studies. Addiction 2006; 101(7): 948-958 https://doi.org/10.1111/j.1360-0443.2006.01438.x
  3. Choi HS, Lee HH, Park SW, Seo MK. Smoking Behaviors Among Adolescents and Adults in Korea: 1988-2007. Seoul: Ministry of Health and Welfare; 2007 (Korean)
  4. U.S. Department of Health and Human Services. Preventing Tobacco Use Among Young People: A Report of the Surgeon General. Atlanta: Center for Disease Control and Prevention; 1994
  5. Ministry for Health, Welfare and Family Affairs; Korea centers for Disease Control and Prevention; Ministry of Education, Science, and Technology. The Results of the 3rd (2007) Korea Youth Risk Behavior Web-based Survey. Seoul: Ministry for Health, Welfare and Family Affairs; 2008. (Korean)
  6. Patrick DL, Cheadle A, Thompson DC, Diehr P, Koepsell T, Kinne S. The validity of selfreported smoking: A review and meta-analysis. Am J Public Health 1994; 84(7): 1086-1093 https://doi.org/10.2105/AJPH.84.7.1086
  7. Bauman KE, Ennett SE. Tobacco use by black and white adolescents: The validity of selfreports. Am J Public Health 1994; 84(3): 394-398 https://doi.org/10.2105/AJPH.84.3.394
  8. Post A, Gilljam H, Rosendahl I, Meurling L, Bremberg S, Galanti MR. Validity of self reports in a cohort of Swedish adolescent smokers and smokeless tobacco (snus) users. Tob Control 2005; 14(2): 114-117 https://doi.org/10.1136/tc.2004.008789
  9. Caraballo RS, Giovino GA, Pechacek TF. Selfreported cigarette smoking vs. serum cotinine among U.S. adolescents. Nicotine Tob Res 2004; 6(1): 19-25 https://doi.org/10.1080/14622200310001656821
  10. Harrison LD, Martin SS, Enev T, Harrington D. Comparing Drug Testing and Self-report of Drug Use among Youths and Young Adults in the General Population. (DHHS Publication No. SMA 07-4249, Methodology Series M-7). Rockville: Substance Abuse and Mental Health Services Administration, Office of Applied Studies; 2007
  11. Malcon MC, Menezes AM, Assuncao MC, Neutzling MB, Hallal PC. Validation of selfreported smoking status using saliva cotinine: A rapid semiquantitative dipstick method. J Adolesc Health 2008; 43(3): 226-230 https://doi.org/10.1016/j.jadohealth.2008.02.002
  12. Shin SR. A study on the relationship between adolescents s self reported cigarette smoking and urine cotinine level. J Korean Acad Adult Nurs 1997; 9(3): 495-504. (Korean)
  13. Lee CW, Lee JJ. Relationship between smoking-related questionnaire and urinary cotinine in some students of a vocational high school. J Korean Soc Health Educ Prom 2002; 19(2): 15-22. (Korean)
  14. Shim SJ, Seo HG, Kim CH, Lee SH, Kim YJ, Park MS, et al. The validity of a questionnaire on juvenile smoking status through urine nicotine detection. J Korean Acad Fam Med 2003; 24(4): 375-383. (Korean)
  15. Jeong IS, Park NR, Ham JK. Agreement between smoking self-report and urine cotinine among adolescents. J Prev Med Public Health 2004; 37(2): 127-132. (Korean)
  16. Jatlow P, McKee S, O Malley SS. Correction of urine cotinine concentrations for creatinine excretion: Is it useful? Clin Chem 2003; 49(11): 1932-1934 https://doi.org/10.1373/clinchem.2003.023374
  17. SRNT Subcommittee on Biochemical Verification. Biochemical verification of tobacco use and cessation. Nicotine Tob Res 2002; 4(2): 149-159 https://doi.org/10.1080/14622200210123581
  18. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977; 33(1): 159-174 https://doi.org/10.2307/2529310
  19. Dolcini MM, Adler NE, Lee P, Bauman KE. An assessment of the validity of adolescent self-reported smoking using three biological indicators. Nicotine Tob Res 2003; 5(4): 473-483 https://doi.org/10.1080/1462220031000118586
  20. Gariti P, Rosenthal DI, Lindell K, Hansen-Flaschen J, Shrager J, Lipkin C, et al. Validating a dipstick method for detecting recent smoking. Cancer Epidemiol Biomarkers Prev 2002; 11(10 Pt 1): 1123-1125
  21. Haufroid V, Lison D. Urinary cotinine as a tobacco-smoke exposure index: A minireview. Int Arch Occup Environ Health 1998; 71(3): 162-168 https://doi.org/10.1007/s004200050266
  22. Brener ND, Billy JO, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: Evidence from the scientific literature. J Adolesc Health 2003; 33(6): 436-457 https://doi.org/10.1016/S1054-139X(03)00052-1
  23. Jackson C, Dickinson D. Cigarette consumption during childhood and persistence of smoking through adolescence. Arch Pediatr Adolesc Med 2004; 158(11): 1050-1056 https://doi.org/10.1001/archpedi.158.11.1050