Validity of self-reported smoking status: Comparison of patients admitted to hospital with acute coronary syndrome and the general population

Autor: Paul D MacIntyre, Alastair C H Pell, David Murdoch, W. Borland, Stuart D. Pringle, Stuart M. Cobbe, Keith G. Oldroyd, Colin Fischbacher, Timothy J. Gilbert, Sally Haw, David E. Newby, F G Dunn, Jill P. Pell
Rok vydání: 2008
Předmět:
Zdroj: Nicotine & Tobacco Research. 10:861-866
ISSN: 1462-2203
DOI: 10.1080/14622200802023858
Popis: Many studies rely on self-reported smoking status. We hypothesized that patients with acute coronary syndrome (ACS), a smoking-related condition, would be more prone to misclassify themselves as ex-smokers, because of pressure to quit. We compared patients admitted with ACS with a general population survey conducted in the same country at a similar time. We determined whether ACS patients who classified themselves as ex-smokers (n = 635) were more likely to have cotinine levels suggestive of smoking deception than self-reported ex-smokers in the general population (n = 289). On univariate analysis, the percentage of smoking deceivers was similar among ACS patients and the general population (11% vs. 12%, p = .530). Following adjustment for age, sex and exposure to environmental tobacco smoke, ACS patients were significantly more likely to misclassify themselves (adjusted OR = 14.06, 95% CI 2.13-93.01, p = .006). There was an interaction with age whereby the probability of misclassification fell significantly with increasing age in the ACS group (adjusted OR = 0.95, 95% CI 0.93-0.97, p
Databáze: OpenAIRE