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Error in smoking measures

Effects of intervention on relations of cotinine and carbon monoxide to self-reported smoking. The Lung Health Study Research Group

Bibliographic Data

ID11039327
AuthorsRobert P Murray (University of Manitoba), John E Connett (0000-0002-8149-9709, University of Manitoba), Gary G Lauger (University of Manitoba), H T Voelker, Helen Voelker (University of Manitoba)
Year1993
Volume83
Issue9
Pages1251-1257
Publication date1993-09-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.83.9.1251
PMID8363000
OpenAlexW2002408306
LanguageEN
Citations received20
References cited12

OBJECTIVES. Sources of measurement error in assessing smoking status are examined. METHODS. The Lung Health Study, a randomized trial in 10 clinical centers, includes 3923 participants in a smoking cessation program and 1964 usual care participants. Smoking at first annual follow-up was assessed by salivary cotinine, expired air carbon monoxide, and self-report. Each of these measures is known to contain some error. Sensitivity and specificity were calculated by comparing a biochemical measure with self-report to produce an undifferentiated estimate of error. Classification error rates due to imprecision of the biochemical measures and to the error in self-report were estimated separately. RESULTS. For cotinine compared with self-report, the sensitivity was 99.0% and the specificity 91.5%. For carbon monoxide compared with self-report, the sensitivity was 93.7% and the specificity 87.2%. The classification error attributed to self-report, estimated by comparing the results from intervention and control groups, was associated with the responses of 3% and 5% of participants, indicating a small but significant bias toward a socially desirable response. CONCLUSIONS. In absolute terms in these data, both types of error were small

Cotinine · Environmental health · Intervention (counseling) · Nicotine · Pathology · Psychiatry · Randomized controlled trial · Smoking cessation · Chronic Obstructive Pulmonary Disease (COPD) Research · Internal Medicine · Medicine · Reliability and Agreement in Measurement · Smoking Behavior and Cessation

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Citations per year0.63
Citation span1994 - 2022 (29)
Highly citedNo

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