Fagerstrom test for nicotine dependence vs heavy smoking index in a general population survey.

The Fagerström Test for Nicotine Dependence (FTND) is used for assessing nicotine dependence. A shorter test derived from the FTND used for the general population is the Heavy Smoking Index (HSI) (six questions vs. two). The objective of this study is to compare the validity of the HSI versus the FT...

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Detalles Bibliográficos
Autores: Pérez Ríos, Mónica, Santiago Pérez, María Isolina, Alonso de la Iglesia, Begoña, Malvar Pintos, Alberto, Hervada Vidal, Xurxo, de León, J
Tipo de recurso: artículo
Fecha de publicación:2009
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/10301
Acceso en línea:http://hdl.handle.net/20.500.11940/10301
Access Level:acceso abierto
Palabra clave:Preventive Medicine
Tobacco Use Disorder
Smoking
Nicotine
Questionnaires
encuestas demográficas
trastorno por uso de tabaco
cuestionarios
medicina preventiva
nicotina
hábito de fumar
Test Fagerstrom
Tabaquismo
Descripción
Sumario:The Fagerström Test for Nicotine Dependence (FTND) is used for assessing nicotine dependence. A shorter test derived from the FTND used for the general population is the Heavy Smoking Index (HSI) (six questions vs. two). The objective of this study is to compare the validity of the HSI versus the FTND. A survey of tobacco use in the general population was carried out in the northern Spanish region of Galicia using both the FTND and the HSI to study a representative sample of 1655 daily smokers. The HSI was compared with the FTND, considered the gold standard. Measures of sensitivity, specificity and predictive values were calculated. Concordance between the tests was also established (Cohen's kappa). Cohen's kappa showed good agreement between measures (Kappa = 0.7); specificity values were also high (Sp = 96.2%). Sensitivity analysis in females (Se = 62.3%) did not show good agreement. The HSI can be used as a reasonably good screening test in order to identify daily smokers with high nicotine dependence. Nevertheless, for populations or subpopulations having low nicotine dependence, such as women, the FTND is more reliable.