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Sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of U.S. adults

BACKGROUND: Nearly all studies reporting smoking status collect self-reported data. The objective of this study was to assess sociodemographic characteristics and selected, common smoking-related diseases as predictors of invalid reporting of non-smoking. Valid self-reported smoking may be related t...

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Autores principales: Fisher, Monica A, Taylor, George W, Shelton, Brent J, Debanne, Sara M
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839089/
https://www.ncbi.nlm.nih.gov/pubmed/17352826
http://dx.doi.org/10.1186/1471-2458-7-33
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author Fisher, Monica A
Taylor, George W
Shelton, Brent J
Debanne, Sara M
author_facet Fisher, Monica A
Taylor, George W
Shelton, Brent J
Debanne, Sara M
author_sort Fisher, Monica A
collection PubMed
description BACKGROUND: Nearly all studies reporting smoking status collect self-reported data. The objective of this study was to assess sociodemographic characteristics and selected, common smoking-related diseases as predictors of invalid reporting of non-smoking. Valid self-reported smoking may be related to the degree to which smoking is a behavior that is not tolerated by the smoker's social group. METHODS: True smoking was defined as having serum cotinine of 15+ng/ml. 1483 "true" smokers 45+ years of age with self-reported smoking and serum cotinine data from the Mobile Examination Center were identified in the third National Health and Nutrition Examination Survey. Invalid non-smoking was defined as "true" smokers self-reporting non-smoking. To assess predictors of invalid self-reported non-smoking, odds ratios (OR) and 95% confidence intervals (CI) were calculated for age, race/ethnicity-gender categories, education, income, diabetes, hypertension, and myocardial infarction. Multiple logistic regression modeling took into account the complex survey design and sample weights. RESULTS: Among smokers with diabetes, invalid non-smoking status was 15%, ranging from 0% for Mexican-American (MA) males to 22%–25% for Non-Hispanic White (NHW) males and Non-Hispanic Black (NHB) females. Among smokers without diabetes, invalid non-smoking status was 5%, ranging from 3% for MA females to 10% for NHB females. After simultaneously taking into account diabetes, education, race/ethnicity and gender, smokers with diabetes (OR(Adj )= 3.15; 95% CI: 1.35–7.34), who did not graduate from high school (OR(Adj )= 2.05; 95% CI: 1.30–3.22) and who were NHB females (OR(Adj )= 5.12; 95% CI: 1.41–18.58) were more likely to self-report as non-smokers than smokers without diabetes, who were high school graduates, and MA females, respectively. Having a history of myocardial infarction or hypertension did not predict invalid reporting of non-smoking. CONCLUSION: Validity of self-reported non-smoking may be related to the relatively slowly progressing chronic nature of diabetes, in contrast with the acute event of myocardial infarction which could be considered a more serious, major life changing event. These data also raise questions regarding the possible role of societal desirability in the validity of self-reported non-smoking, especially among smokers with diabetes, who did not graduate from high school, and who were NHB females.
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spelling pubmed-18390892007-03-30 Sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of U.S. adults Fisher, Monica A Taylor, George W Shelton, Brent J Debanne, Sara M BMC Public Health Research Article BACKGROUND: Nearly all studies reporting smoking status collect self-reported data. The objective of this study was to assess sociodemographic characteristics and selected, common smoking-related diseases as predictors of invalid reporting of non-smoking. Valid self-reported smoking may be related to the degree to which smoking is a behavior that is not tolerated by the smoker's social group. METHODS: True smoking was defined as having serum cotinine of 15+ng/ml. 1483 "true" smokers 45+ years of age with self-reported smoking and serum cotinine data from the Mobile Examination Center were identified in the third National Health and Nutrition Examination Survey. Invalid non-smoking was defined as "true" smokers self-reporting non-smoking. To assess predictors of invalid self-reported non-smoking, odds ratios (OR) and 95% confidence intervals (CI) were calculated for age, race/ethnicity-gender categories, education, income, diabetes, hypertension, and myocardial infarction. Multiple logistic regression modeling took into account the complex survey design and sample weights. RESULTS: Among smokers with diabetes, invalid non-smoking status was 15%, ranging from 0% for Mexican-American (MA) males to 22%–25% for Non-Hispanic White (NHW) males and Non-Hispanic Black (NHB) females. Among smokers without diabetes, invalid non-smoking status was 5%, ranging from 3% for MA females to 10% for NHB females. After simultaneously taking into account diabetes, education, race/ethnicity and gender, smokers with diabetes (OR(Adj )= 3.15; 95% CI: 1.35–7.34), who did not graduate from high school (OR(Adj )= 2.05; 95% CI: 1.30–3.22) and who were NHB females (OR(Adj )= 5.12; 95% CI: 1.41–18.58) were more likely to self-report as non-smokers than smokers without diabetes, who were high school graduates, and MA females, respectively. Having a history of myocardial infarction or hypertension did not predict invalid reporting of non-smoking. CONCLUSION: Validity of self-reported non-smoking may be related to the relatively slowly progressing chronic nature of diabetes, in contrast with the acute event of myocardial infarction which could be considered a more serious, major life changing event. These data also raise questions regarding the possible role of societal desirability in the validity of self-reported non-smoking, especially among smokers with diabetes, who did not graduate from high school, and who were NHB females. BioMed Central 2007-03-12 /pmc/articles/PMC1839089/ /pubmed/17352826 http://dx.doi.org/10.1186/1471-2458-7-33 Text en Copyright © 2007 Fisher et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Fisher, Monica A
Taylor, George W
Shelton, Brent J
Debanne, Sara M
Sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of U.S. adults
title Sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of U.S. adults
title_full Sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of U.S. adults
title_fullStr Sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of U.S. adults
title_full_unstemmed Sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of U.S. adults
title_short Sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of U.S. adults
title_sort sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of u.s. adults
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839089/
https://www.ncbi.nlm.nih.gov/pubmed/17352826
http://dx.doi.org/10.1186/1471-2458-7-33
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