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The validity of self-reports of smoking: Analyses by race/ethnicity in a school sample of urban adolescents

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  • Wills, T.A.
  • Cleary, S.D.

Abstract

Objectives. This research compared the validity of self-reports of cigarette smoking for African-American, Hispanic, and White respondents. Previous research has raised a question about the validity of self-report for African Americans. Methods. A self-report of cigarette smoking was obtained together with a measure of carbon monoxide from expired air. Convergence between self-reported smoking and the biochemical measure was analyzed separately for three ethnic groups at 7th grade, 8th grade, 9th grade, and 10th grade. Results. Analyses indicated that the validity of self-reports of smoking was generally comparable across ethnic groups. Sensitivity and specificity were comparable with data reported in recent meta-analyses. Though sensitivity was slightly lower for minority adolescents than for White adolescents, prevalence rates corrected for group differences in sensitivity showed significantly lower smoking rates for African-American and Hispanic adolescents than for White adolescents. Conclusions. The lower smoking rates reported for African-American adolescents are real and are not substantially a consequence of reporting artifacts.

Suggested Citation

  • Wills, T.A. & Cleary, S.D., 1997. "The validity of self-reports of smoking: Analyses by race/ethnicity in a school sample of urban adolescents," American Journal of Public Health, American Public Health Association, vol. 87(1), pages 56-61.
    • Handle: RePEc:aph:ajpbhl:1997:87:1:56-61_6
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    Cited by:

    1. Korinek, Kim & Smith, Ken R., 2011. "Prenatal care among immigrant and racial-ethnic minority women in a new immigrant destination: Exploring the impact of immigrant legal status," Social Science & Medicine, Elsevier, vol. 72(10), pages 1695-1703, May.
    2. Tracy J. Evans-Whipp & Lyndal Bond & Obioha C. Ukoumunne & John W. Toumbourou & Richard F. Catalano, 2010. "The Impact of School Tobacco Policies on Student Smoking in Washington State, United States and Victoria, Australia," IJERPH, MDPI, vol. 7(3), pages 1-13, February.
    3. Ijeoma P. Edoka, 2017. "Implications of Misclassification Errors in Empirical Studies of Adolescent Smoking Behaviours," Health Economics, John Wiley & Sons, Ltd., vol. 26(4), pages 486-499, April.
    4. Sukaina Alzyoud & Khalid A. Kheirallah & Linda S. Weglicki & Kenneth D. Ward & Abdallah Al-Khawaldeh & Ali Shotar, 2014. "Tobacco Smoking Status and Perception of Health among a Sample of Jordanian Students," IJERPH, MDPI, vol. 11(7), pages 1-14, July.
    5. Zheng, Boyan & Fletcher, Jason & Zheng, Fengyi & Lu, Qiongshi, 2022. "Gene-by-peer-environment interaction effects on cigarette, alcohol, and marijuana use among US high school students of European Ancestry," Social Science & Medicine, Elsevier, vol. 309(C).
    6. Sadik A. Khuder & James H. Price & Timothy Jordan & Saja S. Khuder & Kathi Silvestri, 2008. "Cigarette Smoking among Adolescents in Northwest Ohio: Correlates of Prevalence and Age at Onset," IJERPH, MDPI, vol. 5(4), pages 1-12, December.

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