IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v12y2015i1p841-854d44764.html
   My bibliography  Save this article

Agreement Between Exhaled Breath Carbon Monoxide Threshold Levels and Self-Reported Cigarette Smoking in a Sample of Male Adolescents in Jordan

Author

Listed:
  • Nihaya Al-Sheyab

    (Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan
    Faculty of Health, University of Technology, Sydney 2007, Australia
    Charles Perkins Centre, Faculty of Nursing and Midwifery, the University of Sydney, Sydney 2007, Australia)

  • Khalid A Kheirallah

    (Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan
    These authors contributed equally to this work.)

  • Linda J Thomson Mangnall

    (Charles Perkins Centre, Faculty of Nursing and Midwifery, the University of Sydney, Sydney 2007, Australia
    Cardiothoracic, Surgical and Medical Telemetry Unit, Sydney Adventist Hospital, Sydney 2007, Australia
    These authors contributed equally to this work.)

  • Robyn Gallagher

    (Faculty of Health, University of Technology, Sydney 2007, Australia
    Charles Perkins Centre, Faculty of Nursing and Midwifery, the University of Sydney, Sydney 2007, Australia)

Abstract

This study aimed to measure the percent agreement between Exhaled Breath Carbon Monoxide (eBCO) measure using a piCO + smokerlyzer ® and self-reported cigarette smoking status and to determine the optimal thresholds for definite identification of cigarette smokers of male school students in Jordan. A descriptive, cross sectional, study of a random sample of male adolescents in grades 7 and 8 from four public high schools in Irbid, completed an adaptation of a standardized Arabic-language tobacco smoking questionnaire and an eBCO measure. Sensitivity and specificity of the eBCO were calculated against self-reported cigarette smoking. Participants ( n = 439) had a mean age of 12.5 years (SD = 0.50) and 174 (39.9%) reported being an ever smoker of whom 59 (33.9%) reported being a recent (30-day) smoker. The optimal eBCO cut-off point for recent smoking was 4.5 ppm with a sensitivity of 84.7% and specificity of 65.5%. Overall, eBCO can accurately identify recent smokers and distinguish them from non-smokers. The eBCO use enables healthcare professionals and researchers to assess efficacy of smoking cessation and prevention programs without necessarily relying on self-report. Further research is indicated to validate our findings and should be expanded to include females, detailed characteristics of cigarette and waterpipe smoking.

Suggested Citation

  • Nihaya Al-Sheyab & Khalid A Kheirallah & Linda J Thomson Mangnall & Robyn Gallagher, 2015. "Agreement Between Exhaled Breath Carbon Monoxide Threshold Levels and Self-Reported Cigarette Smoking in a Sample of Male Adolescents in Jordan," IJERPH, MDPI, vol. 12(1), pages 1-14, January.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:1:p:841-854:d:44764
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/12/1/841/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/12/1/841/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. Patrick, D.L. & Cheadle, A. & Thompson, D.C. & Diehr, P. & Koepsell, T. & Kinne, S., 1994. "The validity of self-reported smoking: A review and meta-analysis," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1086-1093.
    3. Rothman, K.J. & Greenland, S., 2005. "Causation and causal inference in epidemiology," American Journal of Public Health, American Public Health Association, vol. 95(S1), pages 144-150.
    4. Nihaya Al-Sheyab & Mahmoud A. Alomari & Smita Shah & Patrick Gallagher & Robyn Gallagher, 2014. "Prevalence, Patterns and Correlates of Cigarette Smoking in Male Adolescents in Northern Jordan, and the Influence of Waterpipe Use and Asthma Diagnosis: A Descriptive Cross-Sectional Study," IJERPH, MDPI, vol. 11(9), pages 1-16, September.
    5. Sukaina Alzyoud & Linda S. Weglicki & Khalid A. Kheirallah & Linda Haddad & Khalid A. Alhawamdeh, 2013. "Waterpipe Smoking among Middle and High School Jordanian Students: Patterns and Predictors," IJERPH, MDPI, vol. 10(12), pages 1-15, December.
    6. Wells, A.J. & English, P.B. & Posner, S.F. & Wagenknecht, L.E. & Perez-Stable, E.J., 1998. "Misclassification rates for current smokers misclassified as nonsmokers," American Journal of Public Health, American Public Health Association, vol. 88(10), pages 1503-1509.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ke-Ting Pan & Giovanni S. Leonardi & Marcella Ucci & Ben Croxford, 2021. "Can Exhaled Carbon Monoxide Be Used as a Marker of Exposure? A Cross-Sectional Study in Young Adults," IJERPH, MDPI, vol. 18(22), pages 1-13, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nakata, Akinori & Ikeda, Tomoko & Takahashi, Masaya & Haratani, Takashi & Hojou, Minoru & Fujioka, Yosei & Araki, Shunichi, 2006. "Non-fatal occupational injury among active and passive smokers in small- and medium-scale manufacturing enterprises in Japan," Social Science & Medicine, Elsevier, vol. 63(9), pages 2452-2463, November.
    2. Jae Won Hong & Jung Hyun Noh & Dong-Jun Kim, 2018. "The prevalence of and factors associated with urinary cotinine-verified smoking in Korean adults: The 2008–2011 Korea National Health and Nutrition Examination Survey," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-14, June.
    3. Manoj Sharma & Erin Largo-Wight & Amar Kanekar & Hana Kusumoto & Stephanie Hooper & Vinayak K. Nahar, 2020. "Using the Multi-Theory Model (MTM) of Health Behavior Change to Explain Intentional Outdoor Nature Contact Behavior among College Students," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    4. Ulep, Valerie Gilbert T. & Ortiz, Danica Aisa P. & Go, John Juliard & Duante, Charmaine & Gonzales, Rosa C. & Mendoza, Laurita R. & Reyes, Clarissa & Elgo, Frances Rose & Aldeon, Melanie P., 2012. "Inequities in Noncommunicable Diseases," Discussion Papers DP 2012-04, Philippine Institute for Development Studies.
    5. Jean-Baptist du Prel & Johannes Siegrist & Daniela Borchart, 2019. "The Role of Leisure-Time Physical Activity in the Change of Work-Related Stress (ERI) over Time," IJERPH, MDPI, vol. 16(23), pages 1-9, December.
    6. Sime Smolic & Ivan Cipin & Petra Medimurec, 2020. "How is health associated with employment during later working life in Croatia?," Public Sector Economics, Institute of Public Finance, vol. 44(1), pages 99-116.
    7. Mariliis Põld & Kersti Pärna, 2020. "Nicotine Dependence and Factors Related to Smoking Cessation among Physicians in Estonia," IJERPH, MDPI, vol. 17(9), pages 1-10, May.
    8. Nihaya Al-Sheyab & Mahmoud A. Alomari & Smita Shah & Patrick Gallagher & Robyn Gallagher, 2014. "Prevalence, Patterns and Correlates of Cigarette Smoking in Male Adolescents in Northern Jordan, and the Influence of Waterpipe Use and Asthma Diagnosis: A Descriptive Cross-Sectional Study," IJERPH, MDPI, vol. 11(9), pages 1-16, September.
    9. Adrianna Bella & Temesgen Kifle & Kam Ki Tang, 2021. "Smoke gets in your shape: The effects of smoking on body weight in Indonesia," Discussion Papers Series 646, School of Economics, University of Queensland, Australia.
    10. Qing Wang & Jay J Shen & Michelle Sotero & Casey A Li & Zhiyuan Hou, 2018. "Income, occupation and education: Are they related to smoking behaviors in China?," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-17, February.
    11. Mohammed Al-Houqani & Andrea Leinberger-Jabari & Abdullah Al Naeemi & Abdullah Al Junaibi & Eiman Al Zaabi & Naima Oumeziane & Marina Kazim & Fatima Al Maskari & Ayesha Al Dhaheri & Leila Abdel Wareth, 2018. "Patterns of tobacco use in the United Arab Emirates Healthy Future (UAEHFS) pilot study," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-11, May.
    12. Högnäs, Robin S. & Bijlsma, Maarten J. & Högnäs, Ulf & Blomqvist, Sandra & Westerlund, Hugo & Hanson, Linda Magnusson, 2022. "It's giving me the blues: A fixed-effects and g-formula approach to understanding job insecurity, sleep disturbances, and major depression," Social Science & Medicine, Elsevier, vol. 297(C).
    13. Rosemary Avery & Donald Kenkel & Dean R. Lillard & Alan Mathios, 2007. "Private Profits and Public Health: Does Advertising of Smoking Cessation Products Encourage Smokers to Quit?," Journal of Political Economy, University of Chicago Press, vol. 115(3), pages 447-481.
    14. Keyes, Katherine M. & Vo, Thomas & Wall, Melanie M. & Caetano, Raul & Suglia, Shakira F. & Martins, Silvia S. & Galea, Sandro & Hasin, Deborah, 2015. "Racial/ethnic differences in use of alcohol, tobacco, and marijuana: Is there a cross-over from adolescence to adulthood?," Social Science & Medicine, Elsevier, vol. 124(C), pages 132-141.
    15. Sungroul Kim, 2016. "Overview of Cotinine Cutoff Values for Smoking Status Classification," IJERPH, MDPI, vol. 13(12), pages 1-15, December.
    16. Del Bono, Emilia & Francesconi, Marco & G. Best, Nicky, 2011. "Health information and health outcomes: an application of the regression discontinuity design to the 1995 UK contraceptive pill scare case," ISER Working Paper Series 2011-16, Institute for Social and Economic Research.
    17. DeCicca, Philip & Kenkel, Donald & Liu, Feng, 2013. "Excise tax avoidance: The case of state cigarette taxes," Journal of Health Economics, Elsevier, vol. 32(6), pages 1130-1141.
    18. Michelle DiGiacomo & Patricia M. Davidson & Penelope A. Abbott & Joyce Davison & Louise Moore & Sandra C. Thompson, 2011. "Smoking Cessation in Indigenous Populations of Australia, New Zealand, Canada, and the United States: Elements of Effective Interventions," IJERPH, MDPI, vol. 8(2), pages 1-23, January.
    19. Mackenbach, Johan P. & Kulhánová, Ivana & Bopp, Matthias & Deboosere, Patrick & Eikemo, Terje A. & Hoffmann, Rasmus & Kulik, Margarete C. & Leinsalu, Mall & Martikainen, Pekka & Menvielle, Gwenn & Reg, 2015. "Variations in the relation between education and cause-specific mortality in 19 European populations: A test of the “fundamental causes” theory of social inequalities in health," Social Science & Medicine, Elsevier, vol. 127(C), pages 51-62.
    20. Johanna Catherine MacLean & Asia Sikora Kessler & Donald S. Kenkel, 2016. "Cigarette Taxes and Older Adult Smoking: Evidence from the Health and Retirement Study," Health Economics, John Wiley & Sons, Ltd., vol. 25(4), pages 424-438, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:12:y:2015:i:1:p:841-854:d:44764. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.