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Validity of self-reported adult secondhand smoke exposure

机译：自我报告的成人二手烟暴露的有效性

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Objectives Exposure of adults to secondhand smoke (SHS) has immediate adverse effects on the cardiovascular system and causes coronary heart disease. The current study evaluated brief self-report screening measures for accurately identifying adult cardiology patients with clinically significant levels of SHS exposure in need of intervention. Design and setting A cross-sectional study conducted in a university-affiliated cardiology clinic and cardiology inpatient service. Patients Participants were 118 non-smoking patients (59% male, mean age=63.6 years, SD=16.8) seeking cardiology services. Main outcome measures Serum cotinine levels and self-reported SHS exposure in the past 24 h and 7 days on 13 adult secondhand exposure to smoke (ASHES) items. Results A single item assessment of SHS exposure in one's own home in the past 7 days was significantly correlated with serum cotinine levels (r=0.41, p＜0.001) with sensitivity ≥75%, specificity ＞85% and correct classification rates ＞ 85% at cotinine cut-off points of ＞0.215 and ＞0.80 ng/mL. The item outperformed multi-item scales, an assessment of home smoking rules, and SHS exposure assessed in other residential areas, automobiles and public settings. The sample was less accurate at self-reporting lower levels of SHS exposure (cotinine 0.05-0.215 ng/mL). Conclusions The single item ASHES-7d Home screener is brief, assesses recent SHS exposure over a week's time, and yielded the optimal balance of sensitivity and specificity. The current findings support use of the ASHES-7d Home screener to detect SHS exposure and can be easily incorporated into assessment of other major vital signs in cardiology.
机译：目的成人接触二手烟（SHS）对心血管系统有直接的不利影响，并引起冠心病。当前的研究评估了简短的自我报告筛查措施，以准确地识别具有临床显着水平的SHS暴露需要干预的成人心脏病患者。设计和设置在大学附属的心脏病诊所和心脏病住院服务中进行的横断面研究。患者参加心脏病学服务的118名非吸烟患者（男性59％，平均年龄= 63.6岁，SD = 16.8）。主要结果指标在过去24小时和7天中，有13位成人二手烟（ASHES）暴露于血清可替宁水平和自我报告的SHS暴露。结果过去7天对自己家中SHS暴露的一项单项评估与血清可替宁水平（r = 0.41，p ＜0.001）显着相关，敏感性≥75％，特异性≥85％，正确分类率≥85％在可替宁截止点＞ 0.215和＞ 0.80 ng / mL。该项目的表现优于多项目量表，对家庭吸烟规则的评估以及在其他居民区，汽车和公共场所进行的SHS暴露评估。自我报告较低水平的SHS暴露（可卡因0.05-0.215 ng / mL）时，样品的准确性较低。结论单一项目ASHES-7d家庭筛查仪简短，可评估一周内最近的SHS暴露情况，并在敏感性和特异性之间取得最佳平衡。目前的发现支持使用ASHES-7d家庭筛查仪检测SHS暴露，并且可以轻松地纳入心脏病学中其他主要生命体征的评估中。

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  • 来源
    《Tobacco control》 |2015年第1期|48-53|共6页
  • 作者

    Judith J Prochaska; William Grossman; Kelly C Young-Wolff; Neal L Benowitz;

  • 作者单位

    Department of Medicine, Stanford University, Stanford Prevention Research Center, Stanford, California, USA,School of Medicine, Stanford Prevention Research Center, Stanford University, Medical School Office Building, X316, 1265 Welch Road, Stanford, CA 94305-5411, USA;

    Department of Medicine, Division of Cardiology, University of California, San Francisco, San Francisco, California, USA;

    Department of Medicine, Stanford University, Stanford Prevention Research Center, Stanford, California, USA;

    Departments of Medicine and Bioengineering and Therapeutic Sciences, Division of Clinical Pharmacology and Experimental Therapeutics, University of California, San Francisco, San Francisco, California, USA;

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