Are self-reports of smoking rate biased? Evidence from the Second National Health and Nutrition Examination Survey

This study determined evidence for digit preference in self-reports of smoking in the Second National Health and Nutrition Examination Survey (NHANES II). Subjects were 4275 adult smokers. Self-reports of smoking showed a marked degree of digit preference, with the vast majority of smokers reporting...

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Veröffentlicht in:Journal of clinical epidemiology 1995-10, Vol.48 (10), p.1225-1233
Hauptverfasser: Klesges, Robert C., Debon, Margaret, Ray, Joanne White
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creator Klesges, Robert C.
Debon, Margaret
Ray, Joanne White
description This study determined evidence for digit preference in self-reports of smoking in the Second National Health and Nutrition Examination Survey (NHANES II). Subjects were 4275 adult smokers. Self-reports of smoking showed a marked degree of digit preference, with the vast majority of smokers reporting in multiples of 10 cigarettes per day. When number per day was compared to an objective measure of smoking exposure (carboxyhemoglobin; n = 2070) the distribution was found to be significantly assymetrical. Analysis of the distribution of COHb and various levels of number per day indicates that the differences in distribution are not due to variability in COHb. Heavier smokers, Caucasians, and those with less education were more likely to report a digit preference than lighter smokers, African-Americans, and those with more education. Results suggest that self-reports of number of cigarettes per day may be biased towards round numbers (particularly 20 cigarettes per day). Implications for assessment of smoking behavior are discussed.
doi_str_mv 10.1016/0895-4356(95)00020-5
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Analysis of the distribution of COHb and various levels of number per day indicates that the differences in distribution are not due to variability in COHb. Heavier smokers, Caucasians, and those with less education were more likely to report a digit preference than lighter smokers, African-Americans, and those with more education. Results suggest that self-reports of number of cigarettes per day may be biased towards round numbers (particularly 20 cigarettes per day). 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Evidence from the Second National Health and Nutrition Examination Survey</title><title>Journal of clinical epidemiology</title><addtitle>J Clin Epidemiol</addtitle><description>This study determined evidence for digit preference in self-reports of smoking in the Second National Health and Nutrition Examination Survey (NHANES II). Subjects were 4275 adult smokers. Self-reports of smoking showed a marked degree of digit preference, with the vast majority of smokers reporting in multiples of 10 cigarettes per day. When number per day was compared to an objective measure of smoking exposure (carboxyhemoglobin; n = 2070) the distribution was found to be significantly assymetrical. Analysis of the distribution of COHb and various levels of number per day indicates that the differences in distribution are not due to variability in COHb. 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Evidence from the Second National Health and Nutrition Examination Survey</atitle><jtitle>Journal of clinical epidemiology</jtitle><addtitle>J Clin Epidemiol</addtitle><date>1995-10-01</date><risdate>1995</risdate><volume>48</volume><issue>10</issue><spage>1225</spage><epage>1233</epage><pages>1225-1233</pages><issn>0895-4356</issn><eissn>1878-5921</eissn><abstract>This study determined evidence for digit preference in self-reports of smoking in the Second National Health and Nutrition Examination Survey (NHANES II). Subjects were 4275 adult smokers. Self-reports of smoking showed a marked degree of digit preference, with the vast majority of smokers reporting in multiples of 10 cigarettes per day. When number per day was compared to an objective measure of smoking exposure (carboxyhemoglobin; n = 2070) the distribution was found to be significantly assymetrical. 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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adolescent
Adult
Aged
Bias
Biological and medical sciences
Carboxyhemoglobin - analysis
Confidence Intervals
Digit bias
Epidemiology
Female
General aspects
Health Surveys
Humans
Logistic Models
Male
Medical sciences
Methodology
Middle Aged
Odds Ratio
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reproducibility of Results
Self-reports
Smoking
Smoking - blood
Smoking - epidemiology
Smoking - psychology
Surveys and Questionnaires - standards
United States - epidemiology
title Are self-reports of smoking rate biased? Evidence from the Second National Health and Nutrition Examination Survey
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