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

T A Wills and S D Cleary

Ferkauf Graduate School of Psychology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.

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.

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Validity of adolescent self-reports of cigarette smoking.

K E Bauman and S T Ennett
AJPH 1998 88: 309-310. [PDF]  

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