Abstract
OBJECTIVE—To examine the rate of agreement between proxy and self report of smoking status in Hispanics compared with other ethnic groups. DESIGN—Data source is the 1990 California Tobacco Survey (CTS) which includes proxy and self reported smoking status. The CTS is a random digit dialled survey conducted in 57 244 households. A sample of 10 011 adults was included in the analyses. MAIN OUTCOME MEASURE—Percentages of agreement and disagreement between self report and report by other member of the household on smoking status. RESULTS—Cohen's κ coefficients of agreement on smoking status between self report and proxy report was highest in non-Hispanic whites and African Americans (κ = 0.91), followed by Asian Americans (κ = 0.82 ) and Hispanics (κ = 0.76). Among adults identified as current smokers by proxy, a lower percentage of Hispanics compared with non-Hispanics indicated that they were current smokers (odds ratio (OR) = 3.74, 95% confidence intervals (CI) = 3.28 to 4.20). Furthermore, agreement between proxy and self report was also lower in Hispanics of low acculturation compared with Hispanics with a high level of acculturation (OR = 0.40, 95% CI = 0 to 0.94). CONCLUSIONS—The agreement between self reported and proxy reported smoking status is higher among non-Hispanics compared with Hispanics. Smoking rates in different ethnic groups that are estimated by telephone surveys including proxy and self report might not be comparable. Keywords: smoking status; Hispanics; self reporting
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- Coultas D. B., Howard C. A., Peake G. T., Skipper B. J., Samet J. M. Discrepancies between self-reported and validated cigarette smoking in a community survey of New Mexico Hispanics. Am Rev Respir Dis. 1988 Apr;137(4):810–814. doi: 10.1164/ajrccm/137.4.810. [DOI] [PubMed] [Google Scholar]
- Gilpin E. A., Pierce J. P., Cavin S. W., Berry C. C., Evans N. J., Johnson M., Bal D. G. Estimates of population smoking prevalence: self-vs proxy reports of smoking status. Am J Public Health. 1994 Oct;84(10):1576–1579. doi: 10.2105/ajph.84.10.1576. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Herrmann N. Retrospective information from questionnaires. I. Comparability of primary respondents and their next-of-kin. Am J Epidemiol. 1985 Jun;121(6):937–947. doi: 10.1093/oxfordjournals.aje.a114064. [DOI] [PubMed] [Google Scholar]
- Kolonel L. N., Hirohata T., Nomura A. M. Adequacy of survey data collected from substitute respondents. Am J Epidemiol. 1977 Dec;106(6):476–484. doi: 10.1093/oxfordjournals.aje.a112494. [DOI] [PubMed] [Google Scholar]
- Patrick D. L., Cheadle A., Thompson D. C., Diehr P., Koepsell T., Kinne S. The validity of self-reported smoking: a review and meta-analysis. Am J Public Health. 1994 Jul;84(7):1086–1093. doi: 10.2105/ajph.84.7.1086. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pérez-Stable E. J., Marín B. V., Marín G., Brody D. J., Benowitz N. L. Apparent underreporting of cigarette consumption among Mexican American smokers. Am J Public Health. 1990 Sep;80(9):1057–1061. doi: 10.2105/ajph.80.9.1057. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ross C. E., Mirowsky J. Socially-desirable response and acquiescence in a cross-cultural survey of mental health. J Health Soc Behav. 1984 Jun;25(2):189–197. [PubMed] [Google Scholar]