Navarro A M
Department of Family and Preventive Medicine, University of California San Diego, La Jolla 92093-0622, USA.
Tob Control. 1999 Summer;8(2):182-5. doi: 10.1136/tc.8.2.182.
To examine the rate of agreement between proxy and self report of smoking status in Hispanics compared with other ethnic groups.
Data source is the 1990 California Tobacco Survey (CTS) which includes proxy and self reported smoking status. The CTS is a random digit dialed survey conducted in 57,244 households. A sample of 10,011 adults was included in the analyses.
Percentages of agreement and disagreement between self report and report by other member of the household on smoking status.
Cohen's kappa coefficients of agreement on smoking status between self report and proxy report was highest in non-Hispanic whites and African Americans (kappa = 0.91), followed by Asian Americans (kappa = 0.82) and Hispanics (kappa = 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).
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.
与其他种族群体相比，研究西班牙裔人群中代理人报告与自我报告的吸烟状况之间的一致性率。
数据来源为1990年加利福尼亚烟草调查（CTS），其中包含代理人报告和自我报告的吸烟状况。CTS是一项对57244户家庭进行的随机数字拨号调查。分析纳入了10011名成年人样本。
自我报告与家庭其他成员报告的吸烟状况之间的一致率和不一致率。
自我报告与代理人报告在吸烟状况上的Cohen's kappa一致性系数在非西班牙裔白人和非裔美国人中最高（kappa = 0.91），其次是亚裔美国人（kappa = 0.82）和西班牙裔（kappa = 0.76）。在被代理人认定为当前吸烟者的成年人中，与非西班牙裔相比，西班牙裔中表示自己是当前吸烟者的比例较低（优势比（OR）= 3.74，95%置信区间（CI）= 3.28至4.20）。此外，与文化适应程度高的西班牙裔相比，文化适应程度低的西班牙裔中代理人报告与自我报告之间的一致性也较低（OR = 0.40，95%CI = 0至0.94）。
与西班牙裔相比，非西班牙裔人群中自我报告与代理人报告的吸烟状况之间的一致性更高。通过包括代理人报告和自我报告的电话调查估计的不同种族群体的吸烟率可能不可比。
