Saito Toshikazu, Hashimoto Eri, Shiga Mitue, Hasegawa Yuko, Ikeda Hiroshi, Toki Sadamu
Department of Neuropsychiatry, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo 060-8543, Japan.
Nihon Arukoru Yakubutsu Igakkai Zasshi. 2002 Apr;37(2):111-9.
A 1998 national survey of smoking and health problems reported that 18 million Japanese over 15-years-old, 53.9% of regular smokers in Japan, have tobacco dependence. The survey used the Tobacco Dependence Screening Questionnaire (TDS), the items in which do not strictly follow the criteria for ICD-10 dependence syndrome. In this study, to evaluate the validity of screening with the TDS for ICD-10 tobacco dependence, TDS and a questionnaire, consisting of items obtained from the ICD-10 dependence syndrome for tobacco use were administered to 1371 participants. The prevalence of tobacco dependence diagnosed according to the ICD-10 criteria was 20.9%. On the other hand, the ratio of tobacco dependence screened by the TDS was 60.1%. Furthermore, only 26.0% of participants screened as tobacco dependent by the TDS were diagnosed as being tobacco dependence according to ICD-10 criteria. These results indicate the possibility of overestimation of the rate of tobacco dependence using the TDS.
一项1998年关于吸烟与健康问题的全国性调查显示，在日本，1800万15岁以上人群（占日本经常吸烟者的53.9%）存在烟草依赖。该调查使用了烟草依赖筛查问卷（TDS），但其项目并未严格遵循国际疾病分类第十版（ICD - 10）依赖综合征的标准。在本研究中，为评估TDS对ICD - 10烟草依赖筛查的有效性，对1371名参与者同时进行了TDS以及一份由ICD - 10烟草使用依赖综合征相关项目组成的问卷调查。根据ICD - 10标准诊断出的烟草依赖患病率为20.9%。另一方面，TDS筛查出的烟草依赖比例为60.1%。此外，在TDS筛查为烟草依赖的参与者中，仅有26.0%根据ICD - 10标准被诊断为烟草依赖。这些结果表明，使用TDS可能高估了烟草依赖率。
