Wheeler Katherine Carter, Fletcher Kenneth E, Wellman Robert J, Difranza Joseph R
Department of Biology/Biotechnology, Worcester Polytechnic Institute, 55 Lake Avenue, Worcester, MA 01655, USA.
J Adolesc Health. 2004 Sep;35(3):225-30. doi: 10.1016/j.jadohealth.2003.10.004.
To evaluate the Hooked On Nicotine Checklist's (HONC) internal consistency, reliability over time, correlation with self-described smoking behavior, and to compare the results with previous studies of the onset of nicotine dependence in youths.
Ninth-grade students were recruited from a regional school district. Subjects (Ss; n = 371; 91% of the 9th-grade class) were 48.8% male, 97% white, aged 13.8-15.6 years. Ss self-administered a questionnaire on smoking experiences. The HONC was completed by 88 (23.7%) who had puffed on a cigarette at least once; 74 were retested 2 weeks later. Responding "yes" to any of the 10 HONC items indicates nicotine dependence (ND); the number of items endorsed indicates the degree of its severity.
The internal consistency of the HONC is high overall (alpha = 0.90; n = 88), and test-retest reliability for the entire HONC is excellent (intraclass correlation = 0.88, p <.001). Individual items generally showed good to excellent reliability over time (Median Yules' Y = 0.71, range = 0.41-0.82). HONC scores were strongly correlated with self-reported smoking (r = 0.70, p <.001, n = 88).
Adding the HONC to routine adolescent health examinations, health classes, and prevention programs may make adolescents more aware of their symptoms of ND and enable intervention before ND progresses.
评估《尼古丁成瘾清单》（HONC）的内部一致性、随时间变化的可靠性、与自我描述的吸烟行为的相关性，并将结果与先前关于青少年尼古丁依赖发作的研究进行比较。
从一个地区学区招募九年级学生。受试者（n = 371；占九年级班级的91%）中48.8%为男性，97%为白人，年龄在13.8 - 15.6岁之间。受试者自行填写一份关于吸烟经历的问卷。88名（23.7%）至少吸过一次烟的学生完成了HONC；其中74人在两周后进行了重新测试。对HONC的10个项目中的任何一个回答“是”即表明存在尼古丁依赖（ND）；认可的项目数量表明其严重程度。
HONC的总体内部一致性较高（α = 0.90；n = 88），整个HONC的重测信度极佳（组内相关系数 = 0.88，p <.001）。随着时间推移，各个项目的可靠性总体上表现良好至极佳（中位数尤尔氏Y = 0.71，范围 = 0.41 - 0.82）。HONC得分与自我报告的吸烟情况密切相关（r = 0.70，p <.001，n = 88）。
将HONC纳入青少年常规健康检查、健康课程和预防项目中，可能会使青少年更加了解自己的尼古丁依赖症状，并在尼古丁依赖发展之前进行干预。
