Ferketich Amy K, Wee Alvin G, Shultz Jennifer, Wewers Mary Ellen
Division of Epidemiology, The Ohio State University School of Public Health, B-209 Starling-Loving Hall, 320 West 10th Avenue, Columbus, OH 43210, United States.
Addict Behav. 2007 Sep;32(9):1970-5. doi: 10.1016/j.addbeh.2007.01.005. Epub 2007 Jan 11.
The objective of the present study was to examine the properties of a modification of the Fagerström Test of Nicotine Dependence in a large sample of smokeless tobacco (ST) users. The subjects for this study included 256 males who were recruited for a tobacco cessation intervention that involved a visit with a dentist and advice to quit smoking during the exam. At baseline, the modified dependence scale was administered to the participants and a saliva sample was collected to measure cotinine. The correlation between the total score and salivary cotinine was moderate among the ST only users (r=0.34), whereas it was lower (r=0.19) among the ST+cigarette users. Among ST only users, the coefficient alpha was 0.40; however it was considerably higher among the ST+cigarettes group (alpha=0.61). In both cases, the coefficient alpha was lower than the recommended value of 0.70. Future research should focus on refining questionnaires that more precisely measure nicotine dependence in smokeless tobacco users.
本研究的目的是在大量无烟烟草(ST)使用者样本中检验尼古丁依赖的法格斯特龙测试(Fagerström Test)的一种改良版本的特性。本研究的受试者包括256名男性,他们被招募参加一项戒烟干预项目,该项目包括拜访牙医并在检查期间接受戒烟建议。在基线时,向参与者发放改良后的依赖量表,并采集唾液样本以测量可替宁。仅使用无烟烟草的使用者中,总分与唾液可替宁之间的相关性中等(r = 0.34),而在同时使用无烟烟草和香烟的使用者中相关性较低(r = 0.19)。在仅使用无烟烟草的使用者中,α系数为0.40;然而,在同时使用无烟烟草和香烟的组中该系数要高得多(α = 0.61)。在这两种情况下,α系数均低于推荐值0.70。未来的研究应专注于完善问卷,以便更精确地测量无烟烟草使用者的尼古丁依赖情况。