Huang Chih-Ling, Cheng Chung-Ping, Lin Hsi-Hui, Lu Chia-Chen
Department of Nursing, Chang Jung Christian University, Taiwan, Republic of China.
J Adolesc Health. 2009 Sep;45(3):281-5. doi: 10.1016/j.jadohealth.2009.02.012. Epub 2009 May 9.
To examine the psychometric properties of the Hooked on Nicotine Checklist (HONC) on a Taiwanese sample. The HONC as a measure of nicotine dependence in adolescents is in worldwide use. Less is known regarding its psychometric properties for a Chinese population.
A cross-sectional, descriptive study was conducted from January to May 2008 with 373 male adolescent smokers aged 15 to 20 years. The criterion validity of the Chinese HONC was determined using the Fagerstrom Test of Nicotine Dependence (FTND) and saliva cotinine. Because the responses to the items are dichotomous, the validity and factorial structures were examined using tetrachoric and biserial techniques by PRELIS 2 and LISREL 8.7.
Most of interitem correlations are between 0.3 and 0.7. Each item is highly associated with the full scale (r > .7). The HONC total score is significantly associated with the FTND (r=.58, p < .01) and with saliva cotinine levels (r=.27, p < .05). Confirmatory factor analyses were performed to compare the relative fit of three competing models. The three-correlated factor model has a better fit than other models, according to the cutoff criteria for relatively good fit. The coefficient alpha of the full scale is .83.
The Chinese version of the HONC is a reliable and valid measure of tobacco dependence in adolescent smokers. Studies involving female adolescent and younger smokers will be needed to evaluate the applicability of the scales to the different genders and age populations.
在台湾样本中检验尼古丁成瘾清单（HONC）的心理测量特性。HONC作为青少年尼古丁依赖的一种测量工具在全球范围内使用。对于中国人群，其心理测量特性的了解较少。
于2008年1月至5月对373名年龄在15至20岁的男性青少年吸烟者进行了一项横断面描述性研究。使用尼古丁依赖Fagerstrom测试（FTND）和唾液可替宁来确定中文HONC的效标效度。由于项目的回答是二分法的，因此使用PRELIS 2和LISREL 8.7通过四分相关和双列相关技术检验效度和因子结构。
大多数项目间相关性在0.3至0.7之间。每个项目与总量表高度相关（r>.7）。HONC总分与FTND显著相关（r = 0.58，p <.01），与唾液可替宁水平显著相关（r = 0.27，p <.05）。进行验证性因子分析以比较三个竞争模型的相对拟合度。根据相对良好拟合的截止标准，三相关因子模型比其他模型拟合得更好。总量表的α系数为0.83。
中文版HONC是青少年吸烟者烟草依赖的可靠且有效的测量工具。需要开展涉及女性青少年和更年轻吸烟者的研究，以评估该量表对不同性别和年龄人群的适用性。
