Fu Marcela, Carnicer-Pont Dolors, Castellano Yolanda, Ballbè Montse, Sureda Xisca, Raich Antònia, Martínez-Sánchez Jose M, Martínez Cristina, Baena Antoni, Riccobene Anna, Enríquez Marta, Fernández Esteve
Tobacco Control Unit, Catalan Institute of Oncology (ICO), WHO Collaborating Centre for Tobacco Control, L'Hospitalet de Llobregat, Barcelona, Spain.
Tobacco Control Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Tob Prev Cessat. 2022 Apr 8;8:15. doi: 10.18332/tpc/146714. eCollection 2022.
The Fagerström Test for Cigarette Dependence (FTCD) and the Cigarette Dependence Scale (CDS) are usually used to assess cigarette dependence in clinical- and population-based studies. Our objective was to compare these two scales within groups of smokers from both contexts.
The study was observational with smokers from a representative sample of the adult general population (n=188) and smokers attending a smoking cessation clinic in Barcelona, Spain (n=759). The FTCD and the CDS-5 (short version of 5 items) were used to assess cigarette dependence. We compared the standardized median scores obtained with both scales within each group of smokers by selected variables. To this aim, we re-scaled the scores of both scales to allow their comparison and assess their correlation within both groups.
The scores obtained with both scales were highly correlated within both groups of smokers (p<0.001), indicating good agreement in the assessment of cigarette dependence. Nevertheless, higher standardized CDS-5 scores were observed more frequently in the population group overall (3.9 vs FTCD score=3.7, p=0.001), among women (4.5 vs 4.2; p<0.001), in the youngest group of smokers (3.9 vs 3.2; p<0.007) and in light smokers (time to the first cigarette >60 min; 1.7 vs 1.1; p<0.001).
While the CDS-5 scored higher more frequently in the population group, the FTCD scored higher more frequently in the clinical group. These differences should be considered when designing either clinical- or population-based studies.
法格斯特龙烟草依赖测试（FTCD）和烟草依赖量表（CDS）通常用于临床研究和基于人群的研究中评估烟草依赖。我们的目的是在来自这两种背景的吸烟者群体中比较这两种量表。
本研究为观察性研究，研究对象为来自成年普通人群代表性样本的吸烟者（n = 188）以及西班牙巴塞罗那一家戒烟诊所的吸烟者（n = 759）。使用FTCD和CDS-5（5项简短版）评估烟草依赖。我们通过选定变量比较了每组吸烟者使用这两种量表获得的标准化中位数得分。为此，我们重新调整了两种量表的得分以便进行比较，并评估两组内它们的相关性。
两组吸烟者使用这两种量表获得的得分高度相关（p < 0.001），表明在烟草依赖评估方面一致性良好。然而，总体人群组中标准化CDS-5得分较高的情况更常见（3.9对比FTCD得分 = 3.7，p = 0.001），在女性中（4.5对比4.2；p < 0.001），在最年轻的吸烟者组中（3.9对比3.2；p < 0.007）以及轻度吸烟者中（吸第一支烟时间>60分钟；1.7对比1.1；p < 0.001）。
虽然在总体人群组中CDS-5得分较高的情况更常见，但在临床组中FTCD得分较高的情况更常见。在设计临床研究或基于人群的研究时应考虑这些差异。
