Instruments to assess secondhand smoke exposure in large cohorts of never smokers: The smoke scales
dc.contributor.author | Misailidi, M | |
dc.contributor.author | Tzatzarakis, MN | |
dc.contributor.author | Kavvalakis, MP | |
dc.contributor.author | Koutedakis, Y | |
dc.contributor.author | Tsatsakis, AM | |
dc.contributor.author | Flouris, AD | |
dc.date.accessioned | 2021-01-26T09:14:21Z | |
dc.date.available | 2021-01-26T09:14:21Z | |
dc.date.issued | 2014-01-21 | |
dc.identifier.citation | Misailidi M, Tzatzarakis MN, Kavvalakis MP, Koutedakis Y, Tsatsakis AM, Flouris AD (2014) Instruments to Assess Secondhand Smoke Exposure in Large Cohorts of Never Smokers: The Smoke Scales. PLoS ONE 9(1): e85809. https://doi.org/10.1371/journal.pone.0085809 | en |
dc.identifier.issn | 1932-6203 | en |
dc.identifier.pmid | 24465719 (pubmed) | |
dc.identifier.doi | 10.1371/journal.pone.0085809 | en |
dc.identifier.uri | http://hdl.handle.net/2436/623896 | |
dc.description | © 2014 The Authors. Published by PLOS. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: https://doi.org/10.1371/journal.pone.0085809 | en |
dc.description.abstract | The objectives of this study were to: (i) to develop questionnaires that can identify never-smoking children and adults experiencing increased exposure to secondhand smoke (SHS+), (ii) to determine their validity against hair nicotine, and (iii) assess their reliability. A sample of 191 children (85 males; 106 females; 7-18 years) and 95 adult (23 males; 72 females; 18- 62 years) never-smokers consented to hair nicotine analysis and answered a large number of questions assessing all sources of SHS. A randomly-selected 30% answered the questions again after 20-30 days. Prevalence of SHS+ in children and adults was 0.52±0.07 and 0.67±0.10, respectively (p<0.05). The Smoke Scale for Children (SS-C) and the Smoke Scale for Adults (SS-A) were developed via factor analysis and included nine questions each. Positivity criteria for SS-C and SS-A via receiver operating characteristics curve analysis were identified at >16.5 and >16, respectively. Significant Kappa agreement (p<0.05) was confirmed when comparing the SS-C and SS-A to hair nicotine concentration. Reliability analyses demonstrated that the SS-C and SS-A scores obtained on two different days are highly correlated (p<0.001) and not significantly different (p>0.05). Area under the curve and McNemar's Chi-square showed no pair-wise differences in sensitivity and specificity at the cutoff point between the two different days for SS-C and SS-A (p>0.05). We conclude that the SS-C and the SS-A represent valid, reliable, practical, and inexpensive instruments to identify children and adult never-smokers exposed to increased SHS. Future research should aim to further increase the validity of the two questionnaires. © 2014 Misailidi et al. | en |
dc.format | application/pdf | en |
dc.language | eng | |
dc.language.iso | en | en |
dc.publisher | Public Library of Science (PLoS) | en |
dc.relation.url | https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0085809 | en |
dc.rights | Licence for published version: Creative Commons Attribution 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject.mesh | Hair | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Nicotine | |
dc.subject.mesh | Prevalence | |
dc.subject.mesh | Chi-Square Distribution | |
dc.subject.mesh | Cohort Studies | |
dc.subject.mesh | Reproducibility of Results | |
dc.subject.mesh | ROC Curve | |
dc.subject.mesh | Smoking | |
dc.subject.mesh | Tobacco Smoke Pollution | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Child | |
dc.subject.mesh | Child, Preschool | |
dc.subject.mesh | Greece | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Surveys and Questionnaires | |
dc.title | Instruments to assess secondhand smoke exposure in large cohorts of never smokers: The smoke scales | en |
dc.type | Journal article | en |
dc.identifier.eissn | 1932-6203 | |
dc.identifier.journal | PLoS ONE | en |
dc.date.updated | 2021-01-24T19:55:13Z | |
dc.contributor.institution | FAME Laboratory, Centre for Research and Technology Hellas, Trikala, Greece ; Department of Exercise Sciences, University of Thessaly, Trikala, Greece ; Regional Directorate of Primary and Secondary Education of Western Greece, Patras, Greece. | |
pubs.place-of-publication | United States | |
dc.date.accepted | 2013-12-03 | |
rioxxterms.funder | University of Wolverhampton | en |
rioxxterms.identifier.project | UOW26012021YK | en |
rioxxterms.version | VoR | en |
rioxxterms.licenseref.uri | http://creativecommons.org/licenses/by/4.0/ | en |
rioxxterms.licenseref.startdate | 2021-01-26 | en |
dc.source.volume | 9 | |
dc.source.issue | 1 | |
dc.source.beginpage | e85809 | |
dc.description.version | Published version | |
refterms.dateFCD | 2021-01-26T09:14:11Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2021-01-26T09:14:21Z |