American Journal of Epidemiology Vol. 118, No. 1: 90-98
Copyright © 1983 by The Johns Hopkins University School of Hygiene and Public Health
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VALIDITY OF SELF-REPORTS AND DESCRIPTIVE AND ANALYTICAL CONCLUSIONS: THE CASE OF CIGARETTE SMOKING BY ADOLESCENTS AND THEIR MOTHERS
1Department of Maternal and Child Health, School of Public Health, University of North Carolina Chapel Hill, NC 27514
2Department of Biostatistics, School of Public Health, University of North Carolina Chapel Hill, NC
Send reprint requests to Dr. Bauman at this address.
Bauman, K. E. (Dept. of Maternal and Child Health, School of Public Health, U. of North Carolina, Chapel Hill, NC 27514) and G. G. Koch. Validity of self-reports and descriptive and analytical conclusions: the case of cigarette smoking by adolescents and their mothers. Am J Epidemiol 1983; 118: 90–8.
Biochemical and self-report measures of cigarette smoking were obtained from a study population of eighth-grade students who were enrolled in the Gullford County, North Carolina, school system during May 1980 and their mothers. A group of 386 adolescents provided self-reports before awareness of the biochemical evaluation, while a group of 1439 mothers encompassed unaware and aware observational conditions. Substantial crude agreement was found between carbon monoxide in alveolar air and questionnaire responses on recency of smoking, and the biochemical and self-report measures yielded similar descriptive estimates of smoking. Sensitivity and specificity for mothers, and specificity for the adolescents, exceeded 90%. Although only 64% of the adolescents classified as smokers according to the biochemical measure reported that they were smokers, most correlates of their smoking behavior were the same regardless of the measure that was used.
adolescent behavior; biometry; epidemiologic methods; psychometrics; smoking
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