American Journal of Epidemiology Vol. 130, No. 2: 327-337
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health
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ON THE MEASUREMENT OF TOBACCO USE BY ADOLESCENTS
VALIDITY OF SELF-REPORTS OF SMOKELESS TOBACCO USE AND VALIDITY OF COTININE AS AN INDICATOR OF CIGARETTE SMOKING
1School of Public Health, University of North Carolina at Chapel Hill Chapel HIU, NC
2Amencan Health Foundation Valhalla, NY
3Amencan Health Foundation New York, NY
Repnnt requests to Dr. Karl E. Bauman, Department of Health Behavior and Health Education, School of Publlc Health, University of North Carolina at Chapel HiU, CB 7400, Rosenau Hall, Chapel HIU, NC 27599.
This study assessed the validtty of self-reporb of smokeless tobacco use by adolescents and the validity of cotinine as a measure of adolescent cigarette smoking. For a sample of 1,854 persons aged 12–14 years living in the southeastern United States in 1885, a combination of three biochemical measures (salivary cotinine, salivary thiocyanate, and alveolar carbon monoxide) and seifrepom of cigarette smoking were used to identify subjects who used only smokeless tobacco and subjects who did not use smokeless tobacco. The sensttivity and specificity of self-reports of smokeless tobacco use were 40.8% and 97.9%, respectively. It was determined that of the 175 subjects who ordinarily would be considered smokers because they had salivary cotlnine levels 
10 ng/ ml, 43.4% used only smokeless tobacco.
adolescent behavior; cotinine; smoking; tobacco; smokeless
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