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dc.contributor.authorFang, Shona C.en_US
dc.contributor.authorChen, Shanen_US
dc.contributor.authorTrachtenberg, Feliciaen_US
dc.contributor.authorRokicki, Slawaen_US
dc.contributor.authorAdamkiewicz, Garyen_US
dc.contributor.authorLevy, Douglas E.en_US
dc.date.accessioned2016-06-14T18:53:45Z
dc.date.issued2016en_US
dc.identifier.citationFang, Shona C., Shan Chen, Felicia Trachtenberg, Slawa Rokicki, Gary Adamkiewicz, and Douglas E. Levy. 2016. “Validity of Self-Reported Tobacco Smoke Exposure among Non-Smoking Adult Public Housing Residents.” PLoS ONE 11 (5): e0155024. doi:10.1371/journal.pone.0155024. http://dx.doi.org/10.1371/journal.pone.0155024.en
dc.identifier.issn1932-6203en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:27320443
dc.description.abstractIntroduction: Tobacco smoke exposure (TSE) in public multi-unit housing (MUH) is of concern. However, the validity of self-reports for determining TSE among non-smoking residents in such housing is unclear. Methods: We analyzed data from 285 non-smoking public MUH residents living in non-smoking households in the Boston area. Participants were interviewed about personal TSE in various locations in the past 7 days and completed a diary of home TSE for 7 days. Self-reported TSE was validated against measurable saliva cotinine (lower limit of detection (LOD) 0.02 ng/ml) and airborne apartment nicotine (LOD 5 ng). Correlations, estimates of inter-measure agreement, and logistic regression assessed associations between self-reported TSE items and measurable cotinine and nicotine. Results: Cotinine and nicotine levels were low in this sample (median = 0.026 ng/ml and 0.022 μg/m3, respectively). Prevalence of detectable personal TSE was 66.3% via self-report and 57.0% via measurable cotinine (median concentration among those with cotinine>LOD: 0.057 ng/ml), with poor agreement (kappa = 0.06; sensitivity = 68.9%; specificity = 37.1%). TSE in the home, car, and other peoples’ homes was weakly associated with cotinine levels (Spearman correlations rs = 0.15–0.25), while TSE in public places was not associated with cotinine. Among those with airborne nicotine and daily diary data (n = 161), a smaller proportion had household TSE via self-report (41.6%) compared with measurable airborne nicotine (53.4%) (median concentration among those with nicotine>LOD: 0.04 μg/m3) (kappa = 0.09, sensitivity = 46.5%, specificity = 62.7%). Conclusions: Self-report alone was not adequate to identify individuals with TSE, as 31% with measurable cotinine and 53% with measurable nicotine did not report TSE. Self-report of TSE in private indoor spaces outside the home was most associated with measurable cotinine in this low-income non-smoking population.en
dc.language.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pone.0155024en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4865127/pdf/en
dash.licenseLAAen_US
dc.subjectBiology and Life Sciencesen
dc.subjectBehavioren
dc.subjectHabitsen
dc.subjectSmoking Habitsen
dc.subjectAnatomyen
dc.subjectBody Fluidsen
dc.subjectSalivaen
dc.subjectMedicine and Health Sciencesen
dc.subjectPhysiologyen
dc.subjectEarth Sciencesen
dc.subjectGeographyen
dc.subjectHuman Geographyen
dc.subjectHousingen
dc.subjectSocial Sciencesen
dc.subjectPolitical Scienceen
dc.subjectPublic Policyen
dc.subjectBiochemistryen
dc.subjectBiomarkersen
dc.subjectWomen's Healthen
dc.subjectMaternal Healthen
dc.subjectPregnancyen
dc.subjectObstetrics and Gynecologyen
dc.subjectHealth Careen
dc.subjectHealth Care Policyen
dc.subjectPeople and Placesen
dc.subjectPopulation Groupingsen
dc.subjectAge Groupsen
dc.subjectAdultsen
dc.titleValidity of Self-Reported Tobacco Smoke Exposure among Non-Smoking Adult Public Housing Residentsen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS ONEen
dash.depositing.authorAdamkiewicz, Garyen_US
dc.date.available2016-06-14T18:53:45Z
dc.identifier.doi10.1371/journal.pone.0155024*
dash.contributor.affiliatedLevy, Douglas
dash.contributor.affiliatedAdamkiewicz, Gary


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