Diabetes and False Non-Smoking Reports in Smokers
Author Information
Author(s): Monica A. Fisher, George W. Taylor, Brent J. Shelton, Sara M. Debanne
Primary Institution: Case Western Reserve University
Hypothesis
Do sociodemographic characteristics and diabetes predict invalid self-reported non-smoking among U.S. adults?
Conclusion
Smokers with diabetes are more likely to falsely report being non-smokers compared to those without diabetes.
Supporting Evidence
- 15% of smokers with diabetes reported invalid non-smoking status.
- Invalid non-smoking status was higher among NHB females and those who did not graduate from high school.
- The study used serum cotinine levels to confirm smoking status.
Takeaway
Some people who smoke say they don't smoke, especially if they have diabetes. This can be because they feel pressure to say they don't smoke.
Methodology
The study analyzed data from the NHANES III survey, focusing on adults aged 45 and older, using serum cotinine levels to identify true smokers.
Potential Biases
Social desirability may lead to underreporting of smoking among certain groups.
Limitations
The study's sample size for certain demographic subgroups was small, limiting statistical power.
Participant Demographics
Participants were U.S. adults aged 45 and older, including various race/ethnicity and gender categories.
Statistical Information
P-Value
0.01
Confidence Interval
95% CI: 1.35–7.34
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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