Clearing the air: underestimation of youth smoking prevalence associated with proxy-reporting compared to youth self-report

Author:

Barrett Eden M.,Maddox Raglan,Thandrayen Joanne,Banks Emily,Lovett Raymond,Heris Christina,Thurber Katherine A.

Abstract

Abstract Background Smoking remains a leading cause of disease burden globally. Declining youth smoking prevalence is an essential feature of effective tobacco control; however, accurate data are required to assess progress. This study investigates bias in youth smoking prevalence estimates by respondent type (proxy-reported, self-report with parent present, or self-report independently) for Aboriginal and Torres Strait Islander and total populations of Australia. Methods Repeated cross-sectional analysis of representative Aboriginal and Torres Strait Islander Health and National Health Surveys, 2007–2019. Data were restricted to participants aged 15–17 years. Prevalence ratios (PR) and 95% Confidence Intervals (CI) for ever-smoking by respondent type were calculated using Poisson regression with robust standard errors. National youth current-smoking prevalence was estimated if all data were collected by youth self-report; estimates and trends were compared to observed estimates. Results Over 75% of all smoking status data were reported by proxy or with parent present. Ever-smoking prevalence among youth self-reporting independently versus proxy-reported was 1.29 (95% CI:0.96–1.73) to 1.99 (95% CI:1.39–2.85) times as high for Aboriginal and Torres Strait Islander youth, and 1.83 (95% CI:0.92–3.63) to 2.72 (95% CI:1.68–4.41) times as high for total population youth. Across surveys, predicted national current-smoking prevalence if all youth self-reported independently was generally higher than observed estimate. Conclusions Estimates of youth smoking prevalence are likely inaccurate and underestimated if data are collected by proxy or with parent present. Increased reliance on data reported by youth independently is crucial to improve data accuracy, including to enable accurate assessment of national prevalence.

Publisher

Springer Science and Business Media LLC

Subject

Health Informatics,Epidemiology

Reference23 articles.

1. Australian Government Department of Health. National Tobacco Strategy 2012–2018. Australian Government Department of Health, October 2017. https://www.health.gov.au/sites/default/files/national-tobacco-strategy-2012-2018_1.pdf (accessed July 2021).

2. Australian Government Department of Health. Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan 2013–2023. Australian Government Department of Health, June 2021. https://www.health.gov.au/sites/default/files/documents/2020/12/implementation-plan-for-the-national-aboriginal-and-torres-strait-islander-health-plan-2013-2023.pdf (accessed July 2021).

3. Patrick DL, Cheadle A, Thompson DC, et al. The validity of self-reported smoking: a review and meta-analysis. Am J Public Health. 1994;84:1086–93.

4. Brener ND, Billy JOG, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health. 2003;33:436–57.

5. Soulakova JN, Bright BC, Crockett LJ. On consistency of self- and proxy-reported regular smoking initiation age. J Subst Abuse Treat. 2013;1:1001.

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3