RT Journal Article
T1 Fagerstrom test for nicotine dependence vs heavy smoking index in a general population survey
A1 Pérez Ríos, Mónica
A1 Santiago Pérez, María Isolina
A1 Alonso, Begoña
A1 Malvar Pintos, Alberto
A1 Hervada Vidal, Xurxo
A1 Leon, J. de
K1 Nicotine Dependence
K1 Tobacco Consumption
K1 Daily Smoker
K1 High Nicotine Dependence
AB BackgroundThe Fagerström Test for Nicotine Dependence (FTND) is used for assessing nicotine dependence. A shorter test derived from the FTND used for the general population is the Heavy Smoking Index (HSI) (six questions vs. two). The objective of this study is to compare the validity of the HSI versus the FTND.MethodsA survey of tobacco use in the general population was carried out in the northern Spanish region of Galicia using both the FTND and the HSI to study a representative sample of 1655 daily smokers. The HSI was compared with the FTND, considered the gold standard. Measures of sensitivity, specificity and predictive values were calculated. Concordance between the tests was also established (Cohen's kappa).ResultsCohen's kappa showed good agreement between measures (Kappa = 0.7); specificity values were also high (Sp = 96.2%). Sensitivity analysis in females (Se = 62.3%) did not show good agreement.ConclusionsThe HSI can be used as a reasonably good screening test in order to identify daily smokers with high nicotine dependence. Nevertheless, for populations or subpopulations having low nicotine dependence, such as women, the FTND is more reliable
PB BMC
SN 1471-2458
YR 2009
FD 2009
LK http://hdl.handle.net/10347/22950
UL http://hdl.handle.net/10347/22950
LA eng
NO Pérez-Ríos, M., Santiago-Pérez, M., Alonso, B. et al. Fagerstrom test for nicotine dependence vs heavy smoking index in a general population survey. BMC Public Health 9, 493 (2009). https://doi.org/10.1186/1471-2458-9-493
DS Minerva
RD 24 abr 2026