Screening for smoking in a general hospital: scale validation, indicators of prevalence, and comorbidity
Flávia de Lima Osório1, Ana Carolina Franco de Carvalho, José Alexandre de Souza Crippa
1Department of Neurosciences and Behavior, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto/São Paulo, Brazil. flaliosorio@ig.com.br
Purpose:
The study aims to conduct a psychometric study of the Fagerström Test for Nicotine Dependence (FTND) and to assess the prevalence, sociodemographic profile, and psychiatric comorbidities of smokers in a general hospital.
Design And Methods:
Two hundred sixty-four inpatients were elegible for inclusion in the study and assessed with Structured Clinical Interview for the DSM-IV (Module E), Patient Health Questionnaire, Fast Alcohol Screening Test, and FTND.
Findings:
The cut-off note two of the FTND is the most adequate to identify tobacco abuse/dependence (sensibility: 0.59-0.76). The reliability was estimated to be 0.68-0.96. A 44% rate of tobacco abuser/dependent patients was detected, with a 28% rate of psychiatric comorbidity.
Practice Implications:
Detection of the smoking habits at the time of hospitalization can be opportune, favoring the planning and the beginning of treatment.
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