Screening for smoking in a general hospital: scale validation, indicators of prevalence, and comorbidity

Perspect Psychiatr Care. 2013 Jan;49(1):5-12. doi: 10.1111/j.1744-6163.2012.00330.x. Epub 2012 Mar 14.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brazil
  • Comorbidity
  • Cross-Sectional Studies
  • Female
  • Hospitals, General*
  • Humans
  • Male
  • Mass Screening / nursing*
  • Middle Aged
  • Patient Admission / statistics & numerical data
  • Psychometrics / statistics & numerical data
  • Reproducibility of Results
  • Smoke-Free Policy
  • Smoking / epidemiology*
  • Smoking Prevention
  • Surveys and Questionnaires*
  • Tertiary Care Centers
  • Tobacco Use Disorder / epidemiology*
  • Tobacco Use Disorder / nursing*
  • Tobacco Use Disorder / prevention & control
  • Young Adult