KMID : 0928320090090040282
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Korean Journal of Health Promotion and Disease Prevention 2009 Volume.9 No. 4 p.282 ~ p.288
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Comparison of the Cigarette Dependence Scale (5-item short version) with the Fagerstrom Test for Nicotine Dependence
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Choi Seung-Ho
Yoon Dae-Hyun Lee Cheol-Min Kwon Hyuk-Tae Oh Seung-Won Kim Si-Na
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Abstract
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Background : The Cigarette Dependence Scale (CDS-5) was developed by Etter et al. to measure the degree of a smoker¡¯s dependence. This may improve the weakness of the Fagerstrom Test for Nicotine Dependence (FTND). In Korea, there has not been any study to verify the validity of CDS-5.
Methods : We administered the FTND and the CDS-5 at one health checkup hospital. Urine cotinine was measured to test its correlation with each test. In addition, the internal consistency of each test was confirmed by Cronbach¡¯s alpha coefficient. We analysed the distribution of the items in CDS-5 and conducted factorial analysis of the questionnaire. We also did a stratified analysis according to age groups and smoking amount.
Results : Of the 245 subjects, 237 were male and 8 were female. The mean¡¾standard deviation scores for FTND and CDS-5 were 4.2¡¾2.4 and 18.0¡¾3.4, respectively. The internal consistency (Cronbach¡¯s alpha) of CDS-5 was 0.720, which was higher than that of FTND (0.633). The correlation with urine cotinine was also higher for CDS-5 (r=0.461) than for FTND (r=0.422). While the Cronbach¡¯s alpha of FTND was merely 0.53 in the 50 and older age group, that of CDS-5 was about 0.7, irrespective of age.
Conclusions : The internal consistency and correlation with urine cotinine were better for CDS-5 than for FTND. Therefore, there is a greater need to use and to study the CDS-5.
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KEYWORD
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smoking, nicotine dependence, questionnaire
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