Concordance Between the Fagerström Test for Nicotine Dependence and the Heaviness of Smoking Index in Iranian Male Smokers

Document Type : Original Article

Authors

1 Environmental Health Research Center, Faculty of Health, Golestan University of Medical Sciences, Gorgan,Iran

2 Department of Public Health, School of Health, Research Center for Environmental Contaminants, Abadan University of Medical Sciences,Abadan, Iran

Abstract

Background: Nicotine dependence is one of the most significant barriers in smoking cessation. Therefore, measuring this dependence is crucial factor for effective smoking cessation interventions. The aim of the current study was to evaluate the degree of concordance between the Fagerström Test for Nicotine Dependence (FTND) and heaviness of smoking Index (HIS) among Iranian smokers.

Methods: We analyzed the data from to two previous studies among 580 daily smokers in Iran. Data were collected using FTND scale. Cohen's Kappa was utilized to assess the degree of agreement between HIS and FTND.

Findings: The HSI showed significant agreement with FTND (Cohen’s kappa=0.72) inassessing nicotine dependence, with a sensitivity of 88.6% and specificity 90.3%.

Conclusion: The HSI is a validated as a reliable tool for measuring nicotine dependence, exhibiting significant agreement with FTND. As a result, the HSI can be considered an alternative to FTND in both clinical and research settings, particularly for heavy smokers



Conclusion: The HSI is a valid and reliable tool for measuring nicotine dependence, with a significant agreement with FTND. Therefore, the HSI can be used as an alternative to FTND in clinical and research settings, particularly for heavy smokers.

Keywords: Smoking, Nicotine Dependence, FTND, HSI

Keywords

Addiction & Health

Articles in Press, Accepted Manuscript
Available Online from 01 May 2024

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