1. Use of the Fagerström test to assess differences in the degree of nicotine dependence in smokers from five ethnic groups: The HELIUS study.
- Author
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van Amsterdam J, Vorspan F, Snijder MB, van den Brink W, Schene AH, Stronks K, Galenkamp H, and Derks EM
- Subjects
- Adult, Asian People ethnology, Asian People psychology, Cohort Studies, Female, Humans, Male, Middle Aged, Morocco ethnology, Netherlands ethnology, Prospective Studies, Smoking Cessation ethnology, Smoking Cessation psychology, Suriname ethnology, Tobacco Use Disorder diagnosis, Turkey ethnology, Ethnicity psychology, Healthy Lifestyle physiology, Smokers psychology, Tobacco Use Disorder ethnology, Tobacco Use Disorder psychology, Urban Population trends
- Abstract
Background: The prevalence of smoking varies across ethnic groups in developed countries, but little is known about ethnic variations in specific aspects of nicotine dependence (ND). We conducted item-response analyses in current smokers to compare ND factors across five ethnic groups., Methods: Data were obtained from a population-based, multi-ethnic cohort study conducted in the Netherlands. The Fagerström Test for Nicotine Dependence (FTND) was assessed in 1147 Dutch, 991 South-Asian Surinamese, 1408 African Surinamese, 1396 Turkish, and 584 Moroccan smokers (N = 5526). We tested whether the factorial structure of the FTND was invariant across ethnic groups using a multi-group confirmatory factor analysis. FTND item and total scores and factor means were compared across groups., Results: The two-factor model representing "morning smoking" and "smoking patterns" provided an adequate fit. The items "Cigarettes smoked daily" and "Time until first cigarette" showed differential item functioning (DIF) as a function of ethnicity. Three out of four ethnic minority groups scored significantly higher on both factors compared to the Dutch origin group (all p < 0.001) before and after taking DIF into account, while the African Surinamese scored higher only on "morning smoking" when DIF was accounted for., Discussion: The factor structure of the FTND is not measurement invariant across ethnic groups in this population-based sample. Accounting for DIF affecting the nicotine dependence factor scores, although South-Asian Surinamese, Turkish, and Moroccan groups showed higher levels of dependence than the Dutch origin group, genetic as well as environmental factors may account for the observed differences., (Copyright © 2018 Elsevier B.V. All rights reserved.)
- Published
- 2019
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