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Japanese spousal smoking study revisited: how a tobacco industry funded paper reached erroneous conclusions.
Tob Control 2005; 14(4):227-33; discussion 233-5TC

Abstract

OBJECTIVES

To provide a participant's account of the development of a paper commissioned by the tobacco industry examining the reliability of self reported smoking status; to redress the distorted report of this Japanese spousal smoking study which evaluated the reliability and validity of self reported smoking status, and estimated confounding by diet and lifestyle factors.

DESIGN

Repeated interviews on smoking status and its verification by environmental and biological markers for environmental tobacco smoke (ETS) exposure.

SETTING

Urban wives in Osaka City and Sizuoka City, Japan

PARTICIPANTS

Semi-random sampling of 200 wives in each city. From the Osaka subjects, 100 non-smoking wives were selected for the validity study.

MAIN OUTCOME MEASURES

Kappa coefficient for reliability of self reported smoking status. Correlation coefficients between environmental nicotine concentration, cotinine in saliva and urine, and self reported smoking status.

RESULTS

The kappa coefficient for the repeated interview was high suggesting sufficient reliability of the response. The proportion of self reported current smokers misclassified as non-smokers was equivalent to the misclassified self reported non-smokers. Ambient concentration of nicotine and personal exposure to nicotine correlated with each other and also with salivary cotinine and self reported ETS exposure but not with urinary cotinine/creatinine ratio (CCR). There was no major difference in diet and lifestyle related to husband's smoking status.

CONCLUSION

Self reported smoking status by Japanese wives shows high reliability. It also shows high validity when verified by both nicotine exposure and salivary cotinine, but not by CCR. A previous report questioning the credibility of self reported smoking status, based on questionable CCR, could thus be of dubious validity. In addition, possible dietary and lifestyle confounding factors associated with smoking husbands were not demonstrable, a finding not reported previously. Using all the data from this project changes the conclusion of the previous published report. In addition to the distortion of scientific findings by a tobacco industry affiliated researcher, anti-smoking campaigners made attempts to intimidate and suppress scientific activities. These distortions of science should be counteracted.

Authors+Show Affiliations

Department of Hygiene and Public Health, Teikyo University School of Medicine, 2-11-1, Kaga, Tokyo 173-8605, Japan. eyano@med.teikyo-u.ac.jp

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

16046682

Citation

Yano, E. "Japanese Spousal Smoking Study Revisited: How a Tobacco Industry Funded Paper Reached Erroneous Conclusions." Tobacco Control, vol. 14, no. 4, 2005, pp. 227-33; discussion 233-5.
Yano E. Japanese spousal smoking study revisited: how a tobacco industry funded paper reached erroneous conclusions. Tob Control. 2005;14(4):227-33; discussion 233-5.
Yano, E. (2005). Japanese spousal smoking study revisited: how a tobacco industry funded paper reached erroneous conclusions. Tobacco Control, 14(4), pp. 227-33; discussion 233-5.
Yano E. Japanese Spousal Smoking Study Revisited: How a Tobacco Industry Funded Paper Reached Erroneous Conclusions. Tob Control. 2005;14(4):227-33; discussion 233-5. PubMed PMID: 16046682.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Japanese spousal smoking study revisited: how a tobacco industry funded paper reached erroneous conclusions. A1 - Yano,E, PY - 2005/7/28/pubmed PY - 2005/10/19/medline PY - 2005/7/28/entrez SP - 227-33; discussion 233-5 JF - Tobacco control JO - Tob Control VL - 14 IS - 4 N2 - OBJECTIVES: To provide a participant's account of the development of a paper commissioned by the tobacco industry examining the reliability of self reported smoking status; to redress the distorted report of this Japanese spousal smoking study which evaluated the reliability and validity of self reported smoking status, and estimated confounding by diet and lifestyle factors. DESIGN: Repeated interviews on smoking status and its verification by environmental and biological markers for environmental tobacco smoke (ETS) exposure. SETTING: Urban wives in Osaka City and Sizuoka City, Japan PARTICIPANTS: Semi-random sampling of 200 wives in each city. From the Osaka subjects, 100 non-smoking wives were selected for the validity study. MAIN OUTCOME MEASURES: Kappa coefficient for reliability of self reported smoking status. Correlation coefficients between environmental nicotine concentration, cotinine in saliva and urine, and self reported smoking status. RESULTS: The kappa coefficient for the repeated interview was high suggesting sufficient reliability of the response. The proportion of self reported current smokers misclassified as non-smokers was equivalent to the misclassified self reported non-smokers. Ambient concentration of nicotine and personal exposure to nicotine correlated with each other and also with salivary cotinine and self reported ETS exposure but not with urinary cotinine/creatinine ratio (CCR). There was no major difference in diet and lifestyle related to husband's smoking status. CONCLUSION: Self reported smoking status by Japanese wives shows high reliability. It also shows high validity when verified by both nicotine exposure and salivary cotinine, but not by CCR. A previous report questioning the credibility of self reported smoking status, based on questionable CCR, could thus be of dubious validity. In addition, possible dietary and lifestyle confounding factors associated with smoking husbands were not demonstrable, a finding not reported previously. Using all the data from this project changes the conclusion of the previous published report. In addition to the distortion of scientific findings by a tobacco industry affiliated researcher, anti-smoking campaigners made attempts to intimidate and suppress scientific activities. These distortions of science should be counteracted. SN - 1468-3318 UR - https://www.unboundmedicine.com/medline/citation/16046682/Japanese_spousal_smoking_study_revisited:_how_a_tobacco_industry_funded_paper_reached_erroneous_conclusions_ L2 - http://tobaccocontrol.bmj.com/cgi/pmidlookup?view=long&pmid=16046682 DB - PRIME DP - Unbound Medicine ER -