Validation of a Respiratory Symptom Questionnaire in Adolescent Smokers

Overview

Journal Tob Regul Sci

Date 2015 Aug 4

PMID 26236764

Citations 12

Authors

Rachel N Cassidy

Megan E Roberts

Suzanne M Colby

Affiliations

Soon will be listed here.

Abstract

Objectives: Adolescent smokers experience respiratory symptoms as a consequence of smoking, which may be impacted by harm-reduction products. We sought to validate the American Thoracic Society Questionnaire (ATSQ), a measure of respiratory symptoms, in adolescent smokers.

Methods: Data were drawn from 2 studies of adolescents (ages 14 to 19). Study 1 (N = 118) comprised daily smokers. Study 2 (N = 216) comprised 118 smokers and 98 nonsmokers; a subset of the total sample comprised 70 matched pairs of smokers and non-smokers.

Results: The ATSQ showed high internal consistency. In Study 1, ATSQ scores were positively correlated with dependence. In Study 2, scores were positively correlated with CO, cotinine, and cigarettes per day; and scores were significantly greater for smokers than non-smokers.

Conclusions: The ATSQ offers a psychometrically valid method for measuring respiratory symptoms in adolescent smokers.

Citing Articles

The Canadian Lung Outcomes in Users of Vaping Devices (CLOUD) Study: protocol for a prospective, observational cohort study.

Burns P, Eddy R, Li X, Yang J, Dhillon S, Couillard S BMJ Open. 2025; 15(3):e100568.

PMID: 40050062 PMC: 11887296. DOI: 10.1136/bmjopen-2025-100568.

Health Risks Associated with Adopting New-Generation Disposable Products Among Young Adults Who Use E-Cigarettes.

Ran S, Yang J, Piper M, Lin H, Buu A Int J Environ Res Public Health. 2024; 21(10).

PMID: 39457348 PMC: 11507342. DOI: 10.3390/ijerph21101375.

An ecological momentary assessment study to examine covariates and effects of concurrent and simultaneous use of electronic cigarettes and marijuana among college students.

Buu A, Yang J, Ou T, Nam J, Suh G, Lin H Addict Behav. 2023; 141:107662.

PMID: 36805815 PMC: 10226867. DOI: 10.1016/j.addbeh.2023.107662.

The Impact of Reducing Nicotine Content on Adolescent Cigarette Smoking and Nicotine Exposure: Results From a Randomized Controlled Trial.

Cassidy R, Tidey J, Jackson K, Cioe P, Murphy S, Krishnan-Sarin S Nicotine Tob Res. 2022; 25(5):918-927.

PMID: 36482794 PMC: 10077938. DOI: 10.1093/ntr/ntac279.

The situational contexts and subjective effects of co-use of electronic cigarettes and alcohol among college students: An ecological momentary assessment (EMA) study.

Yang J, Lin H, Ou T, Tong Z, Li R, Piper M Drug Alcohol Depend. 2022; 239:109594.

PMID: 35988530 PMC: 10232334. DOI: 10.1016/j.drugalcdep.2022.109594.

References

Farsalinos K, Kistler K, Gillman G, Voudris V . Evaluation of electronic cigarette liquids and aerosol for the presence of selected inhalation toxins. Nicotine Tob Res. 2014; 17(2):168-74. PMC: 4892705. DOI: 10.1093/ntr/ntu176. View

Cassidy R, Tidey J, Kahler C, Wray T, Colby S . Increasing the Value of an Alternative Monetary Reinforcer Reduces Cigarette Choice in Adolescents. Nicotine Tob Res. 2015; 17(12):1449-55. PMC: 4654760. DOI: 10.1093/ntr/ntv033. View

Holmen T, Barrett-Connor E, Holmen J, Bjermer L . Health problems in teenage daily smokers versus nonsmokers, Norway, 1995-1997: the Nord-Trøndelag Health Study. Am J Epidemiol. 2000; 151(2):148-55. DOI: 10.1093/oxfordjournals.aje.a010182. View

Prokhorov A, Emmons K, Pallonen U, Tsoh J . Respiratory response to cigarette smoking among adolescent smokers: a pilot study. Prev Med. 1996; 25(5):633-40. DOI: 10.1006/pmed.1996.0099. View

Prokhorov A, Yost T, Mullin-Jones M, de Moor C, Ford K, Marani S . "Look at your health": outcomes associated with a computer-assisted smoking cessation counseling intervention for community college students. Addict Behav. 2008; 33(6):757-71. PMC: 2365030. DOI: 10.1016/j.addbeh.2007.12.005. View

Colby S, Leventhal A, Brazil L, Lewis-Esquerre J, Stein L, Rohsenow D . Smoking abstinence and reinstatement effects in adolescent cigarette smokers. Nicotine Tob Res. 2009; 12(1):19-28. PMC: 2902909. DOI: 10.1093/ntr/ntp167. View

Calabro K, Prokhorov A . Respiratory Symptoms After Smoking Cessation among College Students. Pediatr Allergy Immunol Pulmonol. 2022; 24(4):215-219. DOI: 10.1089/ped.2011.0097. View

Zywiak W, Longabaugh R, Wirtz P . Decomposing the relationships between pretreatment social network characteristics and alcohol treatment outcome. J Stud Alcohol. 2002; 63(1):114-21. View

Bidwell L, Leventhal A, Tidey J, Brazil L, Niaura R, Colby S . Effects of abstinence in adolescent tobacco smokers: withdrawal symptoms, urge, affect, and cue reactivity. Nicotine Tob Res. 2012; 15(2):457-64. PMC: 3611993. DOI: 10.1093/ntr/nts155. View

10.

Comstock G, Tockman M, Helsing K, Hennesy K . Standardized respiratory questionnaires: comparison of the old with the new. Am Rev Respir Dis. 1979; 119(1):45-53. DOI: 10.1164/arrd.1979.119.1.45. View

11.

Scherer G, Engl J, Urban M, Gilch G, Janket D, Riedel K . Relationship between machine-derived smoke yields and biomarkers in cigarette smokers in Germany. Regul Toxicol Pharmacol. 2006; 47(2):171-83. DOI: 10.1016/j.yrtph.2006.09.001. View

12.

Chen J, Hwang B, Chen Y, Lee Y . Active smoking, environmental tobacco smoke and bronchitic symptoms among adolescents in Taiwan: a prospective cohort study. Prev Med. 2014; 65:116-21. DOI: 10.1016/j.ypmed.2014.05.007. View

13.

Lerner C, Sundar I, Watson R, Elder A, Jones R, Done D . Environmental health hazards of e-cigarettes and their components: Oxidants and copper in e-cigarette aerosols. Environ Pollut. 2015; 198:100-7. PMC: 4323666. DOI: 10.1016/j.envpol.2014.12.033. View

14.

Branstetter S, Muscat J . Time to first cigarette and serum cotinine levels in adolescent smokers: National Health and Nutrition Examination Survey, 2007-2010. Nicotine Tob Res. 2012; 15(3):701-7. DOI: 10.1093/ntr/nts189. View

15.

Hatsukami D, Kotlyar M, Hertsgaard L, Zhang Y, Carmella S, Jensen J . Reduced nicotine content cigarettes: effects on toxicant exposure, dependence and cessation. Addiction. 2010; 105(2):343-55. PMC: 4565618. DOI: 10.1111/j.1360-0443.2009.02780.x. View

16.

Gold D, Wang X, Wypij D, Speizer F, Ware J, Dockery D . Effects of cigarette smoking on lung function in adolescent boys and girls. N Engl J Med. 1996; 335(13):931-7. DOI: 10.1056/NEJM199609263351304. View

17.

Tager I . The effects of second-hand and direct exposure to tobacco smoke on asthma and lung function in adolescence. Paediatr Respir Rev. 2008; 9(1):29-37. DOI: 10.1016/j.prrv.2007.11.006. View

18.

Stavem K, Aaser E, Sandvik L, Bjornholt J, Erikssen G, Thaulow E . Lung function, smoking and mortality in a 26-year follow-up of healthy middle-aged males. Eur Respir J. 2005; 25(4):618-25. DOI: 10.1183/09031936.05.00008504. View

19.

Lipkus I, Prokhorov A . The effects of providing lung age and respiratory symptoms feedback on community college smokers' perceived smoking-related health risks, worries and desire to quit. Addict Behav. 2006; 32(3):516-32. DOI: 10.1016/j.addbeh.2006.05.018. View

20.

Dawkins L, Turner J, Roberts A, Soar K . 'Vaping' profiles and preferences: an online survey of electronic cigarette users. Addiction. 2013; 108(6):1115-25. DOI: 10.1111/add.12150. View