{"id":1297,"date":"2024-08-19T09:04:33","date_gmt":"2024-08-19T08:04:33","guid":{"rendered":"https:\/\/heliusstudy.nl\/?post_type=publicatie&#038;p=1297"},"modified":"2024-08-19T09:04:34","modified_gmt":"2024-08-19T08:04:34","slug":"use-of-the-fagerstrom-test-to-assess-differences-in-the-degree-of-nicotine-dependence-in-smokers-from-five-ethnic-groups-the-helius-study","status":"publish","type":"publicatie","link":"https:\/\/heliusstudy.nl\/tr\/publicatie\/use-of-the-fagerstrom-test-to-assess-differences-in-the-degree-of-nicotine-dependence-in-smokers-from-five-ethnic-groups-the-helius-study\/","title":{"rendered":"Use of the Fagerstr\u00f6m test to assess differences in the degree of nicotine dependence in smokers from five ethnic groups: The HELIUS study"},"content":{"rendered":"\n<p><strong>Background:&nbsp;<\/strong>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.<\/p>\n\n\n\n<p><strong>Methods:&nbsp;<\/strong>Data were obtained from a population-based, multi-ethnic cohort study conducted in the Netherlands. The Fagerstr\u00f6m 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.<\/p>\n\n\n\n<p><strong>Results:&nbsp;<\/strong>The two-factor model representing &#8220;morning smoking&#8221; and &#8220;smoking patterns&#8221; provided an adequate fit. The items &#8220;Cigarettes smoked daily&#8221; and &#8220;Time until first cigarette&#8221; 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 &lt; 0.001) before and after taking DIF into account, while the African Surinamese scored higher only on &#8220;morning smoking&#8221; when DIF was accounted for.<\/p>\n\n\n\n<p><strong>Discussion:&nbsp;<\/strong>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.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background:&nbsp;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:&nbsp;Data were obtained from a population-based, multi-ethnic cohort study conducted in the Netherlands. The Fagerstr\u00f6m [&hellip;]<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":true},"publications_year":[26],"thema":[45],"class_list":["post-1297","publicatie","type-publicatie","status-publish","hentry","publications_year-26","thema-other"],"acf":[],"_links":{"self":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/publicatie\/1297","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/publicatie"}],"about":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/types\/publicatie"}],"wp:attachment":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/media?parent=1297"}],"wp:term":[{"taxonomy":"publications_year","embeddable":true,"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/publications_year?post=1297"},{"taxonomy":"thema","embeddable":true,"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/thema?post=1297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}