title: [Epidemiological study on tobacco smoking and dependence in Hokkaido Prefecture].
abstract: A 1998 national survey of smoking and health problems reported that 18 million Japanese over 15-years-old, 53.9% of regular smokers in Japan, have tobacco dependence. The survey used the Tobacco Dependence Screening Questionnaire (TDS), the items in which do not strictly follow the criteria for ICD-10 dependence syndrome. In this study, to evaluate the validity of screening with the TDS for ICD-10 tobacco dependence, TDS and a questionnaire, consisting of items obtained from the ICD-10 dependence syndrome for tobacco use were administered to 1371 participants. The prevalence of tobacco dependence diagnosed according to the ICD-10 criteria was 20.9%. On the other hand, the ratio of tobacco dependence screened by the TDS was 60.1%. Furthermore, only 26.0% of participants screened as tobacco dependent by the TDS were diagnosed as being tobacco dependence according to ICD-10 criteria. These results indicate the possibility of overestimation of the rate of tobacco dependence using the TDS.
authors.affiliation: Department of Neuropsychiatry, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo 060-8543, Japan.
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Saito
authors.forename: Eri
authors.initials: E
authors.lastname: Hashimoto
authors.forename: Mitue
authors.initials: M
authors.lastname: Shiga
authors.forename: Yuko
authors.initials: Y
authors.lastname: Hasegawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ikeda
authors.forename: Sadamu
authors.initials: S
authors.lastname: Toki
mesh_terms: D000328:Adult; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D012907:Smoking / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000453:epidemiology*