Screening adolescents for nicotine dependence: the Hooked On Nicotine Checklist
Department of Family Medicine and Community Health
Adolescent; Adolescent Behavior; Female; Humans; Male; Massachusetts; Nicotine; Psychometrics; *Questionnaires; Schools; *Self-Assessment; Smoking; Students; Tobacco Use Disorder
Community Health and Preventive Medicine | Pediatrics | Preventive Medicine | Primary Care | Psychiatry and Psychology | Psychology | Substance Abuse and Addiction
PURPOSE: To evaluate the Hooked On Nicotine Checklist's (HONC) internal consistency, reliability over time, correlation with self-described smoking behavior, and to compare the results with previous studies of the onset of nicotine dependence in youths.
METHODS: Ninth-grade students were recruited from a regional school district. Subjects (Ss; n = 371; 91% of the 9th-grade class) were 48.8% male, 97% white, aged 13.8-15.6 years. Ss self-administered a questionnaire on smoking experiences. The HONC was completed by 88 (23.7%) who had puffed on a cigarette at least once; 74 were retested 2 weeks later. Responding "yes" to any of the 10 HONC items indicates nicotine dependence (ND); the number of items endorsed indicates the degree of its severity.
RESULTS: The internal consistency of the HONC is high overall (alpha = 0.90; n = 88), and test-retest reliability for the entire HONC is excellent (intraclass correlation = 0.88, p < .001). Individual items generally showed good to excellent reliability over time (Median Yules' Y = 0.71, range = 0.41-0.82). HONC scores were strongly correlated with self-reported smoking (r = 0.70, p < .001, n = 88).
CONCLUSIONS: Adding the HONC to routine adolescent health examinations, health classes, and prevention programs may make adolescents more aware of their symptoms of ND and enable intervention before ND progresses.
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Citation: J Adolesc Health. 2004 Sep;35(3):225-30. Link to article on publisher's site
Addiction, Nicotine dependence, Tobacco, Youth
Wheeler, Katherine Carter; Fletcher, Kenneth E.; Wellman, Robert J.; and DiFranza, Joseph R., "Screening adolescents for nicotine dependence: the Hooked On Nicotine Checklist" (2004). Family Medicine and Community Health Publications and Presentations. 264.