PMID- 23824023 OWN - NLM STAT- MEDLINE DCOM- 20130909 LR - 20211203 IS - 1175-8716 (Electronic) IS - 0028-8446 (Linking) VI - 126 IP - 1375 DP - 2013 May 31 TI - Parent versus child reporting of tobacco smoke exposure at home and in the car. PG - 37-47 AB - AIMS: To compare self-reported exposure to tobacco smoke in the home or in cars between parents and their pre-adolescent children. METHODS: We analysed data on self-reported exposure to secondhand smoke from 3,645 matched pairs of children at baseline (aged between 10 and 13 years) and their parents whether smokers or not, who were participants in Keeping Kids Smokefree (KKS), a community-based study in South Auckland, New Zealand from 2007-2009. The study aimed to reduce children's smoking initiation through parental behaviour change. The responses of the parent-child pairs were analysed using proportions, Kappa scores, and McNemar's Chi-squared test. Additionally, 679 children were biochemically tested for smoking exposure using exhaled carbon monoxide. RESULTS: There was approximately a 30% discordance between the self-reports of children and their parents, with parents reporting less smoking in homes or cars than their children. Kappa scores for parent-child agreement by ethnicity ranged from 0.15 to 0.41 for smoking at home and 0.17 to 0.54 for smoking in cars. Biochemical testing suggested that around 30% of children had been exposed to secondhand smoke, corroborating their self-reported proportion of 37% (baseline in the home) whereas few parents (11%) reported smoking in home or cars. CONCLUSION: Parents were significantly less likely than children to report smoking inside the home or car. Biochemical testing indicated that children's reporting is more accurate. This has implications for future studies relying on self-reporting by children and/or their caregivers. FAU - Glover, Marewa AU - Glover M AD - Centre for Tobacco Control Research, School of Population Health, University of Auckland, New Zealand. m.glover@auckland.ac.nz FAU - Hadwen, Georgy AU - Hadwen G FAU - Chelimo, Carol AU - Chelimo C FAU - Scragg, Robert AU - Scragg R FAU - Bullen, Chris AU - Bullen C FAU - Gentles, Dudley AU - Gentles D FAU - Nosa, Vili AU - Nosa V FAU - McCool, Judith AU - McCool J LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130531 PL - New Zealand TA - N Z Med J JT - The New Zealand medical journal JID - 0401067 RN - 0 (Biomarkers) RN - 0 (Tobacco Smoke Pollution) RN - 7U1EE4V452 (Carbon Monoxide) SB - IM MH - Adolescent MH - Air Pollution, Indoor MH - Automobiles MH - Biomarkers/analysis MH - Carbon Monoxide/analysis MH - Child MH - *Child Welfare/ethnology MH - Female MH - Follow-Up Studies MH - Health Surveys MH - Humans MH - Inhalation Exposure/analysis/*statistics & numerical data MH - Male MH - Native Hawaiian or Other Pacific Islander MH - New Zealand MH - *Parents MH - *Self Report MH - *Tobacco Smoke Pollution EDAT- 2013/07/05 06:00 MHDA- 2013/09/10 06:00 CRDT- 2013/07/05 06:00 PHST- 2013/07/05 06:00 [entrez] PHST- 2013/07/05 06:00 [pubmed] PHST- 2013/09/10 06:00 [medline] PST - epublish SO - N Z Med J. 2013 May 31;126(1375):37-47.