• Jazmin Ripoll Perelló, Paula C Barrés Fernández, and Jennifer Pick Martín.
• Centro de Salud Fuente de San Luis, UDMAFYC Valencia, Hospital Universitario Doctor Peset, Valencia, España; Universidad de Valencia, Valencia, España. Electronic address: ripoll.jaz@gmail.com.
• Aten Primaria. 2023 Mar 1; 55 (3): 102581102581.

ObjectiveTo analyze the correlation between the degrees of smoking dependence, measured with the Fagerström Test Nicotine Dependence (FTND), Glover-Nilsson Smoking Behavioral Dependence (GN-SBQ) and a measure of self-perceived-dependence (SPD).DesignCross-sectional descriptive observational study. SITE: Urban primary health-care center.ParticipantsMen and women between 18 and 65 years old, daily smokers, selected by non-random consecutive sampling.InterventionsSelf-administration of various questionnaires though an electronic device.Main MeasurementsAge, sex and nicotine dependence assessed by: FTND, GN-SBQ and SPD. Statistical analysis, with SPSS 15.0: descriptive statistics, Pearson correlation analysis and conformity analysis.ResultsTwo hundred fourteen smokers were included, 54.7% were women. Median age 52 years (range: 27-65). Depending on the test used, different results of the high/very high degree of dependence were found: FTND 17.3%, GN-SBQ 15.4% and SPD 69.6%. A moderate magnitude (r≈0.5) correlation between the 3 test was found. When assessing concordance, comparing the FTND with SPD, 70.6% of smokers didn't coincide in the severity of dependence, reporting a milder degree of dependence with the FTND than with SPD. Comparing GN-SBQ versus FTND, showed conformity in 44.4% of patients while in 40.7%, the FTND underestimated the severity of dependence. Likewise, when comparing SPD with the GN-SBQ, in the 64% GN-SBQ underestimates, while in 34.1% smokers conformity was demonstrated.ConclusionsThe number of patients who consider their SPD to be high/very high was four times higher compared to the GN-SBQ or the FNTD; the latter, being the most demanding, categorizing patients with very high dependence. Requiring a FTND score greater than 7 to prescribe drugs for smoking cessation may exclude subsidiary patients from receiving treatment.Copyright © 2023 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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