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THE KANO TEST FOR SOCIAL NICOTINE DEPENDENCE (KTSND) IN SAMPLES FROM A PHARMACEUTICAL COMPANY

Division of Respiratory Disease, University of Occupational and Environmental He, Kitakyushu, Japan

PURPOSE: A smoking habit is maintained by psychological and physical dependence. We developed a new concept, in regard to social nicotine dependence, which is a part of psychological dependence, and made a new questionnaire, namely, "The Kano Test for Social Nicotine Dependence (KTSND)". The KTSND has ten questions with a total score of 30. In order to investigate the validity of the KTSND, we applied it to pharmaceutical company employees.

METHODS: We delivered the KTSND to a pharmaceutical company and received answers from 214 respondents. They consisted of 53 current smokers, 49 ex-smokers, and 112 non-smokers.

RESULTS: Total scores of the KTSND were 18.62 ± 5.60, 15.00 ± 6.01, and 12.25 ± 5.73 in current smokers, ex-smokers, and non-smokers respectively. In regard to the subject matter of the questions, that is, "Tobacco is one of life’s pleasures", "Smokers’ lifestyles may be respected", "Smoking sometimes enriches people’s life", "Tobacco has positive physical or mental effects", "Tobacco has effects to release stress", "Tobacco enhances the function of smokers’ brains", "Doctors exaggerate the ill effects of smoking", and "People can smoke at the place where ashtrays are available", current smokers tended to answer positively (p<0.05). To the question regarding "Smoking itself is a disease", current smokers answered negatively (p<0.05). There was no significant difference among the three groups to the question concerning "Tobacco is a part of culture".

CONCLUSION: From the results of the KTSND, we found there was a significant difference between current smokers and ex/non-smokers on social recognition and attitude to smoking.

CLINICAL IMPLICATIONS: The KTSND has good possibilities to play a complementary role vis-à-vis the FTND.

DISCLOSURE: Chiharu Yoshii, None.