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In Tunisia, smoking prevalence is high1 (55.6% males vs 5.2% females).2 However, under-reporting of smoking may occur, particularly among women from cultures where social proscriptions still exist.3 No studies on women's smoking have been published in Tunisia which have validated self-reported smoking with biomarkers such as urinary cotinine.4
We aimed to assess the validity of self-reported smoking among female staff in a Tunisian hospital.
Our data were extracted from a cross-sectional study5 conducted between January and May 2005 to assess smoking behaviours of the health professional staff at Charles Nicolle Hospital in Tunis, the largest University Hospital in Tunisia.
About 1120 women were involved in the study and 809 (73%) provided …