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Validity of self-reported smoking among women hospital staff in Tunisia
  1. Radhouane Fakhfakh1,
  2. Anis Klouz2,
  3. Mohamed Lakhal2,
  4. Chalbi Belkahia2,
  5. Noureddine Achour1
  1. 1National Institute of Public Health, Tunisia
  2. 2Centre National de pharmaco-vigilance Tunis, Tunisia
  1. Correspondence to Radhouane Fakhfakh, National Institute of Public Health, 5-7 Rue Khartoum imm le Diplomat, 1002 Le Belvedere Tunis, Tunisia; radhouane.fakhfakh{at}

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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 …

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