Telephone surveys underestimate cigarette smoking among African-Americans

Abstract

Background: This study tested the hypothesis that data from random digit-dial telephone surveys underestimate the prevalence of cigarette smoking among African-American adults. Method: A novel, community-sampling method was used to obtain a statewide, random sample of N D2118 California (CA) African-American/Black adults, surveyed doorto- door. This Black community sample was compared to the Blacks in the CA Health Interview Survey (N D2315), a statewide, random digit-dial telephone survey conducted simultaneously. Results: Smoking prevalence was significantly higher among community (33%) than among telephone survey (19%) Blacks, even after controlling for sample differences in demographics. Conclusion: Telephone surveys underestimate smoking among African-Americans and probably underestimate other health risk behaviors aswell. Alternative methods are needed to obtain accurate data on African-American health behaviors and on the magnitude of racial disparities in them.

Publication Title

Frontiers in Public Health

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