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Few studies have examined adolescent reporting accuracy for secondhand smoke exposure (SHSe), and never for youth with cancer. SHSe reporting from adolescents being treated for cancer ( M  age =14.92 years, SD=1.67) was examined against parent/guardian reports and urine cotinine among 42 adolescent-parent dyads. Number of days in hospital-based lodgings prior to assessment emerged as the strongest predictor of urine cotinine ( β =-0.46, p =0.003) and adolescent SHSe reporting significantly predicted urine cotinine ( β =0.37, p =0.011) beyond relevant demographic and contextual variables (overall R  2 =0.40, F (6, 35)=3.90, p =0.004). Findings support adolescents as accurate reporters of discrete SHSe occurrences.

Accuracy and Concordance in Reporting for Secondhand Smoke Exposure among Adolescents Undergoing Treatment for Cancer and Their Parents