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Protocol - Perception of Tobacco Product Risk - Cigars

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Description

This protocol includes questions from Waves 1 and 3 of the Adult Population Assessment of Tobacco and Health Study survey instrument. These specific questions are used to measure a respondent’s perception about the perceived risk of smoking cigars. The three response categories range from less harmful to more harmful.

Specific Instructions

The Smoking Cessation, Harm Reduction, and Biomarkers Working Group recommends categorizing respondents based on the following reported use characteristics: (1) ever user versus never user; (2) current established user, defined as everyday user or some-day user; and (3) former established user according to the Use of Tobacco Products protocol. Polyuse with other tobacco products should be considered as well.

Current and former users might also be categorized based on type of cigar smoked: (1) traditional, (2) cigarillos, and (3) filtered cigars, and whether the cigar brand smoked is tobacco flavor only or other flavors.

Protocol

Cigars

The next questions are about traditional cigars, cigarillos, and filtered cigars. These products go by lots of different names, so please use these descriptions and photos to understand what they are.

Traditional cigars contain tightly rolled tobacco that is wrapped in a tobacco leaf. Some common brands of cigars include Macanudo®1, Romeo y Julieta®2, and Arturo Fuente®3, but there are many others.

Cigarillos and filtered cigars are smaller than traditional cigars. They are usually brown. Some are the same size as cigarettes, and some come with plastic or wood tips. Some common brands are Black & Mild®4, Swisher Sweets®5, Dutch Masters®6, Phillies Blunts®7, Prime Time®8, and Winchester®9.

1. Have you ever seen or heard of a cigar, cigarillo, or filtered cigar before this study?

1[ ]Yes

2[ ]No

-8[ ]DONT KNOW

-7[ ]REFUSED

ASK: All respondents

[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS, CIGARILLOS, AND FILTERED CIGARS]

2. Which type of cigar have you heard of before this study?

1[ ]Traditional cigars like Macanudo®, Romeo y Julieta®, Arturo Fuente®, or others [GO TO Q3]

2[ ]Cigarillos or filtered cigars like Black & Mild®, Swisher Sweets®, Dutch Masters®, Phillies Blunts®, Prime Time®, Winchester®, or others [GO TO Q3]

-8[ ]DONT KNOW

-7[ ]REFUSED

ASK: Respondents who have seen or heard of a cigar, cigarillo, or filtered cigar (Q1 = 1)

3. Is smoking traditional cigars less harmful, about the same, or more harmful than smoking cigarettes? [SHOW IMAGE OF TRADITIONAL CIGARS]

1[ ]Less harmful

2[ ]About the same

3[ ]More harmful

-8[ ]DONT KNOW

-7[ ]REFUSED

ASK: Respondents who have seen or heard of traditional cigars (Q2=1).

4. Is smoking cigarillos less harmful, about the same, or more harmful than smoking cigarettes? [SHOW IMAGE OF CIGARILLOS]

1[ ]Less harmful

2[ ]About the same

3[ ]More harmful

-8[ ]DONT KNOW

-7[ ]REFUSED

ASK: Respondents who have seen or heard of cigarillos or filtered cigars(Q2=2).

5. Is smoking filtered cigars less harmful, about the same, or more harmful than smoking cigarettes? [SHOW IMAGE OF FILTERED CIGARS]

1[ ]Less harmful

2[ ]About the same

3[ ]More harmful

-8[ ]DONT KNOW

-7[ ]REFUSED

ASK: Respondents who have seen or heard of cigarillos or filtered cigars (Q2=2).

6. How much do you think people harm themselves when they smoke filtered cigars some days but not every day?

1[ ]No harm

2[ ]A little harm

3[ ]Some harm

4[ ]A lot of harm

-8[ ]DONT KNOW

-7[ ]REFUSED

ASK: All adult respondents.

7. How harmful do you think todays traditional cigars, cigarillos or filtered cigars are compared to those of five years ago?

1[ ]Much less harmful

2[ ]Somewhat less harmful

3[ ]About the same

4[ ]Somewhat more harmful

5[ ]Much more harmful

-8[ ]DONT KNOW

-7[ ]REFUSED

ASK: All adult respondents.

1General Cigar Co. Inc.
2 Max Rohr, Inc.
3 Fuente Cigar, Ltd.
4 John Middleton Co.
5 Swisher International, Inc.
6 Max Rohr, Inc.
7 Tabacalera Brands, Inc.
8 Prime Time International Distributing, Inc.
9 Lane, Ltd.

Availability

Available

Personnel and Training Required

None

Equipment Needs

The PhenX Working Group acknowledges that these questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Lifestage

Adolescent, Adult

Participants

Adult (aged 18 or older)

Adolescent (aged 12-17)

Selection Rationale

The Population Assessment of Tobacco and Health (PATH) Study is a nationally representative, in-person longitudinal cohort study of nonusers and users of tobacco products and those at risk for tobacco use across the United States. Respondents aged 12 years or older are asked questions on tobacco use, attitudes, and health, and biospecimens (buccal cell, urine, and blood) are collected from adults. The PATH Study was implemented to provide an evidence base for assessing and monitoring the Food and Drug Administration’s regulatory actions in meeting its mandate under the Family Smoking Prevention and Tobacco Control Act. Regulatory domains include product standards, new and modified risk products, health warnings, and health education campaigns.

Language

English, Spanish

Standards
StandardNameIDSource
caDSR Common Data Elements (CDE) Smoking PATH Cigar Risk Perception Questionnaire Assessment Text 7582538 CDE Browser
Human Phenotype Ontology Addictive behavior HP:0030858 HPO
Derived Variables

None

Process and Review

Not Applicable

Protocol Name from Source

Population Assessment of Tobacco and Health (PATH) Study, PATH Waves 1 and 3 Adult Annotated Instrument, 2016-2018

Source

U.S. Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse; and U.S. Department of Health and Human Services, Food and Drug Administration, Center for Tobacco Products, Population Assessment of Tobacco and Health (PATH) Study, 2016, Wave 1 Adult Annotated Instrument, items AG1001, AG9002, AG1099, AG1106, AG1107. Distributed October 21, 2020, by Inter-university Consortium for Political and Social Research, Ann Arbor, MI.

U.S. Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse; and U.S. Department of Health and Human Services, Food and Drug Administration, Center for Tobacco Products, Population Assessment of Tobacco and Health (PATH) Study, 2018, Wave 3 Adult Annotated Instrument, items AG9062, AG1110. Distributed October 21, 2020, by Inter-university Consortium for Political and Social Research, Ann Arbor, MI.

General References

Elton-Marshall, T., Driezen, P., Fong, G. T., Cummings, K. M., Persoskie, A., Wackowski, O., Choi, K., Kaufman, A., Strong, D., Gravely, S., Taylor, K., Kwan, J., Bansal-Travers, M., Travers, M., & Hyland, A. (2020). Adult perceptions of the relative harm of tobacco products and subsequent tobacco product use: Longitudinal findings from waves 1 and 2 of the Population Assessment of Tobacco and Health (PATH) Study. Addictive Behaviors, 106, 106337.

Fong, G. T., Elton-Marshall, T., Driezen, P., Kaufman, A. R., Cummings, K. M., Choi, K., Kwan, J., Koblitz, A., Hyland, A., Bansal-Travers, M., Carusi, C., & Thompson, M. E. (2019). U.S. adult perceptions of the harmfulness of tobacco products: descriptive findings from the 2013-14 baseline wave 1 of the PATH Study. Addictive Behaviors, 91, 180-187.

Protocol ID

330503

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX330503_Perception_Risk_Cigars_Cigarillos_Harmful
PX330503040000 Is smoking cigarillos less harmful, about more
the same, or more harmful than smoking cigarettes? show less
N/A
PX330503_Perception_Risk_Cigars_Compare_Harmful
PX330503070000 How harmful do you think todayâ more
™s traditional cigars, cigarillos or filtered cigars are compared to those of five years ago? show less
N/A
PX330503_Perception_Risk_Cigars_Ever
PX330503010000 Have you ever seen or heard of a cigar, more
cigarillo, or filtered cigar before this study? show less
N/A
PX330503_Perception_Risk_Cigars_Filtered_Harmful
PX330503050000 Is smoking filtered cigars less harmful, more
about the same, or more harmful than smoking cigarettes? show less
N/A
PX330503_Perception_Risk_Cigars_Some_Days_Harmful
PX330503060000 How much do you think people harm themselves more
when they smoke filtered cigars some days but not every day? show less
N/A
PX330503_Perception_Risk_Cigars_Traditional_Harmful
PX330503030000 Is smoking traditional cigars less harmful, more
about the same, or more harmful than smoking cigarettes? show less
N/A
PX330503_Perception_Risk_Cigars_Type
PX330503020000 Which type of cigar have you heard of before more
this study? show less
N/A
Smoking Cessation, Harm Reduction and Biomarkers
Measure Name

Perception of Tobacco Product Risk

Release Date

February 23, 2021

Definition

Instrument used to assess respondents’ perception of how much they think people risk harming themselves by using tobacco products and the relative health risk between low-risk products and combustible cigarettes.

Purpose

The purpose of this measure is to collect information from respondents on their thoughts about the physical and health risk associated with using tobacco products. Perceptions of risk of tobacco products are important in predicting first use and continued use.

Keywords

Perceived harm, perceived risk, product risk, Population Assessment of Tobacco and Health, PATH, National Institutes of Health, NIH, U.S. Food and Drug Administration, FDA, Smoking Cessation, Harm Reduction, and Biomarkers, cigarettes, tobacco, e-cigarettes, cigars, pipe tobacco, smokeless tobacco

Measure Protocols
Protocol ID Protocol Name
330501 Perception of Tobacco Product Risk - Cigarettes
330502 Perception of Tobacco Product Risk - E-Cigarettes
330503 Perception of Tobacco Product Risk - Cigars
330504 Perception of Tobacco Product Risk - Pipe Tobacco
330505 Perception of Tobacco Product Risk - Smokeless Tobacco
Publications

There are no publications listed for this protocol.