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Protocol - Current Environmental Tobacco Smoke Exposure

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Description:

These questions ask about smoking at the respondent's home and at work. If smoking occurs at the home, a household roster is utilized to document which person smokes and the number of cigarettes smoked per day. The respondent is also asked if he or she smells smoke at work and, if so, the number of hours per day the smoke is present.

Protocol:

(At Home)

1. I would like to ask you a few questions about smoking.

Does anyone who lives here smoke cigarettes, cigars, or pipes anywhere inside this home?

[ ] 1 YES

[ ] 2 NO (END OF SECTION)

[ ] 7 REFUSED (END OF SECTION)

[ ] 9 DON’T KNOW (END OF SECTION)

2. Who smokes?

PROBE: Anyone else?

[DISPLAY HOUSEHOLD ROSTER]

SELECT NAMES FROM HOUSEHOLD ROSTER

[ ] 1 SELECT

[ ] 7 REFUSED

[ ] 9 DON’T KNOW

ASK NEXT QUESTION FOR EACH PERSON SELECTED FROM HOUSEHOLD ROSTER AS SMOKING INSIDE THE HOME.

3. How many cigarettes per day {do you/does PERSON} usually smoke anywhere inside the home?

1 PACK EQUALS 20 CIGARETTES

IF NONE, ENTER 0

IF LESS THAN 1 PER DAY, ENTER 1

">___">___">___">

ENTER NUMBER OF CIGARETTES

[ ] 77777 REFUSED

[ ] 99999 DON’T KNOW

(At Work)

4. At this job or business, that is at {EMPLOYER} as a(n) {OCCUPATION}, how many hours per day can {you/SP} smell the smoke from other people’s cigarettes, cigars, and/or pipes?

">___">___">

ENTER NUMBER OF HOURS

[ ] 66 NEVER

[ ] 7777 REFUSED

[ ] 9999 DON’T KNOW

Protocol Name from Source:

National Health and Nutrition Examination Survey (NHANES), 2007-2008 Family Questionnaire

Availability:

Publicly available

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews.*

* There are multiple modes to administer this question (e.g., paper-and-pencil and computer-assisted interviews).

Equipment Needs

While the source instrument was developed to be administered by computer, the PhenX Working Group acknowledges that these questions can be administered in a noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer or 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

Life Stage:

Adult

Participants:

Adult 18+

Specific Instructions:

None

Selection Rationale

The National Health and Nutrition Examination Survey (NHANES) questionnaire includes questions about environmental tobacco smoke (ETS) exposure at home and at work, locations where many people are exposed to ETS. They may be exposed to ETS in several other microenvironments such as in transit (on a bus or subway) or in a social setting (at a restaurant, bar, or friend’s home). The person’s age is an important determinant of ETS exposure, for example, individuals in their teens and twenties are more likely to frequent locations in which smoking occurs. To do a complete assessment of a person’s acute ETS exposure, a time-location-smoke exposure diary is necessary. NHANES questions were chosen because people spend more time at home or at work than elsewhere, and the questions are not burdensome.

Language

English, Spanish

Standards
StandardNameIDSource
Common Data Elements (CDE) Person Current Environment Tobacco Smoke Exposure Text 2954172 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Environ exp tobacco smoke proto 62526-9 LOINC
Derived Variables

None

Process and Review

The Expert Review Panel #2 (ERP 2) reviewed the measures in the Demographics, Environmental Exposures, and Social Environments domains.

Guidance from ERP 2 includes:

• No significant changes to measure

Back-compatible: no changes to Data Dictionary

Previous version in Toolkit archive (link)

Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health and Nutrition Examination Survey (NHANES), 2007–2008. Atlanta, GA: Author. Family Questionnaire, Question numbers SMQ. 410, SMQ. 420, SMQ. 430 (source for Questions 1–3 in Protocol Text); Occupation Module, Question number OCQ.290 (source for Question 4).

General References

Coghlin, J., Hammond, S. K., & Gann, P. H. (1989). Development of epidemiologic tools for measuring environmental tobacco smoke exposure. American Journal of Epidemiology, 130(4), 696-704.

Fontham, E. T., Correa, P., Reynolds, P., Wu-Williams, A., Buffler, P. A., Greenberg, R. S., . . . Austin, D. F. (1994). Environmental tobacco smoke and lung cancer in nonsmoking women. A multicenter study. JAMA, 271(22), 1752-1759.

Klepeis, N. E., Nelson, W. C., Ott, W. R., Robinson, J. P., Tsang, A. M., Switzer, P., . . . Engelmann, W. H. (2001). The National Human Activity Pattern Survey (NHAPS): A resource for assessing exposure to environmental pollutants. Journal of Exposure Analysis and Environmental Epidemiology, 11(3), 231-252.

Protocol ID:

60701

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX060701_Hours_Smell_Smoking_At_Work PX060701040000 At this job or business, that is at {EMPLOYER} as a(n) {OCCUPATION}, how many hours per day can {you/SP} smell the smoke from other people's cigarettes, cigars, and/or pipes? 4 Variable Mapping
PX060701_Hours_Smell_Smoking_At_Work_Coded PX060701040100 At this job or business, that is at {EMPLOYER} as a(n) {OCCUPATION}, how many hours per day can {you/SP} smell the smoke from other people's cigarettes, cigars, and/or pipes? 4 N/A
PX060701_Smoking_At_Home PX060701010000 Does anyone who lives here smoke cigarettes, cigars, or pipes anywhere inside this home? 4 Variable Mapping
PX060701_Smoking_Cigarette_Quantity PX060701030000 How many cigarettes per day {do you/does PERSON} usually smoke anywhere inside the home? 4 Variable Mapping
PX060701_Smoking_Cigarette_Quantity_Coded PX060701030100 How many cigarettes per day {do you/does PERSON} usually smoke anywhere inside the home? 4 N/A
PX060701_Smoking_Person PX060701020000 Who smokes? PROBE: Anyone else? SELECT NAMES FROM HOUSEHOLD ROSTER. 4 Variable Mapping
Research Domain Information
Measure Name:

Current Environmental Tobacco Smoke Exposure

Release Date:

May 31, 2016

Definition

Questions that ask about smoking at the respondent’s home and at work.

Purpose

Environmental tobacco smoke is linked to a variety of illnesses, including respiratory infections, cardiovascular disease, and lung cancer.

Keywords

Environmental Exposures, National Center for Health Statistics, NCHS, Centers for Disease Control and Prevention, CDC, environmental tobacco smoke, ETS, smoke, smoking, tobacco, lung cancer, National Health and Nutrition Examination Survey, NHANES, second hand smoke, secondhand smoke, second-hand smoke