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Protocol - Current Environmental Tobacco Smoke Exposure

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Description

These questions ask about smoking at the respondents 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.

Specific Instructions

None

Availability

Available

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

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

Lifestage

Adult

Participants

Adult 18+

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

Chinese, English, Other languages available at source

Standards
StandardNameIDSource
Logical Observation Identifiers Names and Codes (LOINC) Environ exp tobacco smoke proto 62526-9 LOINC
Human Phenotype Ontology Triggered by smoking HP:0025223 HPO
caDSR Form PhenX PX060701 - Current Environmental Tobacco Smoke Exposure 5869510 caDSR Form
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)

Protocol Name from Source

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

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 Name Variable IDVariable DescriptiondbGaP Mapping
PX060701_Hours_Smell_Smoking_At_Work
PX060701040000 At this job or business, that is at more
{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? show less
Variable Mapping
PX060701_Hours_Smell_Smoking_At_Work_Coded
PX060701040100 At this job or business, that is at more
{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? show less
N/A
PX060701_Smoking_At_Home
PX060701010000 Does anyone who lives here smoke cigarettes, more
cigars, or pipes anywhere inside this home? show less
Variable Mapping
PX060701_Smoking_Cigarette_Quantity
PX060701030000 How many cigarettes per day {do you/does more
PERSON} usually smoke anywhere inside the home? show less
Variable Mapping
PX060701_Smoking_Cigarette_Quantity_Coded
PX060701030100 How many cigarettes per day {do you/does more
PERSON} usually smoke anywhere inside the home? show less
N/A
PX060701_Smoking_Person
PX060701020000 Who smokes? PROBE: Anyone else? SELECT NAMES more
FROM HOUSEHOLD ROSTER. show less
Variable Mapping
Environmental Exposures
Measure Name

Current Environmental Tobacco Smoke Exposure

Release Date

October 30, 2009

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, gerontology, aging, geriatrics

Measure Protocols
Protocol ID Protocol Name
60701 Current Environmental Tobacco Smoke Exposure
Publications

Chia, A. R., et al. (2020) Maternal plasma metabolic markers of neonatal adiposity and associated maternal characteristics: The GUSTO study. Scientific Reports. 2020 June; 10(1). doi: 10.1038/s41598-020-66026-5

Hall, M. A., et al. (2017) PLATO software provides analytic framework for investigating complexity beyond genome-wide association studies. Nat Commun. 2017 October; 8(1): 1167. doi: 10.1038/s41467-017-00802-2

Krebs, N. M., et al. (2016) Comparison of Puff Volume With Cigarettes per Day in Predicting Nicotine Uptake Among Daily Smokers. Am J Epidemiol. 2016 July; 184(1): 48-57. doi: 10.1093/aje/kwv341

McCarty, C.A., Berg, R., Rottscheit, C.M., Waudby, C.J., Kitchner, T., Brilliant, M., Ritchie, M.D. (2014) Validation of PhenX measures in the personalized medicine research project for use in gene/environment studies. BMC Med Genomics. 2014 January; 7: 3. doi: 10.1186/1755-8794-7-3