Protocol - Current Environmental Tobacco Smoke Exposure

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

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

Availability

Available

Download PDF

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 Category	Required
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

Standard	Name	ID	Source
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 ID	Variable Description	dbGaP 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

current environmental tobacco smoke exposure, 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

Mapping for PX060701_Hours_Smell_Smoking_At_Work

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Framingham Cohort	phv00004097	HOURS PER WEEK EXPOSED TO THE SMOKING OF OTHERS AT WORK
Framingham Cohort	phv00008746	HOURS PER WEEK EXPOSED TO THE SMOKING OF OTHERS AT WORK
GWAS on Cataract and HDL in the PMRP	phv00181439	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?

Mapping for PX060701_Smoking_At_Home

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Framingham Cohort	phv00020957	AS AN ADULT, NOW OR IN THE PAST, HAVE YOU EVER LIVED WITH A REGULAR CIGARETTE SMOKER WHO SMOKED IN YOUR HOME?
GWAS on Cataract and HDL in the PMRP	phv00181430	Does anyone who lives here smoke cigarettes, cigars, or pipes anywhere inside this home?
Women's Health Initiative	phv00077564	Other person/people in home smokes

Mapping for PX060701_Smoking_Cigarette_Quantity

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Framingham Cohort	phv00004274	HOW MANY CIGARETTES DO/DID YOU SMOKE PER DAY?
GWAS on Cataract and HDL in the PMRP	phv00181435	How many cigarettes per day {do you/does PERSON 1} usually smoke anywhere inside the home?
GWAS on Cataract and HDL in the PMRP	phv00181436	How many cigarettes per day {do you/does PERSON 2} usually smoke anywhere inside the home?
GWAS on Cataract and HDL in the PMRP	phv00181437	How many cigarettes per day {do you/does PERSON 3} usually smoke anywhere inside the home?
GWAS on Cataract and HDL in the PMRP	phv00181438	How many cigarettes per day {do you/does PERSON 4} usually smoke anywhere inside the home?

Mapping for PX060701_Smoking_Person

dbGAP Study	dbGAP Variable	dbGAP Variable Description
GWAS on Cataract and HDL in the PMRP	phv00181431	Who smokes? (Person 1)
GWAS on Cataract and HDL in the PMRP	phv00181432	Who smokes? (Person 2)
GWAS on Cataract and HDL in the PMRP	phv00181433	Who smokes? (Person 3)
GWAS on Cataract and HDL in the PMRP	phv00181434	Who smokes? (Person 4)