Protocol - Current Environmental Tobacco Smoke Exposure
- Biomarker of exposure to nicotine-containing products - Saliva
- Biomarker of exposure to nicotine-containing products - Serum
- Biomarker of exposure to nicotine-containing products - Urine
- Passive 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
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 VariablesVariable Name | Variable ID | Variable Description | dbGaP Mapping | |
---|---|---|---|---|
PX060701_Hours_Smell_Smoking_At_Work | ||||
PX060701040000 | At this job or business, that is at more | Variable Mapping | ||
PX060701_Hours_Smell_Smoking_At_Work_Coded | ||||
PX060701040100 | At this job or business, that is at more | N/A | ||
PX060701_Smoking_At_Home | ||||
PX060701010000 | Does anyone who lives here smoke cigarettes, more | Variable Mapping | ||
PX060701_Smoking_Cigarette_Quantity | ||||
PX060701030000 | How many cigarettes per day {do you/does more | Variable Mapping | ||
PX060701_Smoking_Cigarette_Quantity_Coded | ||||
PX060701030100 | How many cigarettes per day {do you/does more | N/A | ||
PX060701_Smoking_Person | ||||
PX060701020000 | Who smokes? PROBE: Anyone else? SELECT NAMES more | Variable Mapping |
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