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Protocol - Passive Exposures to Tobacco Products

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Description

This protocol includes the National Adult Tobacco Survey (NATS) and the Population Assessment of Tobacco and Health (PATH) Survey. Collectively, the questions are used to assess a respondent’s exposure to smoke in different environments.

Specific Instructions

For these protocols, "smoking" and/or "smoke tobacco" and/or "used tobacco" includes the following acts: smoking tobacco products that are burned (e.g., combustible cigarette, little cigar, cigarillo, and hookah/water pipe); but does NOT include vaping an electronic cigarette. In the Secondhand Smoke Exposure Section of the protocol, questions 17 & 19, vaping and electronic cigarette use is addressed by specifying it as a separate category of tobacco product.

In order to fully capture this measure, the Agent WG recommends that investigators also administer the questions from the Passive Smoke Exposure measure currently in the PhenX Toolkit.

Availability

Available

Protocol

1. Not counting decks, porches, or garages, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did someone other than you smoke tobacco inside your home while you were at home?

[ ] 0_ NUMBER OF DAYS

88[ ]NONE

77[ ]DON’T KNOW/NOT SURE

99[ ]REFUSED

2. Not counting decks, porches, or garages, inside your home, is smoking …?

1[ ]Always allowed

2[ ]Allowed only at some times or in some places

3[ ]Never allowed

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

Asked of respondents (who reported that no one else smoked tobacco in their home in the past 7 days and live in homes where smoking is never allowed) or (who reported that someone else smoked tobacco in their home in at least one of the past 7 days and live in homes where smoking is allowed at some times or in some places).

3. Not counting decks, porches, or garages, to your knowledge, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], has anyone, including yourself, smoked tobacco inside your home when he or she was not supposed to?

1[ ]YES

2[ ]NO

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

Now I am going to ask you about some questions about policies on tobacco use in the place where you work. But first, I need to know about your employment status.

4. Do you currently have one job or more than one job?

1[ ]ONE JOB

2[ ]MORE THAN ONE JOB

7[ ]DON’T KNOW

9[ ]REFUSED

Please answer the following questions for the job at which you spend the most time.

5. Most of the time, do you work…?

01[ ]Outdoors

02[ ]In a vehicle

03[ ]Indoors at home

04[ ]Indoors in a place like an office building, retail store, restaurant, or factory

96[ ]Somewhere else (Specify)

77[ ]DON’T KNOW/NOT SURE

99[ ]REFUSED

The next two questions refer to smoking in indoor areas. When answering the questions, please count your vehicle as an indoor area.

6. At your workplace, is smoking in indoor areas…?

1[ ]Always allowed

2[ ]Allowed only at some times or in some places

3[ ]Never allowed

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

7. At your workplace, is smoking in outdoor areas…?

1[ ]Always allowed

2[ ]Allowed only at some times or in some places

3[ ]Never allowed

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

8. At your workplace, is the use of chewing tobacco, snuff, dip, or snus …?

1[ ]Always allowed

2[ ]Allowed only at some times or in some places

3[ ]Never allowed

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

9. To your knowledge, during the past 30 days, that is, since [DATE FILL], has anyone, including yourself, used tobacco products of any kind, including electronic cigarettes, at your work when he or she was not supposed to?

1[ ]YES

2[ ]NO

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

Now we have two questions about smoking in vehicles.

10. During the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did you ride in a vehicle where someone other than you was smoking tobacco?

[ ] 0_ NUMBER OF DAYS

88[ ]NONE

77[ ]DON’T KNOW/NOT SURE

99[ ]REFUSED

11. Not counting motorcycles, in the vehicles that you or family members who live with you own or lease, is smoking…

1[ ]Always allowed in all vehicles

2[ ]Sometimes allowed in at least one vehicle

3[ ]Never allowed in any vehicle

[DO NOT READ]

8[ ]RESPONDENT’S FAMILY DOES NOT OWN OR LEASE A VEHICLE

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

The next several questions ask about tobacco use in indoor and outdoor public places. Examples of indoor public places are the indoor areas of stores, restaurants, bars, casinos, clubs, and sports arenas. Examples of outdoor public places are stadiums and parks.

12. Not counting times while you were at work, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did you breathe the smoke from someone else who was smoking in an indoor or outdoor public place?

[ ] 0_ NUMBER OF DAYS

88[ ]NONE

77[ ]DON’T KNOW/NOT SURE

99[ ]REFUSED

13. Not counting times while you were at work, to your knowledge, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], has anyone, including yourself, used tobacco of any kind in an indoor or outdoor public place when he or she was not supposed to?

1[ ]YES

2[ ]NO

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

Secondhand Smoke Exposure Section

The next questions ask about tobacco use at your workplace and your home.

14. Which best describes your current job or paid employment status?

1[ ]

Work full-time at least 35 hours per week

2[ ]

Work part-time 15 to 34 hours per week

3[ ]

Work part-time less than 15 hours per week

4[ ]

I don’t currently work for pay

-8[ ]

DON’T KNOW

-7[ ]

REFUSED

15. How recently did someone smoke around you while you were at work?

1 [ ] Never

2 [ ] Today

3 [ ] In the past week

4 [ ] In the past two weeks

5 [ ] In the past month

6 [ ] Longer than a month ago but within the past year

7 [ ] More than a year ago

-8[ ]DON’T KNOW

-7[ ]REFUSED

16. In your childhood, did you live with a regular smoker who smoked inside your home?

Please think about anyone who smoked cigarettes, cigars, a pipe, or hookah.

1 [ ] Yes

2 [ ] No

-8[ ]DON’T KNOW

-7[ ]REFUSED

The next questions ask about the rules of using tobacco inside your home.

17. Does anyone who lives with you now do any of the following? Choose all that apply.

1 [ ] Smoke cigarettes

2 [ ] Use smokeless tobacco, such as chewing tobacco, snuff, dip, or snus

3 [ ] Smoke cigars, cigarillos, or filtered cigars

4 [ ] Use any other form of tobacco, including electronic cigarettes

5 [ ] No one who lives with me now uses any form of tobacco

-8[ ]DON’T KNOW

-7[ ]REFUSED

18. During the past seven days, about how many hours were you around others who were smoking, whether or not you were smoking yourself?

Include time in your home, in a car, at school, or outdoors.

1 [ ] I I__I__I

-8[ ]DON’T KNOW

-7[ ]REFUSED

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. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Equipment Needs

None

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

Child, Adolescent, Adult

Participants

Adults (18+) and Youths (12-17)

Selection Rationale

The combination of questions from different questionnaires is necessary because the Population Assessment of Tobacco and Health (PATH) extended interview asks respondents questions about burned (e.g., cigarettes) versus unburned (e.g., electronic cigarette) tobacco products. In addition, these measures have respondents:

  • specify the number of days there were exposed to smoke indoors, at work, at home, in transit, and in social settings during the last 7 days;
  • specify if indoor smoking is allowed and whether they think it should be allowed; and
  • specify where they work most of the time: outdoors, in a vehicle, indoors at home, indoors in places like an office building or store.

The National Adult Tobacco Survey (NATS) is a validated survey that yields data representative and comparable at both the national and state levels. The 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 12 years old and up are asked questions on tobacco use, attitudes, and health, and biospecimens (buccal cell, urine, and blood) are collected from adults. PATH Study data will provide an evidence base for assessing and monitoring FDA’s current and future 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, Other languages available at source

Standards
StandardNameIDSource
Human Phenotype Ontology Triggered by smoking HP:0025223 HPO
caDSR Form PhenX PX730401 - Passive Exposures To Tobacco Products 6239552 caDSR Form
Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

National Adult Tobacco Survey (NATS), 2009 and the Population Assessment of Tobacco and Health (PATH) Survey, 2009-2010

Source

Office on Smoking and Health (OSH), National Center for Chronic Disease Promotion and Health Prevention, Centers for Disease Control and Prevention. (2009). Questions 73-75, 77-84, 87, and 90. In National Adult Tobacco Survey Questionnaire, 2009-2010. Atlanta, GA: Author.

National Institute on Drug Abuse, National Institutes of Health, Department of Health and Human Services & Food and Drug Administration, Department of Health and Human Services. (2013, June 18). Population Assessment of Tobacco and Health (PATH), 2013: PATH Adult Extended Questionnaire, Version 7.5 (PATH ID: AM0014, AX0065, AR0144, AX0066, AX0068). Washington, DC: Author.

General References

National Institutes of Health, U.S. Food and Drug Administration. (2013). Population Assessment of Tobacco and Health (PATH) Study: Final Adult Baseline (Wave 1) Questionnaire. Bethesda, MD: National Institutes of Health.

Protocol ID

730401

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX730401_Anyone_LivesWith_YouNow_DoFollowing_ChooseAllApply
PX730401170000 Does anyone who lives with you now do any of more
the following? Choose all that apply. show less
N/A
PX730401_Best_Describes_CurrentJob_Status
PX730401140000 Which best describes your current job or more
paid employment status? show less
N/A
PX730401_Currently_Have_OneorMore_Job
PX730401040000 Do you currently have one job or more than more
one job? show less
N/A
PX730401_Days_Someone_Smoke_Inside_Home
PX730401010100 Not counting decks, porches, or garages, more
during the past 7 days, that is, since last [TODAY'S DAY OF WEEK], on how many days did someone other than you smoke tobacco inside your home while you were at home? show less
N/A
PX730401_Days_Someone_Smoke_Inside_HomeDays
PX730401010200 Not counting decks, porches, or garages, more
during the past 7 days, that is, since last [TODAY'S DAY OF WEEK], on how many days did someone other than you smoke tobacco inside your home while you were at home? show less
N/A
PX730401_How_Recently_Someone_Smoke_AroundYouWork
PX730401150000 How recently did someone smoke around you more
while you were at work? show less
N/A
PX730401_Inside_Home_Smoking_Is
PX730401020000 Not counting decks, porches, or garages, more
inside your home, is smoking ...? show less
N/A
PX730401_Most_Of_Time_DoYou_Work
PX730401050000 Most of the time, do you work...? N/A
PX730401_NotMotorcycles_Vehicles_Family_Smoking_Allowed
PX730401110000 Not counting motorcycles, in the vehicles more
that you or family members who live with you own or lease, is smoking... show less
N/A
PX730401_NotWork_7Days_AnyoneTobacco_NotSupposedTo
PX730401130000 Not counting times while you were at work, more
to your knowledge, during the past 7 days, that is, since last [TODAY'S DAY OF WEEK], has anyone, including yourself, used tobacco of any kind in an indoor or outdoor public place when he or she was not su show less
N/A
PX730401_NotWork_7Days_BreatheSmoke_SomeElse_Smoking
PX730401120100 Not counting times while you were at work, more
during the past 7 days, that is, since last [TODAY'S DAY OF WEEK], on how many days did you breathe the smoke from someone else who was smoking in an indoor or outdoor public place? show less
N/A
PX730401_NotWork_7Days_BreatheSmoke_SomeElse_SmokingDays
PX730401120200 Not counting times while you were at work, more
during the past 7 days, that is, since last [TODAY'S DAY OF WEEK], on how many days did you breathe the smoke from someone else who was smoking in an indoor or outdoor public place? show less
N/A
PX730401_Pas30Days_HasAnyone_UsedTobacco_Work_NotSupposeTO
PX730401090000 To your knowledge, during the past 30 = more
days, that is, since [DATE FILL], has anyone, including yourself, used tobacco products of any kind, including electronic cigarettes, at your work when he or she was not supposed to? show less
N/A
PX730401_Pas7Days_Ride_Vehicle_SomeoneSmoking
PX730401100100 During the past 7 days, that is, since last more
[TODAY'S DAY OF WEEK], on how many days did you ride in a vehicle where someone other than you was smoking tobacco? show less
N/A
PX730401_Pas7Days_Ride_Vehicle_SomeoneSmoking_Days
PX730401100200 During the past 7 days, that is, since last more
[TODAY'S DAY OF WEEK], on how many days did you ride in a vehicle where someone other than you was smoking tobacco? show less
N/A
PX730401_Past7Days_Anyone_Smoked_Tobacco_InsideNotSupposeTo
PX730401030000 Not counting decks, porches, or garages, to more
your knowledge, during the past 7 days, that is, since last [TODAY'S DAY OF WEEK], has anyone, including yourself, smoked tobacco inside your home when he or she was not supposed to? show less
N/A
PX730401_Past7Days_Hours_Around_Smoking_Car
PX730401180101 During the past seven days, about how many more
hours were you around others who were smoking, whether or not you were smoking yourself? show less
N/A
PX730401_Past7Days_Hours_Around_Smoking_Encoded
PX730401180200 During the past seven days, about how many more
hours were you around others who were smoking, whether or not you were smoking yourself? show less
N/A
PX730401_Past7Days_Hours_Around_Smoking_Outdoors
PX730401180103 During the past seven days, about how many more
hours were you around others who were smoking, whether or not you were smoking yourself? show less
N/A
PX730401_Past7Days_Hours_Around_Smoking_School
PX730401180102 During the past seven days, about how many more
hours were you around others who were smoking, whether or not you were smoking yourself? show less
N/A
PX730401_Workplace_Smoking_Indoor_Areas
PX730401060000 At your workplace, is smoking in indoor areas...? N/A
PX730401_Workplace_Smoking_Outdorr_Areas
PX730401070000 At your workplace, is smoking in outdoor areas...? N/A
PX730401_Workplace_Use_ChewingTobacco_Dip_Smokeless
PX730401080000 At your workplace, is the use of chewing more
tobacco, snuff, dip, or snus ...? show less
N/A
PX730401_Your_Childhood_LiveWith_Smoker_Inside
PX730401160000 In your childhood, did you live with a more
regular smoker who smoked inside your home? show less
N/A
Tobacco Regulatory Research: Agent
Measure Name

Passive Exposures to Tobacco Products

Release Date

June 24, 2015

Definition

Instrument used to assess a respondent’s exposure to smoke or exhaled electronic cigarette vapor/aerosol in different environments, including work, home, and social settings.

Purpose

This measure is necessary in estimating the physicochemical environmental exposures from tobacco products encountered by respondents and the population as a whole including users and nonusers of tobacco.

Keywords

Tobacco Regulatory Research, TRR, agent, passive exposures, passive exposures to tobacco products, smoke indoors, tobacco product use, environmental tobacco smoke exposure, passive smoke exposure, secondhand smoke exposure, secondhand smoke, second-hand smoke, passive vaping

Measure Protocols
Protocol ID Protocol Name
730401 Passive Exposures to Tobacco Products
Publications

Garcia-Cazarin, M.L., Mandal, R.J., Grana, R., Wanke, K.L., Meissner, H. (2020) Host-agent-vector-environment measures for electronic cigarette research used in NIH grants. Tobacco Control. 2020 January; 29(1). doi: 10.1136/tobaccocontrol-2017-054032