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Protocol - Cigarette Smoking Status - Adult

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Description

Measurement to determine respondent’s cigarette smoking status.

Specific Instructions

The respondent will answer a question about whether he or she has ever smoked a cigarette and whether he or she now smokes every day or some days, or whether he or she is a former smoker. The respondent will also be asked how many cigarettes he or she has smoked in his or her lifetime up to the 100 cigarette threshold. Lastly, if the respondent is a Current Some-Day or Former Smoker, the respondent is asked if a year ago, he or she had smoked every day.

Availability

Available

Protocol

The Working Group acknowledges that the following questions may gather sensitive information relating to the use of substances and/or illegal conduct. If the information is released it might be damagng to an individual’s employability, lead to social stigmatization, or other consequences.

For information on obtaining a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants, please go to the National Human Genome Research Institute’s Institutional Review Board website.

Note to interviewer: Based on responses provided to earlier questions, the respondent may also be asked Questions 2, 3, and 4 (see interviewer notes before these questions).

1. Have you ever smoked a cigarette, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED

If Question 1 is "Yes," then respondent is asked:

2. Do you now smoke cigarettes…

1[ ]Every day

2[ ]Some days

3[ ]Not at all

-8[ ]DON’T KNOW

-7[ ]REFUSED

3. How many cigarettes have you smoked in your entire life? A pack usually has 20 cigarettes in it.

1[ ]1 or more puffs but never a whole cigarette

2[ ]1 to 10 cigarettes (about ½ pack total)

3[ ]11 to 20 cigarettes (about ½ pack to 1 pack)

4[ ]21 to 50 cigarettes (more than 1 pack but less than 3 packs)

5[ ]51 to 99 cigarettes (more than 2 ½ packs but less than 5 packs)

6[ ]100 or more cigarettes (5 packs or more)

-8[ ]DON’T KNOW

-7[ ]REFUSED

If Question 1 is "Yes" and Question 2 is "Some days" (Current Some-Day Smoker) or if Question 1 is "Yes" and Question 2 is "Not at all" (Former Smoker), then respondent is asked:

4. Around this time 12 months ago, were you smoking cigarettes every day, some days, or not at all?

1[ ]Every day

2[ ]Some days

3[ ]Not at all

-8[ ]DON’T KNOW

-7[ ]REFUSED

Interpreting responses to assess smoking status of adults:

  • If answer to Question 1 is "No," then respondent is a "Never Smoker."
  • If answer to Question 1 is "Yes" and answer to Question 2 is "Every day," then respondent is a "Current Every-Day Smoker."
  • If answer to Question 1 is "Yes" and answer to Question 2 is "Some days," then respondent is a "Current Some-Day Smoker."
  • If answer to Question 1 is "Yes" and answer to Question 2 is "Not at all," then respondent is a "Former Smoker."

Question 4 allows further classification of Current Some-Day and Former Smokers into those who smoked every day in the past from those who have not done so. The former would be indicating heavier past exposure.

Personnel and Training Required

Interviewer must be trained and found to be competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Equipment Needs

While the source instrument was developed to be administered by computer, the PhenX Working Group acknowledges these questions can be administered in a noncomputerized format.

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

≥18 years of age*

* If the study population consists of adolescents and young adults (12-24 years) with the intention of studying onset of risky behaviors, the investigator may wish to use the adolescent profile. If the study population primarily consists of adults (≥18 years), emphasizing established smoking and/or cessation, the investigator should use the adult profile.

Selection Rationale

The Population Assessment of Tobacco and Health (PATH) Study has questions comparable to the Tobacco Use Supplement to the Current Population Survey (TUS-CPS), National Center for Health Statistics - National Health Interview Survey (NHIS),National Health and Nutrition Examination Survey (NHANES),NCI’s Health Information National Trends Survey (HINTS), and SAMHSA’s National Survey on Drug Use and Health (NSDUH).

Language

English, Other languages available at source

Standards
StandardNameIDSource
caDSR Form PhenX PX030604 - Cigarette Smoking Status Adult 6910204 caDSR Form
Derived Variables

None

Process and Review

The Expert Review Panel #3 (ERP 3) reviewed the measures in Alcohol, Tobacco and Other Substances, and Substance Abuse and Addiction domains.

Guidance from ERP 3 includes:

• Updated protocol

• New Data Dictionary

Back-compatible: Not back-compatible (vastly different than previous protocol which would require a new data dictionary) and not recommended for use (discredited or no longer considered broadly validated)

Previous version in Toolkit archive (link),

Protocol Name from Source

Population Assessment of Tobacco and Health (PATH) Study Wave 1

Source

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.

General References

None

Protocol ID

30604

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX030604_CigaretteSmoking_Adult_Current_Status
PX030604020000 Do you now smoke cigarettes... N/A
PX030604_CigaretteSmoking_Adult_Ever
PX030604010000 Have you ever smoked a cigarette, even one more
or two puffs? show less
N/A
PX030604_CigaretteSmoking_Adult_Last_Year
PX030604040000 Around this time 12 months ago, were you more
smoking cigarettes every day, some days, or not at all? show less
N/A
PX030604_CigaretteSmoking_Adult_Total
PX030604030000 How many cigarettes have you smoked in your more
entire life? A pack usually has 20 cigarettes in it. show less
N/A
Alcohol, Tobacco and Other Substances
Measure Name

Cigarette Smoking Status

Release Date

November 21, 2016

Definition

Questions asking the respondent about smoking status in his or her entire life.

Purpose

This measure can be used to assess the participant’s lifetime exposure to cigarette use, it determines smoking status, i.e., if they are a Current Every-Day Smoker or a Current Some-Day Smoker, a Former Smoker, or a Non Smoker or a Never Smoker.

Keywords

tobacco, smoking, cigarette, exposure, smoking status, second-hand smoke (SHS) or environmental tobacco smoke (ETS), nicotine, nicotine dependence, National Survey on Drug Use and Health, NSDUH, National Survey on Drug Use and Health, NSDUH, US Department of Commerce, Census Bureau, PreventionTobacco Use Supplement to the Current Population Survey, TUS-CPS, NCI, Centers for Disease Control, CDC, gerontology, aging, geriatrics

Measure Protocols
Protocol ID Protocol Name
30603 Cigarette Smoking Status - Adolescent
30604 Cigarette Smoking Status - Adult
Publications

Ba, D. M., et al. (2024) Navigation-Based Telehealth Informed Decision-Making for Prostate Cancer Screening in Black Men. Current Oncology. 2024 June; 31(7): 3698-3712. doi: 10.3390/curroncol31070273

Kosyluk, K., et al. (2024) Mental Distress, Label Avoidance, and Use of a Mental Health Chatbot: Results From a US Survey. JMIR Formative Research. 2024 April; 8(17). doi: 10.2196/45959

Garrison-Desany, H. M., et al. (2024) Post-traumatic stress and future substance use outcomes: leveraging antecedent factors to stratify risk Frontiers in Psychiatry. 2024 March; 15. doi: 10.3389/fpsyt.2024.1249382

Takase, M., et al. (2023) Association between lung function and hypertension and home hypertension in a Japanese population: the Tohoku Medical Megabank Community-Based Cohort Study. Journal of Hypertension. 2023 March; 41(3): 443-452. doi: 10.1097/HJH.0000000000003356

Barbirou, M., et al. (2020) Western influenced lifestyle and Kv2.1 association as predicted biomarkers for Tunisian colorectal cancer. BMC Cancer. 2020 November; 20: Article Number: 1086. doi: 10.1186/s12885-020-07605-7

Rodriquez, E. J., et al. (2019) How Does Acculturation Influence Smoking Behavior Among Latinos? The Role of Education and National Background. Ethnicity & Disease. 2019 April; 29(2): 227. doi: 10.18865/ed.29.2.227

Juan, J., et al. (2017) Joint Effects of PON1 Polymorphisms and Vegetable Intake on Ischemic Stroke: A Family-Based Case Control Study. Int J Mol Sci. 2017 December; 18(12): E2652. doi: 10.3390/ijms18122652