Protocol - Current Environmental Tobacco Smoke Exposure

Personnel and Training Required

None

Equipment Needs

None

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

Physical Measurement

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, Spanish

While the English version of this protocol has been updated, the available translations have not and reflect a previous version. These differences may impact the compatibility between the English and Spanish/Chinese versions. It is the responsibility of the investigator to determine if the translations are sufficiently compatible with the English version for their research and subsequent analysis.

Standards

Standard	Name	ID	Source

Derived Variables

None

Process and Review

The PhenX Steering Committee (SC) reviewed this protocol in October 2023.  Guidance from the SC includes:

• Updated protocol

Protocol Name from Source

National Health and Nutrition Examination Survey (NHANES), Family Questionnaire, 2011-2012

Source

Centers for Disease Control and Prevention, National Center for Health Statistics.  National Health and Nutritional Examination Survey (NHANES) 2011-2012. Family Questionnaire (Questions SMQ. 410, SMQ. 420, SMQ. 430), Occupation (Question OCQ.2090). Hyattsville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. 

Centers for Disease Control and Prevention, National Center for Health Statistics.  National Health and Nutritional Examination Survey (NHANES) 2007-2008. Occupation (Question OCQ.2090 Hyattsville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. 

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

60702

Variables

Export Variables

Variable Name	Variable ID	Variable Description	dbGaP Mapping
PX060702_Current_Ets_Exposure_Anyone_Live_Home_Smoke
	PX060702010000	Does anyone who lives here smoke cigarettes, more cigars, or pipes anywhere inside this home? show less	N/A
PX060702_Current_Ets_Exposure_Anyone_Live_Home_Smoke_Who
	PX060702020000	Who smokes?	N/A
PX060702_Current_Ets_Exposure_Cigarettes_Per_Day_Dont_Know
	PX060702030000	How many cigarettes per day {do you/does more PERSON} usually smoke anywhere inside the home? show less	N/A
PX060702_Current_Ets_Exposure_Cigarettes_Per_Day_Number
	PX060702030100	How many cigarettes per day {do you/does more PERSON} usually smoke anywhere inside the home? Enter number of cigarettes show less	N/A
PX060702_Current_Ets_Exposure_Job_Hours_Per_Day_Smell_Smoke
	PX060702040000	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

Environmental Exposures

Measure Name

Current Environmental Tobacco Smoke Exposure

Release Date

September 16, 2024

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
60702	Current Environmental Tobacco Smoke Exposure

Publications

There are no publications listed for this protocol.