Protocol - Passive Exposures to Tobacco Products
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, question 17, 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
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 e-cigarettes or other electronic nicotine products
3[ ]Use snus
4[ ]Use other types of smokeless tobacco, such as chewing tobacco, dip, spit, or chew
5[ ]Smoke traditional cigars, cigarillos, or filtered cigars
6[ ]Smoke hookah
7[ ]Smoke pipe tobacco
8[ ]Use IQOS
9[ ]Use any other form of tobacco
10[ ]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
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
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; andspecify 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
| Standard | Name | ID | Source |
|---|
Derived Variables
None
Process and Review
The Tobacco Regulatory Research (TRR) Content Expert Panel (CEP) reviewed the measures in the Tobacco Regulatory Research collection in February 2024.
Guidance from the TRR CEP includes:
- Updated protocol
- New Data Dictionary
Previous version in Toolkit archive (link)
Protocol Name from Source
National Adult Tobacco Survey (NATS), 2009 and the Population Assessment of Tobacco and Health (PATH) Survey, 2023
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. (2023, June 18). Population Assessment of Tobacco and Health (PATH), 2023: PATH Adult Extended Questionnaire, Version 7.5 (PATH ID: AM0014, AX0065, AR0144, AX0068). Washington, DC: 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. (2023) Population Assessment of Tobacco and Health (PATH), Wave 6: PATH Adult Questionnaire, AX0066
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
730402
Variables
Export Variables| Variable Name | Variable ID | Variable Description | dbGaP Mapping | |
|---|---|---|---|---|
| PX730402_Passive_Exposures_To_Tobacco_Products_Anyone_Live_With_Now_Tobacco_Use | ||||
| PX730402170000 | Does anyone who lives with you now do any of more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Childhood_Live_With_Regular_Smoker_Inside_Home | ||||
| PX730402160000 | In your childhood, did you live with a more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Current_Job_Employment_Status | ||||
| PX730402140000 | Which best describes your current job or more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Inside_Home_Smoking_Allowed | ||||
| PX730402020000 | Not counting decks, porches, or garages, more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Job_Status_One_Or_More | ||||
| PX730402040000 | Do you currently have one job or more than more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Past_30_Days_Tobacco_Use_Work_Not_Supposed_To | ||||
| PX730402090000 | To your knowledge, during the past 30 days, more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Breathe_Smoke_Indoor_Outdoor_Public | ||||
| PX730402120000 | Not counting times while you were at work, more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Days_Ride_Other_Smoking | ||||
| PX730402100000 | During the past 7 days, that is, since last more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Hours_Around_Others_Smoking | ||||
| PX730402180000 | During the past seven days, about how many more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Hours_Around_Others_Smoking_Number | ||||
| PX730402180100 | During the past seven days, about how many more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Other_Person_Smoke_Inside_Home | ||||
| PX730402010000 | Not counting decks, porches, or garages, more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Other_Person_Smoke_Inside_Home_Number | ||||
| PX730402010100 | Not counting decks, porches, or garages, more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Smoke_Inside_Home_Not_Supposed_To | ||||
| PX730402030000 | Not counting decks, porches, or garages, to more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Used_Product_Indoor_Outdoor_Public_Not_Supposed_To | ||||
| PX730402130000 | Not counting times while you were at work, more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Recent_Smoke_Around_You_Work | ||||
| PX730402150000 | How recently did someone smoke around you more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Vehicles_Owned_Leased_Smoking_Allowed | ||||
| PX730402110000 | Not counting motorcycles, in the vehicles more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Workplace_Chewing_Tobacco_Use | ||||
| PX730402080000 | At your workplace, is the use of chewing more | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Worksplace_Indoor_Smoking_Area | ||||
| PX730402060000 | At your workplace, is smoking in indoor areas…? | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Worksplace_Outdoor_Smoking_Area | ||||
| PX730402070000 | At your workplace, is smoking in outdoor areas…? | N/A | ||
| PX730402_Passive_Exposures_To_Tobacco_Products_Work_Place | ||||
| PX730402050000 | Most of the time, do you work…? | N/A | ||
Measure Name
Passive Exposures to Tobacco Products
Release Date
May 3, 2024
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 |
|---|---|
| 730402 | Passive Exposures to Tobacco Products |
Publications
There are no publications listed for this protocol.