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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, 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

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 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 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; 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
StandardNameIDSource
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 IDVariable DescriptiondbGaP 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
the following? Choose all that apply. show less
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
regular smoker who smoked inside your home? Please think about anyone who smoked cigarettes, cigars, a pipe, or hookah. show less
N/A
PX730402_Passive_Exposures_To_Tobacco_Products_Current_Job_Employment_Status
PX730402140000 Which best describes your current job or more
paid employment status? show less
N/A
PX730402_Passive_Exposures_To_Tobacco_Products_Inside_Home_Smoking_Allowed
PX730402020000 Not counting decks, porches, or garages, more
inside your home, is smoking …? show less
N/A
PX730402_Passive_Exposures_To_Tobacco_Products_Job_Status_One_Or_More
PX730402040000 Do you currently have one job or more than more
one job? show less
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
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
PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Breathe_Smoke_Indoor_Outdoor_Public
PX730402120000 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
PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Days_Ride_Other_Smoking
PX730402100000 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
PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Hours_Around_Others_Smoking
PX730402180000 During the past seven days, about how many more
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. show less
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
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. Hours show less
N/A
PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Other_Person_Smoke_Inside_Home
PX730402010000 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
PX730402_Passive_Exposures_To_Tobacco_Products_Past_7_Days_Other_Person_Smoke_Inside_Home_Number
PX730402010100 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? Number of days show less
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
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
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
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? show less
N/A
PX730402_Passive_Exposures_To_Tobacco_Products_Recent_Smoke_Around_You_Work
PX730402150000 How recently did someone smoke around you more
while you were at work? show less
N/A
PX730402_Passive_Exposures_To_Tobacco_Products_Vehicles_Owned_Leased_Smoking_Allowed
PX730402110000 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
PX730402_Passive_Exposures_To_Tobacco_Products_Workplace_Chewing_Tobacco_Use
PX730402080000 At your workplace, is the use of chewing more
tobacco, snuff, dip, or snus …? show less
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
Tobacco Regulatory Research: Agent
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.