Loading…

Protocol - Passive Smoke Exposure

Add to Toolkit

Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Description:

This protocol assesses exposure to environmental tobacco smoke (ETS) during childhood and in adulthood at home, at work, and in social settings. The duration of ETS exposure is collected in hours per day and years for each setting. In addition, there is a question about current ETS exposure.

Protocol:

1. We are interested in your exposure to smoke from other people's cigarettes and tobacco products. Please complete the table below.

Were you exposed to smoke from other people's cigarettes or tobacco products during:

Yes

No

For how many hours per day?

For how many years?

Childhood at home

[_]

[_]

___ ___

[_]

Don't know

___ ___

[_]

Don't know

Adulthood at home

[_]

[_]

___ ___

[_]

Don't know

___ ___

[_]

Don't know

Adulthood at work

[_]

[_]

___ ___

[_]

Don't know

___ ___

[_]

Don't know

In social settings such as bars, restaurants, bowling alleys, bingo halls, and friends' homes

[_]

[_]

___ ___

[_]

Don't know

___ ___

[_]

Don't know

At the present time, how many hours per day are you exposed to the smoke of others? ___ ___

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

None

Research Domain Information

Release Date:

December 30, 2009

Definition

Measure to determine exposure to environmental tobacco smoke (ETS)

Purpose

Exposure to environmental tobacco smoke (ETS) increases risk of lung cancer, cardiovascular disease, and perhaps other cancers. To evaluate the role of tobacco exposure in any gene/environment interactions, an assessment of ETS should be made.

Selection Rationale

This protocol was selected because it captures the relevant information necessary to evaluate environmental tobacco smoke (ETS) exposure at different periods in life.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Current Environment Tobacco Smoke Exposure Text2954172CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Passive smoke exposure proto62563-2LOINC

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

U.S. Department of Health and Human Services. National Institutes of Health. The National Cancer Institute (NCI). Southwest Oncology Group (SWOG). Molecular Epidemiology Case-Series Study of Non-Small Cell Lung Cancer in Smoking and Non-Smoking Women and Men, question 20.

General References

None

Protocol ID:

70301

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX070301_Exposure_Smoke_ChildhoodPX070301010101Were you exposed to smoke from other people's cigarettes or tobacco products during Childhood at home?4N/A
PX070301_Exposure_Smoke_Childhood_HoursPX070301010102For how many hours per day?4N/A
PX070301_Exposure_Smoke_Childhood_Hours_CodedPX070301010103For how many hours per day?4N/A
PX070301_Exposure_Smoke_Childhood_YearsPX070301010104For how many years?4Variable Mapping
PX070301_Exposure_Smoke_Childhood_Years_CodedPX070301010105For how many years?4N/A
PX070301_Exposure_Smoke_Adulthood_HomePX070301010201Were you exposed to smoke from other people's cigarettes or tobacco products during Adulthood at home?4N/A
PX070301_Exposure_Smoke_Adulthood_Home_HoursPX070301010202For how many hours per day?4Variable Mapping
PX070301_Exposure_Smoke_Adulthood_Home_Hours_CodedPX070301010203For how many hours per day?4N/A
PX070301_Exposure_Smoke_Adulthood_Home_YearsPX070301010204For how many years?4N/A
PX070301_Exposure_Smoke_Adulthood_Home_Years_CodedPX070301010205For how many years?4N/A
PX070301_Exposure_Smoke_Adulthood_WorkPX070301010301Were you exposed to smoke from other people's cigarettes or tobacco products during Adulthood at work?4Variable Mapping
PX070301_Exposure_Smoke_Adulthood_Work_HoursPX070301010302For how many hours per day?4N/A
PX070301_Exposure_Smoke_Adulthood_Work_Hours_CodedPX070301010303For how many hours per day?4N/A
PX070301_Exposure_Smoke_Adulthood_Work_YearsPX070301010304For how many years?4Variable Mapping
PX070301_Exposure_Smoke_Adulthood_Work_Years_CodedPX070301010305For how many years?4N/A
PX070301_Exposure_Smoke_Social_SettingsPX070301010401Were you exposed to smoke from other people's cigarettes or tobacco products during In social settings such as bars, restaurants, bowling alleys, bingo halls, and friends' homes?4N/A
PX070301_Exposure_Smoke_Social_Settings_HoursPX070301010402For how many hours per day?4N/A
PX070301_Exposure_Smoke_Social_Settings_Hours_CodedPX070301010403For how many hours per day?4N/A
PX070301_Exposure_Smoke_Social_Settings_YearsPX070301010404For how many years?4N/A
PX070301_Exposure_Smoke_Social_Settings_Years_CodedPX070301010405For how many years?4N/A
PX070301_Exposure_Smoke_Present_Time_HoursPX070301010501At the present time, how many hours per day are you exposed to the smoke of others?4N/A