PhenX Toolkit:
|About the Measure |
|Domain |Alcohol, Tobacco, and Other Substances |
|Measure |Family History of Smoking |
|Definition |Questions ask respondent about his/her family's history of tobacco use. |
|About the Protocol |
|Description of Protocol |Measurement of respondent's family history of tobacco use. |
|Protocol text |The Working Group acknowledges the following question may gather sensitive information relating to the |
| |use of substances and/or illegal conduct. If the information is released it might be damaging 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: . |
| | |
| |For Question #4, the Expert Review Panel recommends that users also ask about e-cigarettes and hookahs. |
| | |
| | |
| |Repeat questions for: BIOLOGICAL MOTHER, BIOLOGICAL FATHER, SIBLINGS, CHILDREN, and SPOUSE. |
| | |
| | |
| |I'd like to know about the smoking habits of your relatives. |
| | |
| |1. What best describes your (RELATIVE'S) smoking habits during (his/her) lifetime? |
| |(1) Never smoked or used tobacco regularly |
| |(2) Used to smoke or use but quit successfully |
| |(3) Current smoker or user/continued to smoke or use |
| |Don’t Know/Refused |
| | |
| |2. How often did/does your (RELATIVE) smoke on average over (his/her) lifetime when (he/she) was |
| |smoking? |
| |(1) Every day or nearly every day |
| |(2) Once or twice a week |
| |(3) Less often |
| |Don’t Know/Refused |
| | |
| |3. On average, how many cigarettes did/does your (RELATIVE) smoke per day? |
| |(1) Smoked 1-5 per day |
| |(2) 6-10 per day |
| |(3) 11-20 per day |
| |(4) 21-40 per day |
| |(5) More than 40 per day |
| |Don’t Know/Refused |
| | |
| |4. Did your (RELATIVE) ever smoke cigars? Pipes? Or, use snuff? |
| |(1) Yes |
| |(2) No |
| |Don’t Know/Refused |
|Participant |≥18 years of age |
|Source |Collaborative Study on the Genetics of Alcoholism. Tobacco Family History Assessment Module. Questions |
| |I-III. . |
| | |
| |Permission to use this instrument has been provided by COGA (Collaborative Study on the Genetics of |
| |Alcoholism), supported by NIH Grant U10AA08401 from the NIAAA. |
|Language of Source |English |
|Personnel and Training Required |Interviewer must be trained and found 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 for administration by computer, the PhenX Working Group |
| |acknowledges that these questions can be administered in a non-computerized format. |
|Protocol Type |Interviewer-administered questionnaire |
|General References |Not applicable |
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