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Protocol - Use of Tobacco Products

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Description

This protocol includes questions from the Wave 7 Adult Population Assessment of Tobacco and Health (PATH) Survey instrument. These specific questions are used to measure a respondent’s use and regularity of use of the following tobacco products: cigarettes, electronic nicotine products, cigars, pipe tobacco, hookah and shisha tobacco, snus, and smokeless tobacco. An analysis of the results allows respondents to be categorized as: ever user, current user, everyday user, someday user, 30-day user, former user, former user 12-month, former user 12-month plus.

Specific Instructions

This protocol was systematically updated to reflect the Wave 7 data collection of the Population Assessment of Tobacco and Health (PATH) Study. This protocol will be formally reviewed by a TRR Content Expert Panel early in 2024.

The working group recommends that when investigators are asking questions about electronic nicotine products, they consider providing study participants with specific examples of devices of interest and clarify which attributes. For instance, do they care about all types of electronic smoking devices or just some of them (e.g., tank systems, vapor pens, vapes, e-hookah, e-cigars)? Do they care whether they are disposable or rechargeable devices, and whether they contain nicotine, do not contain nicotine, or either? As new products emerge, investigators should consider their inclusion as well.

The table included in the protocol text not only relates to user group definitions for cigarettes, but applies to all the tobacco product types listed within the protocol (cigarettes, electronic nicotine products, cigars, pipe tobacco, hookah and shisha, smokeless tobacco, and snus. 

In order for the investigator to determine which user group(s) the respondent belongs to, the working group has included the item numbers for each tobacco product type in the table below.

User group

Ever user

Cigarettes

If Q1 = 1 THEN EVER USER = 1 (YES)

If Q1 = 2 OR DK/R THEN EVER USER = 2 (NO)

Electronic Nicotine Products

If Q8 = 1 THEN EVER USER = 1 (YES)

If Q8 = 2 OR DK/R THEN EVER USER = 2 (NO)

Cigars

If Q17 or Q18 or Q29 = 1 THEN EVER USER = 1 (YES)

If Q17 & Q18 & Q29 = 2 OR DK/R THEN EVER USER = 2 (NO)

Pipe Tobacco

If Q39 = 1 THEN EVER USER = 1 (YES)

If Q39 = 2 OR DK/R THEN EVER USER = 2 (NO)

Hookah and Shisha

If Q46 = 1 THEN EVER USER = 1 (YES)

If Q46 = 2 OR DK/R THEN EVER USER = 2 (NO)

Smokeless Tobacco

If Q55 = 1 THEN EVER USER = 1 (YES)

If Q55 = 2 OR DK/R THEN EVER USER = 2 (NO)

Snus

If Q64 = 1 THEN EVER USER = 1 (YES)

If Q64 = 2 OR DK/R THEN EVER USER = 2 (NO)

Current user

Cigarettes

IF Q1 = 1 AND Q4 = 1 or 2, THEN CURRENT USER = 1 (YES).

IF Q1 = 2 OR DK/R OR Q4 = 3 OR DK/R, THEN CURRENT USER = 2 (No).

Electronic Nicotine Products

IF Q8 = 1 AND Q11 = 1 OR 2, THEN CURRENT USER = 1 (YES).

IF Q8 = 2 OR DK/R OR Q11 = 3 OR DK/R, THEN CURRENT USER = 2 (No).

Cigars

IF Q17 or Q18 or Q29 = 1 AND Q33 = 1 or 2, THEN CURRENT USER = 1 (YES).

IF Q17 & Q18 & Q29 = 2 OR DK/R OR Q33 = 3 OR DK/R, THEN CURRENT USER = 2 (No).

Pipe Tobacco

IF Q39 = 1 AND Q42 = 1 OR 2, THEN CURRENT USER = 1 (YES).

IF Q39 = 2 OR DK/R OR Q42 = 3 OR DK/R, THEN CURRENT USER = 2 (No).

Hookah and Shisha

IF Q46 = 1 AND Q49 = 1 OR 2, THEN CURRENT USER = 1 (YES).

IF Q46 = 2 OR DK/R OR Q49 = 3 OR DK/R, THEN CURRENT USER = 2 (No).

Smokeless Tobacco

IF Q55 = 1 AND Q58 = 1 OR 2, THEN CURRENT USER = 1 (YES).

IF Q55 = 2 OR DK/R OR Q58 = 3 OR DK/R, THEN CURRENT USER = 2 (No).

Snus

IF Q64 = 1 AND Q67 = 1 OR 2, THEN CURRENT USER = 1 (YES).

IF Q64 = 2 OR DK/R OR Q67 = 3 OR DK/R, THEN CURRENT USER = 2 (No).

Everyday user

 

Cigarettes

IF Q4 = 1 THEN EVERYDAY USER = 1 (YES).

IF Q1 = 2 OR DK/R OR Q4 = 2 OR 3 OR DK/R THEN EVERYDAY USER =2 (NO).

Electronic Nicotine Products

IF Q11 = 1 THEN EVERYDAY USER = 1 (YES).

IF Q8 = 2 OR DK/R OR Q11 = 2 OR 3 OR DK/R THEN EVERYDAY USER =2 (NO).

Cigars

IF Q33 = 1 THEN EVERYDAY USER = 1 (YES).

IF Q17 & Q18 & Q29 = 2 OR DK/R OR Q33 = 2 OR 3 OR DK/R THEN EVERYDAY USER =2 (NO).

Pipe Tobacco

IF Q44 = 1 THEN EVERYDAY USER = 1 (YES).

IF Q39 = 2 OR DK/R OR Q42 = 2 OR 3 OR DK/R THEN EVERYDAY USER =2 (NO).

Hookah and Shisha

IF Q49 = 1 THEN EVERYDAY USER = 1 (YES).

IF Q46 = 2 OR DK/R OR Q49 = 2 OR 3 OR DK/R THEN EVERYDAY USER =2 (NO).

Smokeless Tobacco

IF Q58 = 1 THEN EVERYDAY USER = 1 (YES).

IF Q55 = 2 OR DK/R OR Q58 = 2 OR 3 OR DK/R THEN EVERYDAY USER =2 (NO).

Snus

IF Q67 = 1 THEN EVERYDAY USER = 1 (YES).

IF Q64 = 2 OR DK/R OR Q67 = 2 OR 3 OR DK/R THEN EVERYDAY USER =2 (NO).

Some day user

 

Cigarettes

IF Q4 = 2 THEN SOMEDAY USER = 1 (YES).

IF Q1 = 2 OR DK/R OR Q4 = 1 OR 3 OR DK/R THEN SOMEDAY USER =2 (NO).

Electronic Nicotine Products

IF Q11 = 2 THEN SOMEDAY USER = 1 (YES).

IF Q8 = 2 OR DK/R OR Q11 = 1 OR 3 OR DK/R THEN SOMEDAY USER =2 (NO).

Cigars

IF Q33 = 2 THEN SOMEDAY USER = 1 (YES).

IF Q17 & Q18 & Q29 = 2 OR DK/R OR Q33 = 1 OR 3 OR DK/R THEN SOMEDAY USER =2 (NO).

Pipe Tobacco

IF Q42 = 2 THEN SOMEDAY USER = 1 (YES).

IF Q39 = 2 OR DK/R OR Q42 = 1 OR 3 OR DK/R THEN SOMEDAY USER =2 (NO).

Hookah and Shisha

IF Q49 = 2 THEN SOMEDAY USER = 1 (YES).

IF Q46 = 2 OR DK/R OR Q49 = 1 OR 3 OR DK/R THEN SOMEDAY USER =2 (NO).

Smokeless Tobacco

IF Q58 = 2 THEN SOMEDAY USER = 1 (YES).

IF Q55 = 2 OR DK/R OR Q58 = 1 OR 3 OR DK/R THEN SOMEDAY USER =2 (NO).

Snus

IF Q67 = 2 THEN SOMEDAY USER = 1 (YES).

IF Q64 = 2 OR DK/R OR Q67 = 1 OR 3 OR DK/R THEN SOMEDAY USER =2 (NO).

30-day user

 

Cigarettes

IF Q2 = 1 THEN P30D USER = 1 (YES).

IF Q2 = 2 OR DK/R, THEN P30D USER = 2 (NO).

Electronic Nicotine Products

IF Q9 = 1 THEN P30D USER = 1 (YES).

IF Q9 = 2 OR DK/R, THEN P30D USER = 2 (NO).

Cigars

IF Q20 or Q22 or Q34 = 1 THEN P30D USER = 1 (YES).

IF Q20 & Q22 & Q34 = 2 OR DK/R, THEN P30D USER = 2 (NO).

Pipe Tobacco

IF Q40 = 1 THEN P30D USER = 1 (YES).

IF Q40 = 2 OR DK/R, THEN P30D USER = 2 (NO).

Hookah and Shisha

IF Q47 = 1 THEN P30D USER = 1 (YES).

IF Q47 = 2 OR DK/R, THEN P30D USER = 2 (NO).

Smokeless Tobacco

IF Q56 = 1 THEN P30D USER = 1 (YES).

IF Q56 = 2 OR DK/R, THEN P30D USER = 2 (NO).

Snus

IF Q65 = 1 THEN P30D USER = 1 (YES).

IF Q65 = 2 OR DK/R, THEN P30D USER = 2 (NO).

Former user

 

Cigarettes

IF Q1 = 1 AND Q6 = 6 AND Q4 = 3 THEN FORMER USER = 1 (YES).

IF Q1 = 2 OR DK/R OR Q6 = 1, 2, 3, 4, 5, OR DK/R OR Q4 = 1, 2, OR DK/R THEN FORMER USER = 2 (NO).

Electronic Nicotine Products

IF Q8 = 1 AND Q14 = 5 AND Q11 = 3 THEN FORMER USER = 1 (YES).

IF Q8 = 2, DK/R OR Q14 = 1, 2, 3, 4, 5, OR DK/R OR Q11 = 1, 2, OR DK/R THEN FORMER USER = 2 (NO).

Cigars

IF Q17 or Q18 or Q29 = 1 AND Q35 = 6 AND Q33 = 3 THEN FORMER USER = 1 (YES).

IF Q17 & Q18 & Q29 = 2 OR DK/R OR Q35 = 1, 2, 3, 4, 5, OR DK/R OR Q33 = 1, 2, OR DK/R THEN FORMER USER = 2 (NO).

Pipe Tobacco

IF Q39 = 1 AND Q44 = 6 AND Q42 = 3 THEN FORMER USER = 1 (YES).

IF Q39 = 2 OR DK/R OR Q44 = 1, 2, 3, 4, 5 OR DK/R OR Q42 = 1, 2 OR DK/R THEN FORMER USER = 2 (NO).

Hookah and Shisha

IF Q46 = 1 AND Q53 = 5 AND Q49 = 3 THEN FORMER USER = 1 (YES).

IF Q46 = 2 OR DK/R OR Q53 = 1, 2, 3, 4, OR DK/R OR Q49 = 1, 2, OR DK/R THEN FORMER USER = 2 (NO).

Smokeless Tobacco

IF Q55 = 1 AND Q62 = 5 AND Q58 = 3 THEN FORMER USER = 1 (YES).

IF Q55 = 2 OR DK/R OR Q62 = 1, 2, 3, 4 OR DK/R OR Q58 = 1, 2 OR DK/R THEN FORMER USER = 2 (NO).

Snus

IF Q64 = 1 AND Q71 = 5 AND Q67 = 3 THEN FORMER USER = 1 (YES).

IF Q64 = 2 OR DK/R OR Q71 = 1, 2, 3, 4 OR DK/R OR Q67 = 1, 2 OR DK/R THEN FORMER USER = 2 (NO).

Former user 12 month

Cigarettes

IF Q1 = 1 AND Q6 = 6 AND Q4 = 3 AND Q5 <=12 MONTHS THEN FORMER USER 12 MONTH = 1 (YES).

IF Q1 = 2 OR DK/R OR Q6 = 1, 2, 3, 4, 5, OR DK/R OR Q4 = 1, 2, OR DK/R OR Q5 >12 MONTHS THEN FORMER USER 12 MONTH = 2 (NO).

Electronic Nicotine Products

IF Q8 = 1 AND Q14 = 5 AND Q11 = 3 AND Q12 <=12 MONTHS THEN FORMER USER 12 MONTH= 1 (YES).

IF Q8 = 2, DK/R OR Q14 = 1, 2, 3, 4, 5, OR DK/R OR Q11 = 1, 2, OR DK/R OR Q12 >12 MONTHS THEN FORMER USER 12 MONTH = 2 (NO).

Cigars

IF Q17 or Q18 or Q29 = 1 AND Q35 = 6 AND Q33 = 3 AND Q36 <=12 MONTHS THEN FORMER USER 12 MONTH= 1 (YES).

IF Q17 & Q18 & Q29 = 2 OR DK/R OR Q35 = 1, 2, 3, 4, 5, OR DK/R OR Q33 = 1, 2, OR DK/R OR Q36 >12 MONTHS THEN FORMER USER 12 MONTH= 2 (NO).

Pipe Tobacco

IF Q39 = 1 AND Q44 = 6 AND Q42 = 3 AND Q43 <=12 MONTHS THEN FORMER USER 12 MONTH= 1 (YES).

IF Q39 = 2 OR DK/R OR Q44 = 1, 2, 3, 4, 5 OR DK/R OR Q42 = 1, 2 OR DK/R OR Q43 >12 MONTHS THEN FORMER USER 12 MONTH= 2 (NO).

Hookah and Shisha

IF Q46 = 1 AND Q53 = 5 AND Q49 = 3 AND Q51 <=12 MONTHS THEN FORMER USER 12 MONTH= 1 (YES).

IF Q46 = 2 OR DK/R OR Q53 = 1, 2, 3, 4, OR DK/R OR Q49 = 1, 2, OR DK/R OR Q51 >12 MONTHS THEN FORMER USER 12 MONTH= 2 (NO).

Smokeless Tobacco

IF Q55 = 1 AND Q62 = 5 AND Q58 = 3 AND Q60 <=12 MONTHS THEN FORMER USER 12 MONTH = 1 (YES).

IF Q55 = 2 OR DK/R OR Q62 = 1, 2, 3, 4 OR DK/R OR Q58 = 1, 2 OR DK/R OR Q60 >12 MONTHS THEN FORMER USER 12 MONTH = 2 (NO).

Snus

IF Q64 = 1 AND Q71 = 5 AND Q67 = 3 AND Q69 <=12 MONTHS THEN FORMER USER 12 MONTH= 1 (YES).

IF Q64 = 2 OR DK/R OR Q71 = 1, 2, 3, 4 OR DK/R OR Q67 = 1, 2 OR DK/R OR Q69 >12 MONTHS THEN FORMER USER 12 MONTH= 2 (NO).

Former user 12 month plus

Cigarettes

IF Q1 = 1 AND Q6 = 6 AND Q4 = 3 AND Q5 >12 MONTHS THEN FORMER USER 12 MONTH PLUS= 1 (YES).

IF Q1 = 2 OR DK/R OR Q6 = 1, 2, 3, 4, 5, OR DK/R OR Q4 = 1, 2, OR DK/R OR Q5 <=12 MONTHS THEN FORMER USER 12 MONTH PLUS= 2 (NO).

Electronic Nicotine Products

IF Q8 = 1 AND Q14 = 5 AND Q11 = 3 AND Q12 >12 MONTHS THEN FORMER USER 12 MONTH PLUS= 1 (YES).

IF Q8 = 2, DK/R OR Q14 = 1, 2, 3, 4, 5, OR DK/R OR Q11 = 1, 2, OR DK/R OR Q12 <=12 MONTHS THEN FORMER USER 12 MONTH PLUS= 2 (NO).

Cigars

IF Q17 or Q18 or Q29 = 1 AND Q35 = 6 AND Q33 = 3 AND Q36 >12 MONTHS THEN FORMER USER 12 MONTH PLUS= 1 (YES).

IF Q17 & Q18 & Q29 = 2 OR DK/R OR Q35 = 1, 2, 3, 4, 5, OR DK/R OR Q33 = 1, 2, OR DK/R OR Q36 <=12 MONTHS THEN FORMER USER 12 MONTH PLUS= 2 (NO).

Pipe Tobacco

IF Q39 = 1 AND Q44 = 6 AND Q42 = 3 AND Q43 >12 MONTHS THEN FORMER USER 12 MONTH PLUS= 1 (YES).

IF Q39 = 2 OR DK/R OR Q44 = 1, 2, 3, 4, 5 OR DK/R OR Q42 = 1, 2 OR DK/R OR Q43 <=12 MONTHS THEN FORMER USER 12 MONTH PLUS= 2 (NO).

Hookah and Shisha

IF Q46 = 1 AND Q53 = 5 AND Q49 = 3 AND Q51 >12 MONTHS THEN FORMER USER 12 MONTH PLUS= 1 (YES).

IF Q46 = 2 OR DK/R OR Q53 = 1, 2, 3, 4, OR DK/R OR Q49 = 1, 2, OR DK/R OR Q51 <=12 MONTHS THEN FORMER USER 12 MONTH PLUS= 2 (NO).

Smokeless Tobacco

IF Q55 = 1 AND Q62 = 5 AND Q58 = 3 AND Q60 >12 MONTHS THEN FORMER USER 12 MONTH PLUS= 1 (YES).

IF Q55 = 2 OR DK/R OR Q62 = 1, 2, 3, 4 OR DK/R OR Q58 = 1, 2 OR DK/R OR Q60 <=12 MONTHS THEN FORMER USER 12 MONTH PLUS= 2 (NO).

Snus

IF Q64 = 1 AND Q71 = 5 AND Q67 = 3 AND Q69 >12 MONTHS THEN FORMER USER 12 MONTH PLUS= 1 (YES).

IF Q64 = 2 OR DK/R OR Q71 = 1, 2, 3, 4 OR DK/R OR Q67 = 1, 2 OR DK/R OR Q69 <=12 MONTHS THEN FORMER USER 12 MONTH PLUS= 2 (NO).

[CIGARFILL] = traditional cigars, cigarillos, and/or filtered cigars. 

Availability

Available

Protocol

Cigarettes

1. Have you ever smoked a cigarette, even one or two puffs?

1[ ]Yes

2[ ]No [GO TO Q7]

-8[ ]DON’T KNOW [GO TO Q7]

-7[ ]REFUSED [GO TO Q7]

ASK: All respondents

2. In the past 30 days, have you smoked a cigarette, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]REFUSED

-7[ ]DON’T KNOW

ASK: Respondents who have ever smoked a cigarette (Q1 = 1)

3. In the past 12 months, have you smoked a cigarette, even one or two puffs?

1[ ]Yes

2[ ]No [GO TO Q6]

-8[ ]REFUSED [GO TO Q6]

-7[ ]DON’T KNOW [GO TO Q6]

ASK: Respondents who have ever smoked a cigarette (Q1 = 1) but not in the last 30 days (Q2 = 2).

4. Do you now smoke cigarettes…?

1[ ]Every day

2[ ]Some days

3[ ]Not at all

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have smoked a cigarette in the past 30 days (Q2 = 1) or 12 months (Q3 = 1).

5. About how long has it been since you last smoked a cigarette? [(If it was earlier today, enter 1 day.) Enter a whole number and select one of the options below.]

1[ ]I___I___I DAYS

2[ ]I___I___I MONTHS

3[ ]I___I___I YEARS

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who smoked a cigarette in the past 30 days (Q2 = 1) or 12 months (Q3 = 1) but now smoke not at all (Q4 = 3).

6. How many cigarettes have you smoked in your entire life? A pack usually has 20 cigarettes in it.

1[ ]1 or more puffs but never a whole cigarette

2[ ]1 to 10 cigarettes (about ½ pack total)

3[ ]11 to 20 cigarettes (about ½ pack to 1 pack)

4[ ]21 to 50 cigarettes (more than 1 pack but less than 3 packs)

5[ ]51 to 99 (more than 2 ½ packs but less than 5 packs)

6[ ]100 or more cigarettes (5 packs or more)

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have ever smoked a cigarette (Q1 =1).

Electronic Nicotine Products

Electronic nicotine products include e-cigarettes, pod devices, vape pens, tank systems, mods, e-cigars, e-pipes, e-hookahs, and hookah pens. Using these devices is often referred to as “vaping.” They are battery-powered and product vapor or aerosol instead of smoke. They typically use a nicotine liquid called “e-liquid”, although the amount of nicotine can vary and some may not contain any nicotine at all.

Some common brands include JUUL, Vuse, Blu, NJOY, eGo, Suorin, Bo, Smok, Phix, and Puff, but there are many others.

Please do not include marijuana or cannabis when answering the following questions about electronic nicotine products.

[SHOW GENERIC IMAGE OF E-PRODUCTS]

7. Have you ever seen or heard of electronic nicotine products before this study?

1[ ]Yes

2[ ]No [GO TO Q15]

-8[ ]DON’T KNOW [GO TO Q15]

-7[ ]REFUSED [GO TO Q15]

ASK: All respondents

[SHOW GENERIC IMAGE OF E-PRODUCTS]

8. Have you ever used an electronic nicotine product, even one or two times?

1[ ]Yes

2[ ]No [GO TO Q15]

-8[ ]DON’T KNOW [GO TO Q15]

-7[ ]REFUSED [GO TO Q15]

ASK: Respondents who have seen or heard of electronic nicotine products (Q7 = 1).

[SHOW GENERIC IMAGE OF E-PRODUCTS]

9. In the past 30 days, have you used an electronic nicotine product, even one or two times?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have used an electronic nicotine product (Q8 = 1).

[SHOW GENERIC IMAGE OF E-PRODUCTS]

10. In the past 12 months, have you used an electronic nicotine product, even one or two times?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have ever used an electronic nicotine product (Q8 = 1) but not in the past 30 days (Q9 = 2).

[SHOW GENERIC IMAGE OF E-PRODUCTS]

11. Do you now use electronic nicotine products…

1[ ]Every day

2[ ]Some days

3[ ]Not at all 

-8[ ]DON’T KNOW 

-7[ ]REFUSED 

ASK: Respondents who have used an electronic nicotine product in the past 30 days (Q9 = 1) or 12 months (Q10 = 1).

12. About how long has it been since you last took a puff from an electronic nicotine product? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below.

1[ ]I___I___I DAYS

2[ ]I___I___I MONTHS

3[ ]I___I___I YEARS

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who used an electronic nicotine product in the past 30 days (Q9 = 1) or 12 months (Q10 = 1) but now use electronic nicotine products not at all (Q11 = 3).

13. Have you completely quit using electronic nicotine products?

1[ ]Yes

2[ ]No

3[ ]I have never used an electronic nicotine product in my entire life, not even one or two times

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have used electronic nicotine products (Q8 = 1) AND currently use not at all (Q11 = 3).

14. How many times have you used an electronic nicotine product in your entire life?

1[ ]1 time, even just a few puffs

2[ ]2 to 10 times

3[ ]11 to 20 times

4[ ]21 to 50 times

5[ ]51 to 99 times

6[ ]100 or more times

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have used an electronic nicotine product (Q8 = 1).

Cigars

Traditional cigars, cigarillos, and filtered cigars go by lots of different names, so please use these descriptions and photos to understand what they are.

Traditional cigars contain tightly rolled tobacco that is wrapped in a tobacco leaf. Some common brands of cigars include Macanudo®, Romeo y Julieta®, Arturo Fuente®, and Cohiba, but there are many others.

[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]

Cigarillos and filtered cigars are smaller than traditional cigars. They are usually brown. Some are the same size as cigarettes, and some come with filters or with plastic or wooden tips. Some common brands are Black & Mild®, Swisher Sweets®, Dutch Masters®, Phillies Blunts®, Zig Zag, and Cheyenne.

[SHOW GENERIC IMAGE OF CIGARILLOS AND FILTERED CIGARS]

15. Have you ever seen or heard of a cigar, cigarillo, or filtered cigar before this study?

1[ ]Yes

2[ ]No [GO TO Q37]

-8[ ]DON’T KNOW [GO TO Q37]

-7[ ]REFUSED [GO TO Q37]

ASK: All respondents

[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS, CIGARILLOS, AND FILTERED CIGARS]

16. Which type of cigar have you heard of before this study?

1[ ]Traditional cigars like Macanudo®, Romeo y Julieta®, Arturo Fuente®, Cohiba, or others [GO TO Q17]

2[ ]Cigarillos or filtered cigars like Black & Mild®, Swisher Sweets®, Dutch Masters®, Phillies Blunts®, Zig Zag, Cheyenne, or others [GO TO Q18]

-8[ ]DON’T KNOW [GO TO Q37]

-7[ ]REFUSED [GO TO Q37]

ASK: Respondents who have seen or heard of a cigar, cigarillo, or filtered cigar (Q15 = 1)

17. Have you ever smoked a traditional cigar, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have heard of a traditional cigar (Q16 = 1).

[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]

18. Have you ever smoked a cigarillo or filtered cigar, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who have heard of a cigarillo/FC (Q16 = 2).

[SHOW GENERIC IMAGE OF CIGARILLOS AND FILTERED CIGARS]

19. Which of the following kinds of cigarillos or filtered cigars have you ever smoked? Choose all that apply. The kind…

1[ ]With a plastic or wooden tip

2[ ]With a filter (like a cigarette filter)

3[ ]Without a tip or filter

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have smoked a cigarillo/FC (Q18 = 1).

[SHOW GENERIC IMAGE OF CIGARILLOS WITH TIPS, FILTERED CIGARS, AND CIGARILLOS WITHOUT TIPS]

20. In the past 30 days, have you smoked a traditional cigar, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who have ever smoked a traditional cigar (Q17 = 1).

[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]

21. In the past 12 months, have you smoked a traditional cigar, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who have ever smoked a traditional cigar (Q17 = 1) but not in the past 30 days (Q20 = 2).

[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]

22. In the past 30 days, have you smoked a cigarillo or filtered cigar, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who have ever smoked a cigarillo or filtered cigar (Q18 = 1).

[SHOW GENERIC IMAGE OF CIGARILLOS AND FILTERED CIGARS]

23. Which of the following kinds of cigarillos or filtered cigars have you smoked in the past 30 days? Choose all that apply.

1[ ]With a plastic or wooden tip

2[ ]With a filter (like a cigarette filter)

3[ ]Without a tip or filter

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have smoked a cigarillo/FC in the past 30 days (Q22 = 1).

[SHOW GENERIC IMAGE OF CIGARILLOS WITH TIPS, FILTERED CIGARS, AND CIGARILLOS WITHOUT TIPS]

24. In the past 12 months, have you smoked the kind with a plastic or wooden tip, even one or two times?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who have ever smoked a cigarillo/FC (Q18 = 1).

[SHOW GENERIC IMAGE OF CIGARILLOS WITH TIPS]

25. In the past 12 months, have you smoked the kind with a filter (like a cigarette filter), even one or two times?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who have ever smoked a cigarillo/FC (Q18 = 1).

[SHOW GENERIC IMAGE OF FILTERED CIGARS]

26. In the past 12 months, have you smoked the kind without a tip or filter, even one or two times?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who have ever smoked a cigarillo/FC (Q18 = 1).

[SHOW GENERIC IMAGE OF CIGARILLOS WITHOUT TIPS]

27. In the past 12 months, have you smoked a cigarillo or filtered cigar, even one or two times?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who have ever smoked a cigarillo/FC (Q18 = 1) but not in the past 30 days (Q22 = 2).

[SHOW GENERIC IMAGE OF CIGARILLOS AND FILTERED CIGARS]

28. Which of the following kinds of cigarillos or filtered cigars have you smoked in the past 12 months? Choose all that apply.

1[ ]With a plastic or wooden tip

2[ ]With a filter (like a cigarette filter)

3[ ]Without a tip or filter

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have ever smoked a cigarillo/FC (Q18 = 1) but not in the past 30 days (Q22 = 2).

[SHOW GENERIC IMAGE OF CIGARILLOS WITH TIPS, FILTERED CIGARS, AND CIGARILLOS WITHOUT TIPS]

29. Sometimes people take tobacco out of a cigar, cigarillo or filtered cigar and replace it with marijuana. This is sometimes called a "blunt." Have you ever smoked part or all of a traditional cigar, cigarillo or filtered cigar with marijuana in it?

1[ ]Yes

2[ ]No [GO TO Q34]

-8[ ]DON’T KNOW [GO TO Q34]

-7[ ]REFUSED [GO TO Q34]

ASK: Respondents who have seen or heard of a cigar, cigarillo or filtered cigar (Q15 = 1).

30. In the past 12 months, have you smoked part or all of a traditional cigar, cigarillo or filtered cigar with marijuana in it?

1[ ]Yes

2[ ]No [GO TO Q34]

-8[ ]DON’T KNOW [GO TO Q34]

-7[ ]REFUSED [GO TO Q34]

ASK: Respondents who have smoked cigars with marijuana (Q29 = 1).

31. Which of the following looks like the type of cigar you usually smoke as a blunt? Choose all that apply.

[SHOW GENERIC IMAGE OF 3 CIGAR GROUPS]

1[ ]Group 1

2[ ]Group 2

3[ ]Group 3 

-8[ ]DON’T KNOW

-7[ ]REFUSED

32. Now think about the past 12 months when you smoked the type of cigar shown. In the past 12 months, how often was any of the tobacco replaced with marijuana?

[SHOW GENERIC IMAGE OF CIGARTYPE]

1[ ]Every time

2[ ]Most of the time

3[ ]Sometimes

4[ ]Rarely

5[ ]Never

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have smoked cigars with marijuana in the past 12 months (30 = 1).

33. Do you now smoke [[CIGARFILL]s/ as blunts]…?

1[ ]Every day

2[ ]Some days

3[ ]Not at all

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who are not past 12-month blunt-only cigar smokers and have smoked a cigar in the past 30 days (Q20 = 1 and/or Q22 = 1) or 12 months (Q21 = 1 and/or Q27 = 1).

34. In the past 30 days, have you smoked a [CIGARFILL] as a blunt, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have smoked a [CIGARFILL] as a blunt in the past 12 months (Q30 = 1).

35. How many [CIGARFILL]s have you smoked in your entire life?

1[ ]1 or more puffs but never a whole one

2[ ]1 to 10

3[ ]11 to 20

4[ ]21 to 50

5[ ]51 to 99

6[ ]100 or more

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have ever smoked a traditional cigar (Q17 = 1) and/or a filtered cigar/cigarillo (Q18 = 1).

36. About how long has it been since you last smoked [CIGARFILL]s? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below.

1[ ]I___I___I DAYS

2[ ]I___I___I MONTHS

3[ ]I___I___I YEARS

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who smoked cigars in the past 30 days (Q20 = 1 and/or Q22 = 1) or 12 months (Q21 = 1 and/or Q27 = 1) but now smoke cigars not at all (Q33 = 3).

37. Have you completely quit smoking [CIGARFILL]s?

1[ ]Yes

2[ ]No

3[ ]I have never smoked a [CIGARFILL] in my entire life, not even one or two puffs

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have smoke cigars (Q17 = 1 and/or Q18 = 1) AND currently use not at all (Q33 = 3).

Pipe Tobacco 

There are many different types of pipes. They all have a bowl that holds the tobacco and a stem.

[SHOW GENERIC IMAGE OF PIPE]

38. Have you ever seen or heard of a pipe before this study?

1[ ]Yes

2[ ]No [GO TO Q45]

-8[ ]DON’T KNOW [GO TO Q45]

-7[ ]REFUSED [GO TO Q45]

ASK: All respondents

[SHOW GENERIC IMAGE OF PIPE]

39. Have you ever smoked a pipe filled with tobacco, even one or two puffs?

1[ ]Yes

2[ ]No [GO TO Q45]

-8[ ]DON’T KNOW [GO TO Q45]

-7[ ]REFUSED [GO TO Q45]

ASK: Respondents who have seen or heard of a pipe (Q38 = 1).

[SHOW GENERIC IMAGE OF PIPE]

40. In the past 30 days, have you smoked a pipe filled with tobacco, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]REFUSED

-7[ ]DON’T KNOW

ASK: Respondents who have ever smoked pipe tobacco (Q39 = 1).

[SHOW GENERIC IMAGE OF PIPE]

41. In the past 12 months, have you smoked a pipe filled with tobacco, even one or two puffs?

1[ ]Yes

2[ ]No [GO TO Q43]

-8[ ]REFUSED [GO TO Q43]

-7[ ]DON’T KNOW [GO TO Q43]

ASK: Respondents who have ever smoked pipe tobacco (Q38 = 1) but not in the last 30 days (Q40 = 2).

[SHOW GENERIC IMAGE OF PIPE]

42. Do you now smoke a pipe filled with tobacco…?

1[ ]Every day

2[ ]Some days

3[ ]Not at all

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have smoked a pipe in the past 30 days (Q40 = 1) or 12 months (Q41 = 1).

43. About how long has it been since you last smoked a pipe filled with tobacco? [(If it was earlier today, enter 1 day.) Enter a whole number and select one of the options below.]

1[ ]I___I___I DAYS

2[ ]I___I___I MONTHS

3[ ]I___I___I YEARS

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who smoked pipe tobacco in the past 30 days (Q40 = 1) or 12 months (Q41 = 1) but now smoke not at all (Q42 = 3).

44. How many bowls filled with pipe tobacco have you smoked in your entire life?

1[ ]1 or more puffs but never a whole one

2[ ]1 to 10 

3[ ]11 to 20 

4[ ]21 to 50 

5[ ]51 to 99 

6[ ]100 or more

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have ever smoked a pipe filled with tobacco (Q39 =1).

Hookah and Shisha

A hookah is a type of water pipe. It is sometimes also called a "narghile" pipe. There are many types of hookahs. People often smoke tobacco in hookahs in groups at cafes or in hookah bars. 

[SHOW GENERIC IMAGE OF HOOKAH]

45. Have you ever seen or heard of a hookah before this study?

1[ ]Yes

2[ ]No [GO TO Q54]

-8[ ]DON’T KNOW [GO TO Q54]

-7[ ]REFUSED [GO TO Q54]

ASK: All respondents

[DISPLAY GENERIC IMAGE OF HOOKAH]

46. Have you ever smoked tobacco in a hookah, even one or two puffs?

1[ ]Yes

2[ ]No [GO TO Q54]

-8[ ]DON’T KNOW [GO TO Q54]

-7[ ]REFUSED [GO TO Q54]

ASK: Respondents who have seen or heard of a hookah (Q45 = 1)

[DISPLAY GENERIC IMAGE OF HOOKAH]

47. In the past 30 days, have you smoked tobacco in a hookah, even one or two puffs?

1[ ]Yes

2[ ]No

-8[ ]REFUSED

-7[ ]DON’T KNOW

ASK: Respondents who have ever smoked tobacco in a hookah (Q46 = 1).

[DISPLAY GENERIC IMAGE OF HOOKAH]

48. In the past 12 months, have you smoked tobacco in a hookah, even one or two puffs?

1[ ]Yes

2[ ]No [GO TO Q50]

-8[ ]REFUSED [GO TO Q50]

-7[ ]DON’T KNOW [GO TO Q50]

ASK: Respondents who have ever smoked pipe tobacco (Q46 = 1) but not in the last 30 days (Q47 = 2).

[DISPLAY GENERIC IMAGE OF HOOKAH]

49. Do you now smoke tobacco in a hookah…?

1[ ]Every day

2[ ]Some days

3[ ]Not at all [GO TO Q51]

-8[ ]DON’T KNOW [GO TO Q51]

-7[ ]REFUSED [GO TO Q51]

ASK: Respondents who have ever smoked hookah (Q46 = 1).

50. When did you last smoke hookah?

1[ ]In the past hour 

2[ ]Sometime today, but more than an hour ago

3[ ]Yesterday 

4[ ]Day before yesterday 

5[ ]Three or more days ago 

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who smoke hookah everyday or some days (Q49 = 1 or 2).

51. About how long has it been since you last smoked hookah? (If it was earlier today, enter 1 day)

1[ ]I___I___I DAYS 

2[ ]I___I___I MONTHS 

3[ ]I___I___I YEARS 

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who smoked tobacco in a hookah in the past 30 days (Q47 = 1) or 12 months (Q48 = 1) but now smoke not at all (Q49 = 3).

52. Have you completely quit smoking tobacco in a hookah?

1[ ]Yes

2[ ]No

3[ ]I have never smoked hookah in my entire, not even one or two puffs

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have smoked tobacco in a hookah (Q46 = 1) AND currently use not at all (Q49 = 3).

53. How many times have you smoked tobacco in a hookah in your entire life? Count each sitting or session where you smoked tobacco in a hookah, whether alone or with others.

1[ ]1 to 10

2[ ]11 to 20

3[ ]21 to 50

4[ ]51 to 99

5[ ]100 or more

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have ever smoked tobacco in a hookah (Q46 = 1).

Smokeless Tobacco 

Smokeless tobacco is a type of tobacco which you put in your mouth and chew, suck or spit. It may be loose or packaged in small pouches that you can place directly in your mouth. There are many kinds of smokeless tobacco, such as dip, spit, moist snuff, pouches, and chewing tobacco. Common brands include Redman®, Levi Garrett®, Skoal®, Grizzly®,and Copenhagen®.

[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS]

54. Have you ever seen or heard of smokeless tobacco, such as dip, spit, moist snuff, pouches, or chewing tobacco, before this study?

1[ ]Yes

2[ ]No [GO TO Q64]

-8[ ]DON’T KNOW [GO TO Q64]

-7[ ]REFUSED [GO TO Q64]

ASK: All respondents

[SHOW GENERIC IMAGES OF SMOKELESS TOBACCO]

55. Have you ever used smokeless tobacco, such as dip, spit, moist snuff, pouches, or chewing tobacco, even one or two times?

1[ ]Yes

2[ ]No [GO TO Q63]

-8[ ]DON’T KNOW [GO TO Q63]

-7[ ]REFUSED [GO TO Q63]

ASK: Respondents who have seen or heard of smokeless tobacco (Q54 = 1).

[SHOW GENERIC IMAGES OF SMOKELESS TOBACCO PRODUCTS, EXCLUDING SNUS]

56. In the past 30 days, have you used smokeless tobacco, such as dip, spit, moist snuff, pouches, or chewing tobacco, even one or two times?

1[ ]Yes

2[ ]No

-8[ ]REFUSED

-7[ ]DON’T KNOW

ASK: Respondents who have ever used smokeless tobacco (Q55 = 1).

[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS]


57. In the past 12 months, have you used smokeless tobacco, such as dip, spit, moist snuff, pouches, or chewing tobacco, even one or two times?

1[ ]Yes

2[ ]No [GO TO Q60]

-8[ ]REFUSED [GO TO Q60]

-7[ ]DON’T KNOW [GO TO Q60]

ASK: Respondents who have ever used smokeless tobacco (Q55 = 1) but not in the last 30 days (Q56 = 2).

[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS]

58. Do you now use smokeless tobacco…?

1[ ]Every day

2[ ]Some days

3[ ]Not at all [GO TO Q60]

-8[ ]DON’T KNOW [GO TO Q60]

-7[ ]REFUSED [GO TO Q60]

ASK: Respondents who have ever used smokeless tobacco (Q55 = 1).

59. When did you last use smokeless tobacco?

1[ ]In the past hour 

2[ ]Sometime today, but more than an hour ago

3[ ]Yesterday 

4[ ]Day before yesterday 

5[ ]Three or more days ago 

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who use smokeless tobacco everyday or some days (Q58 = 1 or 2).

60. About how long has it been since you last used smokeless tobacco? (If it was earlier today, enter 1 day)

1[ ]I___I___I DAYS 

2[ ]I___I___I MONTHS 

3[ ]I___I___I YEARS 

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who used smokeless tobacco in the past 30 days (Q56 = 1) or 12 months (Q57 = 1) but now use it not at all (Q58 = 3).

61. Have you completely quit using smokeless tobacco?

1[ ]Yes

2[ ]No

3[ ]I have never used smokeless tobacco in my entire life, not even one or two times

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have used smokeless tobacco (Q55 = 1) AND currently use not at all (Q58 = 3).

62. How many times have you used smokeless tobacco in your entire life? 

1[ ]1 to 10

2[ ]11 to 20

3[ ]21 to 50

4[ ]51 to 99

5[ ]100 or more

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have ever used smokeless tobacco (Q55 = 1).

Snus

Snus is a type of smokeless tobacco. Snus usually comes in small pouches, although some snus may be sold as loose snus. Typically, with most kinds of smokeless tobacco, you spit, but you do not need to spit when using snus. Common brands of snus include Camel Snus, Marlboro Snus, and General Snus.

[SHOW GENERIC IMAGE OF SNUS – BOTH LOOSE AND POUCHES]

63. Have you ever seen or heard of snus before this study?

1[ ]Yes

2[ ]No [END]

-8[ ]DON’T KNOW [END]

-7[ ]REFUSED [END]

ASK: All respondents

[HOW GENERIC IMAGE OF SNUS – BOTH LOOSE AND POUCHES]

64. Have you ever used snus, even one or two times?

1[ ]Yes

2[ ]No [END]

-8[ ]DON’T KNOW [END]

-7[ ]REFUSED [END]

ASK: Respondents who have seen or heard of snus (Q63 = 1).

[SHOW GENERIC IMAGE OF SNUS – BOTH LOOSE AND POUCHES]

65. In the past 30 days, have you used snus, even one or two times?

1[ ]Yes

2[ ]No

-8[ ]REFUSED

-7[ ]DON’T KNOW

ASK: Respondents who have ever used snus (Q64 = 1).

[HOW GENERIC IMAGE OF SNUS – BOTH LOOSE AND POUCHES]

66. In the past 12 months, have you used snus, even one or two times?

1[ ]Yes

2[ ]No [GO TO Q69]

-8[ ]REFUSED [GO TO Q69]

-7[ ]DON’T KNOW [GO TO Q69]

ASK: Respondents who have ever used snus (Q64 = 1) but not in the last 30 days (Q65 = 2).

[HOW GENERIC IMAGE OF SNUS – BOTH LOOSE AND POUCHES]

67. Do you now use snus…?

1[ ]Every day

2[ ]Some days

3[ ]Not at all [GO TO Q69]

-8[ ]DON’T KNOW [GO TO Q69]

-7[ ]REFUSED [GO TO Q69]

ASK: Respondents who have ever used snus (Q64 = 1).

68. When did you last use snus?

1[ ]In the past hour 

2[ ]Sometime today, but more than an hour ago

3[ ]Yesterday 

4[ ]Day before yesterday 

5[ ]Three or more days ago 

-8[ ]DON’T KNOW

-7[ ]REFUSED 

ASK: Respondents who use snus everyday or some days (Q67 = 1 or 2).

69. About how long has it been since you last used snus? (If it was earlier today, enter 1 day)

1[ ]I___I___I DAYS 

2[ ]I___I___I MONTHS 

3[ ]I___I___I YEARS 

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who used snus in the past 30 days (Q65 = 1) or 12 months (Q66 = 1) but now use it not at all (Q67 = 3).

70. Have you completely quit using snus?

1[ ]Yes

2[ ]No

3[ ]I have never used snus in my entire life, not even one or two times

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have used snus (Q64 = 1) AND currently use not at all (Q67 = 3).

71. How many times have you used snus in your entire life? 

1[ ]1 to 10

2[ ]11 to 20

3[ ]21 to 50

4[ ]51 to 99

5[ ]100 or more

-8[ ]DON’T KNOW

-7[ ]REFUSED

ASK: Respondents who have ever used snus (Q64 = 1).

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

Self-administered or interviewer-administered questionnaire

Lifestage

Adult

Participants

Adult (18+ years of age)

Selection Rationale

The Population Assessment of Tobacco and Health (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 or older are asked questions on tobacco use, attitudes, and health, and biospecimens (buccal cell, urine, and blood) are collected from adults. The PATH Study was implemented to provide an evidence base for assessing and monitoring the Food and Drug Administration’s 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

Not applicable.

Protocol Name from Source

Population Assessment of Tobacco and Health (PATH) Study, Wave 7 Adult Survey Instrument

Source

National Institutes of Health, U.S. Food and Drug Administration. (2023). Population Assessment of Tobacco and Health (PATH) Study: Final Adult Interview, Wave 7 (January 2022 – December 2022), English Data Collection Instrument. Bethesda, MD: National Institutes of Health. 

PATH ID: R07_AC1002, R07_AC1004, R07_AC1002_12M, R07_AC1003, R07_AC1009, R07_AC1005, R07_AV1001_RS, R07_AV1002, R07_AV1004, R07_AV1002_12M, R07_AV1003, R07_AV1009, R07_AV1010, R07_AV1005, R07_AG1001_RS, R07_AG9002_RS, R07_AG9003, R07_AG9004, R07_AG9009, R07_AG9030, R07_AG9003_12M, R07_AG9031, R07_AG9049, R07_AG9051, R07_AG9052, R07_AG9053, R07_AG9004_12M, R07_AG9009_12M, R07_AG9105_RS, R07_AG9107, R07_AG9106, R07_AG1003, R07_AJ9030, R07_AG1005, R07_AG9029, R07_AG1010, R07_AP1001_RS, R07_AP1002, R07_AP1004, R07_AP1002_12M, R07_AP1003, R07_AP1009, R07_AP1005, R07_AH1001_RS, R07_AH1002, R07_AH1004, R07_AH1002_12M, R07_AH1003, R07_AH0100, R07_AH9029, R07_AH1010, R07_AH1005, R07_AS1001_RS, R07_AS1002, R07_AS1004, R07_AS1002_12M, R07_AS1003, R07_AS0100, R07_AS1009, R07_AS1010, R07_AS1005, R07_AU1001_RS, R07_AU1002, R07_AU1004, R07_AU1002_12M, R07_AU1003, R07_AU0100, R07_AU9029, R07_AU1010, R07_AU1005

[https://www.icpsr.umich.edu/files/NAHDAP/pathstudy/Final%20PATH%20Wave%207%20English%20Adult%20Questionnaire.pdf]

General References

National Institutes of Health, U.S. Food and Drug Administration. (2023). Population Assessment of Tobacco and Health (PATH) Study: Final Adult Interview, Wave 7 (January 2022 – December 2022), English Data Collection Instrument. Bethesda, MD: National Institutes of Health.

 [https://www.icpsr.umich.edu/files/NAHDAP/pathstudy/Final%20PATH%20Wave%207%20English%20Adult%20Questionnaire.pdf]

Protocol ID

741402

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX741402_Use_Of_Tobacco_Products_12_Month_Cigar
PX741402210000 In the past 12 months, have you smoked a more
traditional cigar, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Cigar_With_Marijuana
PX741402300000 In the past 12 months, have you smoked part more
or all of a traditional cigar, cigarillo or filtered cigar with marijuana in it? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_E_Nicotine
PX741402100000 In the past 12 months, have you used an more
electronic nicotine product, even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Filtered_Cigar
PX741402270000 In the past 12 months, have you smoked a more
cigarillo or filtered cigar, even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Filtered_Cigar_Filter
PX741402250000 In the past 12 months, have you smoked the more
kind with a filter (like a cigarette filter), even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Filtered_Cigar_Kinds
PX741402280000 Which of the following kinds of cigarillos more
or filtered cigars have you smoked in the past 12 months? Choose all that apply. show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Filtered_Cigar_No_Filter
PX741402260000 In the past 12 months, have you smoked the more
kind without a tip or filter, even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Filtered_Cigar_Part
PX741402290000 Sometimes people take tobacco out of a more
cigar, cigarillo or filtered cigar and replace it with marijuana. This is sometimes called a "blunt." Have you ever smoked part or all of a traditional cigar, cigarillo or filtered cigar with marijuana in it? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Filtered_Cigar_Plastic_Wood
PX741402240000 In the past 12 months, have you smoked the more
kind with a plastic or wooden tip, even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Hookah
PX741402480000 In the past 12 months, have you smoked more
tobacco in a hookah, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Smokeless_Tobacco
PX741402570000 In the past 12 months, have you used more
smokeless tobacco, such as dip, spit, moist snuff, pouches, or chewing tobacco, even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Smoke_Pipe
PX741402410000 In the past 12 months, have you smoked a more
pipe filled with tobacco, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_12_Month_Snus
PX741402660000 In the past 12 months, have you used snus, more
even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Days_Cigar
PX741402340000 In the past 30 days, have you smoked a more
[CIGARFILL] as a blunt, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Day_Cigar
PX741402200000 In the past 30 days, have you smoked a more
traditional cigar, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Day_Cigarettes
PX741402020000 In the past 30 days, have you smoked a more
cigarette, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Day_E_Nicotine
PX741402090000 In the past 30 days, have you used an more
electronic nicotine product, even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Day_Filtered_Cigar
PX741402220000 In the past 30 days, have you smoked a more
cigarillo or filtered cigar, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Day_Hookah
PX741402470000 In the past 30 days, have you smoked tobacco more
in a hookah, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Day_Smokeless_Tobacco
PX741402560000 In the past 30 days, have you used smokeless more
tobacco, such as dip, spit, moist snuff, pouches, or chewing tobacco, even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Day_Smoke_Pipe
PX741402400000 In the past 30 days, have you smoked a pipe more
filled with tobacco, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Day_Snus
PX741402650000 In the past 30 days, have you used snus, more
even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_30_Day_Type_Filtered_Cigar
PX741402230000 Which of the following kinds of cigarillos more
or filtered cigars have you smoked in the past 30 days? Choose all that apply. show less
N/A
PX741402_Use_Of_Tobacco_Products_Ever_Cigar
PX741402170000 Have you ever smoked a traditional cigar, more
even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_Ever_Cigarettes
PX741402010000 Have you ever smoked a cigarette, even one more
or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_Ever_Filtered_Cigar
PX741402180000 Have you ever smoked a cigarillo or filtered more
cigar, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_Ever_Hookah
PX741402460000 Have you ever smoked tobacco in a hookah, more
even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_Ever_Smokeless_Tobacco
PX741402550000 Have you ever used smokeless tobacco, such more
as dip, spit, moist snuff, pouches, or chewing tobacco, even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_Ever_Snus
PX741402640000 Have you ever used snus, even one or two times? N/A
PX741402_Use_Of_Tobacco_Products_Ever_Used_E_Nicotine
PX741402080000 Have you ever used an electronic nicotine more
product, even one or two times? show less
N/A
PX741402_Use_Of_Tobacco_Products_Former_12_Months_Cigarettes
PX741402030000 In the past 12 months, have you smoked a more
cigarette, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_Heard_Type_Cigar
PX741402160000 Which type of cigar have you heard of before more
this study? show less
N/A
PX741402_Use_Of_Tobacco_Products_Last_Hookah
PX741402500000 When did you last smoke hookah? N/A
PX741402_Use_Of_Tobacco_Products_Last_Smokeless_Tobacco
PX741402590000 When did you last use smokeless tobacco? N/A
PX741402_Use_Of_Tobacco_Products_Last_Snus
PX741402680000 When did you last use snus? N/A
PX741402_Use_Of_Tobacco_Products_Lifetime_Cigar
PX741402350000 How many [CIGARFILL]s have you smoked in more
your entire life? show less
N/A
PX741402_Use_Of_Tobacco_Products_Lifetime_Cigarettes
PX741402060000 How many cigarettes have you smoked in your more
entire life? A pack usually has 20 cigarettes in it. show less
N/A
PX741402_Use_Of_Tobacco_Products_Lifetime_E_Nicotine
PX741402140000 How many times have you used an electronic more
nicotine product in your entire life? show less
N/A
PX741402_Use_Of_Tobacco_Products_Lifetime_Hookah
PX741402530000 How many times have you smoked tobacco in a more
hookah in your entire life? Count each sitting or session where you smoked tobacco in a hookah, whether alone or with others. show less
N/A
PX741402_Use_Of_Tobacco_Products_Lifetime_Smokeless_Tobacco
PX741402620000 How many times have you used smokeless more
tobacco in your entire life? show less
N/A
PX741402_Use_Of_Tobacco_Products_Lifetime_Snus
PX741402710000 How many times have you used snus in your more
entire life? show less
N/A
PX741402_Use_Of_Tobacco_Products_Now_Cigar
PX741402320000 Now think about the past 12 months when you more
smoked the type of cigar shown. In the past 12 months, how often was any of the tobacco replaced with marijuana? show less
N/A
PX741402_Use_Of_Tobacco_Products_Now_Cigarettes
PX741402040000 Do you now smoke cigarettes...? N/A
PX741402_Use_Of_Tobacco_Products_Now_Cigar_Blunts
PX741402330000 Do you now smoke [[CIGARFILL]s/ as blunts]...? N/A
PX741402_Use_Of_Tobacco_Products_Now_E_Nicotine
PX741402110000 Do you now use electronic nicotine products... N/A
PX741402_Use_Of_Tobacco_Products_Now_Hookah
PX741402490000 Do you now smoke tobacco in a hookah...? N/A
PX741402_Use_Of_Tobacco_Products_Now_Smokeless_Tobacco
PX741402580000 Do you now use smokeless tobacco...? N/A
PX741402_Use_Of_Tobacco_Products_Now_Smoke_Pipe
PX741402420000 Do you now smoke a pipe filled with tobacco...? N/A
PX741402_Use_Of_Tobacco_Products_Now_Snus
PX741402670000 Do you now use snus...? N/A
PX741402_Use_Of_Tobacco_Products_Number_Bowls_Smoke_Pipe
PX741402440000 How many bowls filled with pipe tobacco have more
you smoked in your entire life? show less
N/A
PX741402_Use_Of_Tobacco_Products_Quit_Cigar
PX741402370000 Have you completely quit smoking [CIGARFILL]s? N/A
PX741402_Use_Of_Tobacco_Products_Quit_E_Nicotine
PX741402130000 Have you completely quit using electronic more
nicotine products? show less
N/A
PX741402_Use_Of_Tobacco_Products_Quit_Hookah
PX741402520000 Have you completely quit smoking tobacco in more
a hookah? show less
N/A
PX741402_Use_Of_Tobacco_Products_Quit_Smokeless_Tobacco
PX741402610000 Have you completely quit using smokeless tobacco? N/A
PX741402_Use_Of_Tobacco_Products_Quit_Snus
PX741402700000 Have you completely quit using snus? N/A
PX741402_Use_Of_Tobacco_Products_Seen_Heard_Cigar
PX741402150000 Have you ever seen or heard of a cigar, more
cigarillo, or filtered cigar before this study? show less
N/A
PX741402_Use_Of_Tobacco_Products_Seen_Heard_E_Nicotine
PX741402070000 Have you ever seen or heard of electronic more
nicotine products before this study? show less
N/A
PX741402_Use_Of_Tobacco_Products_Seen_Heard_Hookah
PX741402450000 Have you ever seen or heard of a hookah more
before this study? show less
N/A
PX741402_Use_Of_Tobacco_Products_Seen_Heard_Pipe
PX741402380000 Have you ever seen or heard of a pipe before more
this study? show less
N/A
PX741402_Use_Of_Tobacco_Products_Seen_Heard_Smokeless_Tobacco
PX741402540000 Have you ever seen or heard of smokeless more
tobacco, such as dip, spit, moist snuff, pouches, or chewing tobacco, before this study? show less
N/A
PX741402_Use_Of_Tobacco_Products_Seen_Heard_Snus
PX741402630000 Have you ever seen or heard of snus before more
this study? show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Hookah
PX741402510000 About how long has it been since you last more
smoked hookah? (If it was earlier today, enter 1 day) show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Hookah_Day
PX741402510100 About how long has it been since you last more
smoked hookah? (If it was earlier today, enter 1 day) Number of Days show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Hookah_Month
PX741402510200 About how long has it been since you last more
smoked hookah? (If it was earlier today, enter 1 day) Number of Months show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Hookah_Year
PX741402510300 About how long has it been since you last more
smoked hookah? (If it was earlier today, enter 1 day) Number of Years show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Smokeless_Tobacco
PX741402600000 About how long has it been since you last more
used smokeless tobacco? (If it was earlier today, enter 1 day) show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Smokeless_Tobacco_Day
PX741402601000 About how long has it been since you last more
used smokeless tobacco? (If it was earlier today, enter 1 day) Number of Days show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Smokeless_Tobacco_Month
PX741402602000 About how long has it been since you last more
used smokeless tobacco? (If it was earlier today, enter 1 day) Number of Months show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Smokeless_Tobacco_Year
PX741402603000 About how long has it been since you last more
used smokeless tobacco? (If it was earlier today, enter 1 day) Number of Years show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Smoke_Pipe
PX741402430000 About how long has it been since you last more
smoked a pipe filled with tobacco? [(If it was earlier today, enter 1 day.) Enter a whole number and select one of the options below.] show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Smoke_Pipe_Day
PX741402430100 About how long has it been since you last more
smoked a pipe filled with tobacco? [(If it was earlier today, enter 1 day.) Enter a whole number and select one of the options below.] Number of Days show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Smoke_Pipe_Month
PX741402430200 About how long has it been since you last more
smoked a pipe filled with tobacco? [(If it was earlier today, enter 1 day.) Enter a whole number and select one of the options below.] Number of Months show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Smoke_Pipe_Year
PX741402430300 About how long has it been since you last more
smoked a pipe filled with tobacco? [(If it was earlier today, enter 1 day.) Enter a whole number and select one of the options below.] Number of Years show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Snus
PX741402690000 About how long has it been since you last more
used snus? (If it was earlier today, enter 1 day) show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Snus_Day
PX741402690100 About how long has it been since you last more
used snus? (If it was earlier today, enter 1 day) Days show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Snus_Month
PX741402690200 About how long has it been since you last more
used snus? (If it was earlier today, enter 1 day) Months show less
N/A
PX741402_Use_Of_Tobacco_Products_Since_Snus_Year
PX741402690300 About how long has it been since you last more
used snus? (If it was earlier today, enter 1 day) Years show less
N/A
PX741402_Use_Of_Tobacco_Products_Smoke_Pipe
PX741402390000 Have you ever smoked a pipe filled with more
tobacco, even one or two puffs? show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_Cigar
PX741402360000 About how long has it been since you last more
smoked [CIGARFILL]s? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below. show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_Cigar_Day
PX741402360100 About how long has it been since you last more
smoked [CIGARFILL]s? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below. Number of Days show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_Cigar_Month
PX741402360200 About how long has it been since you last more
smoked [CIGARFILL]s? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below. Number of Months show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_Cigar_Year
PX741402360300 About how long has it been since you last more
smoked [CIGARFILL]s? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below. Number of Years show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_E_Nicotine
PX741402120000 About how long has it been since you last more
took a puff from an electronic nicotine product? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below. show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_E_Nicotine_Day
PX741402120100 About how long has it been since you last more
took a puff from an electronic nicotine product? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below. Days show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_E_Nicotine_Month
PX741402120200 About how long has it been since you last more
took a puff from an electronic nicotine product? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below. Months show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_E_Nicotine_Year
PX741402120300 About how long has it been since you last more
took a puff from an electronic nicotine product? (If it was earlier today, enter 1 day). Enter a whole number and select one of the options below. Years show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_Smoked_Cigarette
PX741402050000 About how long has it been since you last more
smoked a cigarette? [(If it was earlier today, enter 1 day.) Enter a whole number and select one of the options below.] show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_Smoked_Cigarette_Day
PX741402051000 About how long has it been since you last more
smoked a cigarette? Days show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_Smoked_Cigarette_Month
PX741402050100 About how long has it been since you last more
smoked a cigarette? Months show less
N/A
PX741402_Use_Of_Tobacco_Products_Time_Since_Smoked_Cigarette_Year
PX741402050200 About how long has it been since you last more
smoked a cigarette? Years show less
N/A
PX741402_Use_Of_Tobacco_Products_Type_Cigar_Smoke_As_Blunt
PX741402310000 Which of the following looks like the type more
of cigar you usually smoke as a blunt? Choose all that apply. show less
N/A
PX741402_Use_Of_Tobacco_Products_Type_Smoked_Filtered_Cigar
PX741402190000 Which of the following kinds of cigarillos more
or filtered cigars have you ever smoked? Choose all that apply. The kind... show less
N/A
Tobacco Regulatory Research: Vector
Measure Name

Use of Tobacco Products

Release Date

May 3, 2024

Definition

Instrument used to determine a respondent’s tobacco product use and regularity of use.

Purpose

The purpose of this measure is to assess a respondent’s use and regularity of use of the following tobacco products: cigarettes, e-cigarettes, cigars, pipe tobacco, hookah and shisha tobacco, smokeless tobacco, and dissolvable tobacco.

Keywords

use of tobacco products; Population Assessment of Tobacco and Health Study; PATH; cigarettes; e-cigarettes; electronic nicotine products; cigarillos; filtered cigars; traditional cigars; smokeless tobacco; snus; Redman®; Levi Garrett®; Beechnut®; Skoal®; Grizzly®; Nordic Ice®; Copenhagen®; dissolvables; hookah; shisha; pipe tobacco; blunt; marijuana; Ariva®; Stonewall™; Camel Orbs; snus pouches; loose snus; moist snuff; dip spit; Chewing Tobacco; pipe; smokeless tobacco

Measure Protocols
Protocol ID Protocol Name
741402 Use of Tobacco Products
Publications

There are no publications listed for this protocol.