Lifestyle Survey
Have you smoked at least 100 cigarettes in your entire life? (There are 20 cigarettes in a pack.)?
Original source question text
Have/Has you/name smoked at least 100 cigarettes in your/his/her life? NOTE: 100 CIGARETTES = APPROXIMATELY 5 PACKS
From which existing source was this question derived?
Tobacco Use Supplement – Current Population Survey (TUS CPS)
Year of Original Source
2003
Brief Description
The National Cancer Institute sponsors the Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Since 1992, the U.S. Census Bureau has administered this survey every 3-4 years as part of the Current Population Survey. The collected data is used to monitor and evaluate tobacco control progress and conduct tobacco research.
URL
https://cancercontrol.cancer.gov/brp/tcrb/tus-cps/
options and variations noted below:
- Do you now smoke cigarettes every day, some days, or not at all?
- Original source question text: Do/Does you/name now smoke cigarettes every day, some days, or not at all?
- From which existing source was this question derived? Tobacco Use Supplement – Current Population Survey (TUS CPS)
- Year of Original Source: 2003
- Brief Description: The National Cancer Institute sponsors the Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Since 1992, the U.S. Census Bureau has administered this survey every 3-4 years as part of the Current Population Survey. The collected data is used to monitor and evaluate tobacco control progress and conduct tobacco research.
URL: https://cancercontrol.cancer.gov/brp/tcrb/tus-cps/
- How old were you when you first started regular cigarette smoking?
- Original source question text: How old where/was you/name when you/he/she first started smoking cigarettes FAIRLY REGULARLY?
- From which existing source was this question derived? Tobacco Use Supplement – Current Population Survey (TUS CPS)
- Year of Original Source: 2003
- Brief Description: The National Cancer Institute sponsors the Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Since 1992, the U.S. Census Bureau has administered this survey every 3-4 years as part of the Current Population Survey. The collected data is used to monitor and evaluate tobacco control progress and conduct tobacco research.
- URL: https://cancercontrol.cancer.gov/brp/tcrb/tus-cps/
- In the past, have you ever made a serious attempt to quit smoking? That is, have you stopped smoking for at least one day or longer because you were trying to quit?
- Original source question text: In the past, have you ever made a serious attempt to quit smoking? That is, have you stopped smoking for at least one day or longer because you were trying to quit?
- From which existing source was this question derived? Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO)
- Year of Original Source: 2008
- Brief Description: The Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial is a large randomized trial established to assess the relationship between cancer-related mortality screening and numerous secondary endpoints. Data on men and women aged 55 to 74 was collected from 2006-2015. The trial was conducted by the National Cancer Institute.
- URL:https://prevention.cancer.gov/major-programs/prostate-lung-colorectal
- If you have completely stopped smoking cigarettes, how old were you when you stopped?
- Original source question text: At what age did you last stop smoking cigarettes regularly? (Enter age last stopped smoking)
- From which existing source was this question derived? Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO)
- Year of Original Source: 1999
- Brief Description:
- The Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial is a large randomized trial established to assess the relationship between cancer-related mortality screening and numerous secondary endpoints. Data on men and women aged 55 to 74 was collected from 2006-2015. The trial was conducted by the National Cancer Institute. URL: https://prevention.cancer.gov/major-programs/prostate-lung-colorectal
- If you have completely stopped smoking cigarettes, how old were you when you stopped?
- How many years have you or did you smoke cigarettes?
- Original source question text: How many years have you or did you smoke cigarettes?
- From which existing source was this question derived? Million Veteran Program
- Year of Original Source: 2011
- Brief Description: The Million Veteran Program is an observational cohort study of the Department of Veterans Affairs that aims to advance research on how genes affect health and illness. One million veterans are being recruited to complete surveys, provide blood samples, and participate in a health assessment. Enrollment began in 2011 and is currently ongoing.
- URL: http://www.research.va.gov/mvp/
- On average, how many cigarettes do you smoke per day now? (There are 20 cigarettes in a pack.)
- Original source question text: On the average, about how many cigarettes do you now smoke each day?
- From which existing source was this question derived? Tobacco Use Supplement – Current Population Survey (TUS CPS)
- Year of Original Source: 2003
- Brief Description: The National Cancer Institute sponsors the Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Since 1992, the U.S. Census Bureau has administered this survey every 3-4 years as part of the Current Population Survey. The collected data is used to monitor and evaluate tobacco control progress and conduct tobacco research.
- URL: https://cancercontrol.cancer.gov/brp/tcrb/tus-cps/
- On average, over the entire time that you smoked, how many cigarettes did you smoke each day?
- Original source question text: When you last smoked every day, on average how many cigarettes did you smoke each day?
- From which existing source was this question derived? Tobacco Use Supplement – Current Population Survey (TUS CPS)
- Year of Original Source: 2003
- Brief Description: The National Cancer Institute sponsors the Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Since 1992, the U.S. Census Bureau has administered this survey every 3-4 years as part of the Current Population Survey. The collected data is used to monitor and evaluate tobacco control progress and conduct tobacco research.
- URL: https://cancercontrol.cancer.gov/brp/tcrb/tus-cps/
Have you ever used an electronic nicotine product, even one or two times? (Electronic nicotine products include e- cigarettes, vape pens, hookah pens, personal vaporizers and mods, e-cigars, epipes, and e-hookahs.)
Original source question text
Have you ever used e-cigarettes fairly regularly?
From which existing source was this question derived?
Population Assessment of Tobacco and Health Study (PATH)
Year of Original Source
2015
Brief Description
The Population Assessment of Tobacco and Health (PATH) Study, started in 2013, is a national, longitudinal cohort study examining tobacco use and its effect on health. The PATH Study is a collaboration between the National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), and the Center for Tobacco Products (CTP) of the Food and Drug Administration (FDA).
URL
https://pathstudyinfo.nih.gov
options and variations noted below:
- Do you now use electronic nicotine products…
- Original source question text: Do you now use e-cigarettes…
- From which existing source was this question derived? Population Assessment of Tobacco and Health Study (PATH)
- Year of Original Source: 2015
- Brief Description: The Population Assessment of Tobacco and Health (PATH) Study, started in 2013, is a national, longitudinal cohort study examining tobacco use and its effect on health. The PATH Study is a collaboration between the National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), and the Center for Tobacco Products (CTP) of the Food and Drug Administration (FDA).
- URL: https://pathstudyinfo.nih.gov
Have you ever smoked a traditional cigar, cigarillo, or filtered cigar, even one of two puffs?
Original source question text
Have you ever smoked a traditional cigar, even one or two puffs?
From which existing source was this question derived?
Population Assessment of Tobacco and Health Study (PATH)
Year of Original Source
2015
Brief Description
The Population Assessment of Tobacco and Health (PATH) Study, started in 2013, is a national, longitudinal cohort study examining tobacco use and its effect on health. The PATH Study is a collaboration between the National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), and the Center for Tobacco Products (CTP) of the Food and Drug Administration (FDA).
URL
https://pathstudyinfo.nih.gov
options and variations noted below:
- Do you now smoke a traditional cigar, cigarillo, or filtered cigar…
- Original source question text: Do you now smoke [[CIGARFILL]s I cigarillos as blunts I filtered cigars as blunts]…
- From which existing source was this question derived? Population Assessment of Tobacco and Health Study (PATH)
- Year of Original Source: 2015
- Brief Description: The Population Assessment of Tobacco and Health (PATH) Study, started in 2013, is a national, longitudinal cohort study examining tobacco use and its effect on health. The PATH Study is a collaboration between the National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), and the Center for Tobacco Products (CTP) of the Food and Drug Administration (FDA).
- URL: https://pathstudyinfo.nih.gov
Have you ever smoked tobacco in a hookah, even one or two puffs?
Original source question text
Have you ever smoked tobacco in a hookah, even one or two puffs?
From which existing source was this question derived?
Population Assessment of Tobacco and Health Study (PATH)
Year of Original Source
2015
Brief Description
The Population Assessment of Tobacco and Health (PATH) Study, started in 2013, is a national, longitudinal cohort study examining tobacco use and its effect on health. The PATH Study is a collaboration between the National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), and the Center for Tobacco Products (CTP) of the Food and Drug Administration (FDA).
URL
https://pathstudyinfo.nih.gov
options and variations noted below:
- Do you smoke hookah…
- Original source question text: Do you now smoke hookah…
- From which existing source was this question derived? Population Assessment of Tobacco and Health Study (PATH)
- Year of Original Source: 2015
- Brief Description: The Population Assessment of Tobacco and Health (PATH) Study, started in 2013, is a national, longitudinal cohort study examining tobacco use and its effect on health. The PATH Study is a collaboration between the National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), and the Center for Tobacco Products (CTP) of the Food and Drug Administration (FDA).
- URL: https://pathstudyinfo.nih.gov
Have you ever used smokeless tobacco products, even one or two times? (Smokeless tobacco products include snus pouches, Skoal Bandits, loose snus, moist snuff, dip, spit, and chewing tobacco.)
Original source question text
Have you ever used any of the following smokeless tobacco products, even one or two times? Choose all that apply.
From which existing source was this question derived?
Population Assessment of Tobacco and Health Study (PATH)
Year of Original Source
2014
Brief Description
The Population Assessment of Tobacco and Health (PATH) Study, started in 2013, is a national, longitudinal cohort study examining tobacco use and its effect on health. The PATH Study is a collaboration between the National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), and the Center for Tobacco Products (CTP) of the Food and Drug Administration (FDA).
URL
https://pathstudyinfo.nih.gov
options and variations noted below:
- Do you now use smokeless tobacco products…
- Original source question text: [Administrator Prompt] Has ever used smokeless tobacco, is/was a regular user, and uses every day or some days OR not at all.
- From which existing source was this question derived? Population Assessment of Tobacco and Health Study (PATH)
- Year of Original Source: 2015
- Brief Description: The Population Assessment of Tobacco and Health (PATH) Study, started in 2013, is a national, longitudinal cohort study examining tobacco use and its effect on health. The PATH Study is a collaboration between the National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), and the Center for Tobacco Products (CTP) of the Food and Drug Administration (FDA).
- URL: https://pathstudyinfo.nih.gov
In your entire life, have you had at least 1 drink of any kind of alcohol, not counting small tastes or sips? (By a “drink,” we mean a can or bottle of beer, a glass of wine or a wine cooler, a shot of liquor, or a mixed drink with liquor in it.)
Original source question text
In your entire life, have you had at least 1 drink of any kind of alcohol, not counting small tastes or sips?
From which existing source was this question derived?
National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)
Year of Original Source
2015
Brief Description
The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) is a cross-sectional survey conducted by the National Institute on Alcohol Abuse and Alcoholism. The survey was started in 2011 and collects data on alcohol and drug use and associated risk factors and disabilities.
URL
https://www.niaaa.nih.gov/research/nesarc-iii
options and variations noted below (source information below applies to all)
From which existing source was this question derived?
Alcohol Use Disorders Identification Test-C (AUDIT-C)
Year of Original Source
1998
Brief Description
The Alcohol Use Disorders Identification Test-C (AUDIT-C) is a three-item screening test for identifying hazardous drinkers and individuals with alcohol use disorders. It was developed in 1998 as a short form of the World Health Organization’s ten-item AUDIT questionnaire.
URL
http://www.queri.research.va.gov/tools/alcohol-misuse/alcohol-faqs.cfm
- How often did you have a drink containing alcohol in the past year?
- Original source question text: How often do you have a drink containing alcohol?
- On a typical day when you drink, how many drinks do you have?
- Original source question text: How many standard drinks containing alcohol do you have on a typical day?
- How often did you have six or more drinks on one occasion in the past year?
- Original source question text: How often do you have six or more drinks on one occasion?
- On a typical day when you drink, how many drinks do you have?
- Original source question text: How often do you have a drink containing alcohol?
In your LIFETIME, which of the following substances have you ever used?
Original source question text
In your LIFETIME, which of the following substances have you ever used?
From which existing source was this question derived?
NIDA Modified-ASSIST (NM-ASSIST)
Year of Original Source
2010
Brief Description
The National Institute on Drug Abuse-Modified Alcohol, Smoking, and Substance Involvement Screening Test (NM-ASSIST) is a screening tool of drug use in the primary and general medical care settings. NM- ASSIST was adapted in 2009 from the World Health Organization’s Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), Version 3.0.
URL
https://www.drugabuse.gov/publications/resource-guide-screening-drug-use-in-general-medical-settings/nida-quick-screen
options and variations noted below:
- In the PAST THREE MONTHS, how often have you used …? Display for each option selected.
- Original source question text: In the past three months, how often have you used the substances you mentioned (first drug, second drug, etc)?
- From which existing source was this question derived? NIDA Modified-ASSIST (NM-ASSIST)
- Year of Original Source: 2010
- Brief Description: The National Institute on Drug Abuse-Modified Alcohol, Smoking, and Substance Involvement Screening Test (NM-ASSIST) is a screening tool of drug use in the primary and general medical care settings. NM- ASSIST was adapted in 2009 from the World Health Organization’s Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), Version 3.0.
- URL: https://www.drugabuse.gov/publications/resource-guide-screening-drug-use-in-general-medical-settings/nida-quick-screen