Crosswalk of non-substantive changes to 2018 NYTS to create proposed 2019 NYTS (08/21/2018)
Type of change code: M = Modification, R = Reinstatement from previous cycle of NYTS, O= Order change, I = Instructions change, N = New addition, D = Deletion
Type of Change |
Current Question/Item |
Requested Change |
I |
4. Are you Hispanic, Latino, Latina, or of Spanish origin? (Select one or more) A. No, not of Hispanic, Latino, Latina, or Spanish origin B. Yes, Mexican, Mexican American, Chicano, or Chicana C. Yes, Puerto Rican D. Yes, Cuban E. Yes, Another Hispanic, Latino, Latina, or Spanish origin |
We request to include instructions reflective of the electronic mode of administration. Respondents selecting option “A” will not be able to select any other responses unless option “A” is de-selected.
The instruction is as follows:
4. Are you Hispanic, Latino, Latina, or of Spanish origin? (Select one or more) A. No, not of Hispanic, Latino, Latina, or Spanish origin [EXCLUSIVE] B. Yes, Mexican, Mexican American, Chicano, or Chicana C. Yes, Puerto Rican D. Yes, Cuban E. Yes, Another Hispanic, Latino, Latina, or Spanish origin |
M |
The next six sections of questions ask about your use of particular kinds of tobacco products, such as cigarettes, cigars, smokeless tobacco, electronic cigarettes, hookahs, pipes, snus, dissolvable tobacco, and bidis. |
We request to change the preamble for the tobacco sections with the addition of roll-your-own cigarettes, which have been previously assessed in the NYTS in the “other tobacco products” section, and heated tobacco products.
The updated preamble is below:
The next seven sections of questions ask about your use of particular kinds of tobacco products, such as cigarettes, cigars, smokeless tobacco, electronic cigarettes, hookahs, roll-your own-cigarettes, pipes, snus, dissolvable tobacco, bidis, and heated tobacco products. |
M |
The first 12 questions are about smoking conventional cigarettes (ones that have to be lit and burned). |
We request to change the preamble for the cigarette section to reflect the change to an electronic survey mode of administration. Due to the introduction of skip patterns, not all respondents will answer all questions, thus we have revised from “12 questions” to “several questions”. Respondents will be asked 5 questions at a minimum in this section. Furthermore, we have removed the word “conventional” from the instructions. Given that the remainder of the survey only refers to “cigarettes”, we feel this language here could be a distractor for respondents.
The updated preamble is below:
The next several questions are about smoking cigarettes (ones that have to be lit and burned). |
O |
6. Have you ever been curious about smoking a cigarette?
|
We request to re-order existing question 6 to question 14. No change to the survey question is requested.
We request to move this question to later in the cigarette section, following the skip pattern introduced in the next question. As this question assesses curiosity, it is not applicable for respondents who have ever smoked a cigarette.
14. Have you ever been curious about smoking a cigarette?
|
I |
7. Have you ever tried cigarette smoking, even one or two puffs? A. Yes B. No |
This question number will change from 7 to 6 to reflect the order change to a previous question. We request to include a programming instruction, only, due to introduction of skip pattern. No change to the survey question is requested.
With electronic administration, respondents who have never smoked a cigarette will not be asked questions about current use behaviors. The instruction is as follows:
6. Have you ever tried cigarette smoking, even one or two puffs? A. Yes B. No [Go to QN14] |
M |
8. How old were you when you first tried cigarette smoking, even one or two puffs? A. I have never smoked cigarettes, not even one or two puffs B. 8 years old or younger C. 9 years old D. 10 years old E. 11 years old F. 12 years old G. 13 years old H. 14 years old I. 15 years old J. 16 years old K. 17 years old L. 18 years old M. 19 years old or older |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 6. The question number will change from 8 to 7 to reflect the order change to a previous question. The modified question is below:
7. How old were you when you first tried cigarette smoking, even one or two puffs?
|
M |
9. About how many cigarettes have you smoked in your entire life? A. I have never smoked cigarettes, not even one or two puffs B. 1 or more puffs but never a whole cigarette C. 1 cigarette D. 2 to 5 cigarettes E. 6 to 15 cigarettes (about 1/2 a pack total) F. 16 to 25 cigarettes (about 1 pack total) G. 26 to 99 cigarettes (more than 1 pack, but less than 5 packs) H. 100 or more cigarettes (5 or more packs) |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 6. This question number will change from 9 to 8 to reflect the order change to a previous question. The modified question is below:
8. About how many cigarettes have you smoked in your entire life?
|
M, I |
10. When was the last time you smoked a cigarette, even one or two puffs? (Please choose the first answer that fits) A. I have never smoked cigarettes, not even one or two puffs B. Earlier today C. Not today but sometime during the past 7 days D. Not during the past 7 days but sometime during the past 30 days E. Not during the past 30 days but sometime during the past 6 months F. Not during the past 6 months but sometime during the past year G. 1 to 4 years ago H. 5 or more years ago |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 6. Additionally, we request the introduction of instructions for skip patterns, where those Additionally, with electronic administration, respondents who have not smoked a cigarette in the last 30 days will skip questions about past 30-days smoking behaviors. This question number will change from 10 to 9 to reflect the order change to a previous question. The modified question and instruction is below:
9. When was the last time you smoked a cigarette, even one or two puffs? (Please choose the first answer that fits)
[IF QN9 EQ (1-3 [A-C]) CONTINUE TO QN10. IF QN9 EQ (4-7 [D-G]) SKIP TO INSTRUCT_3] |
M |
11. During the past 30 days, on how many days did you smoke cigarettes? A. 0 days B. 1 or 2 days C. 3 to 5 days D. 6 to 9 days E. 10 to 19 days F. 20 to 29 days G. All 30 days |
Following questionnaire vetting by sister agencies, we have agreed with the suggestion to modify this question from a categorical to a continuous variable. Respondents will not be given the option to answer “0 days” (not applicable) following the introduction of a skip instruction to question 9. This question number will change from 11 to 10 to reflect the order change to a previous question. The modified question is below:
10. During the past 30 days, on how many days did you smoke cigarettes? Specify: |__|__| (Range: 1 – 30)
[PROGRAMMING: RANGE (1 – 30) ALLOWED] |
M |
12. During the past 30 days, on the days you smoked, about how many cigarettes did you smoke per day? A. I did not smoke cigarettes during the past 30 days B. Less than 1 cigarette per day C. 1 cigarette per day D. 2 to 5 cigarettes per day E. 6 to 10 cigarettes per day F. 11 to 20 cigarettes per day G. More than 20 cigarettes per day |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 9. Following questionnaire vetting by sister agencies, we have agreed with the suggestion to include a visual cue for respondents, by adding, “A pack usually has 20 cigarettes in it”. This question number will change from 12 to 11 to reflect the order change to a previous question. The modified question is below:
11. During the past 30 days, on the days you smoked, about how many cigarettes did you smoke per day? A pack usually contains 20 cigarettes in it.
|
M |
13. During the past 30 days, what brand of cigarettes did you usually smoke? (Choose only one answer) A. I did not smoke cigarettes during the past 30 days B. I did not smoke a usual brand C. American Spirit D. Camel E. GPC, Basic, or Doral F. Kool G. Lucky Strike H. Marlboro I. Newport J. Parliament K. Virginia Slims L. Some other brand not listed here M. Not sure |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 9. We request to update the brands list, based on current market data (Nielsen Scanner Data reported by Wells Fargo for the 52 weeks ending 4/21/2018). This includes the removal of Lucky Strike, Parliament, and Virginia Slims, and the addition of L&M, Pall Mall, and Winston. Brands continue to be asked in alphabetical order. We request to include an opportunity for respondents to specify their brand in the “some other brand not listed here”. This question number will change from 13 to 12 to reflect the order change to a previous question. The modified question is below:
12. During the past 30 days, what brand of cigarettes did you usually smoke? (Choose only one answer)
|
M, I |
14. Menthol cigarettes are cigarettes that taste like mint. During the past 30 days, were the cigarettes that you usually smoked menthol? A. I did not smoke cigarettes during the past 30 days B. Yes C. No D. Not sure |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 9. We also request to introduce skip-instructions following this question. The remaining 4 cigarette questions are only applicable to never users of cigarettes. This question number will change from 14 to 13 to reflect the order change to a previous question. The modified question and instruction is below:
13. Menthol cigarettes are cigarettes that taste like mint. During the past 30 days, were the cigarettes that you usually smoked menthol?
[ALL RESPONSES SKIP TO INSTRUCT_3] |
M |
The next five questions are about the use of cigars, cigarillos, or little cigars such as Black and Mild, Swisher Sweets, Dutch Masters, White Owl, or Phillies Blunts. |
We request to change the preamble for this section to reflect the change to an electronic survey mode of administration. Due to the introduction of skip patterns, not all respondents will answer all questions, thus we have revised from “five questions” to “several questions”.
Additionally, we request to edit the list of brand examples based on current market data (Nielsen Scanner Data reported by Wells Fargo for the 52 weeks ending 4/21/2018). The updated preamble is below:
INSTRUCT_3: The next several questions are about the use of cigars, cigarillos, or little cigars such Swisher Sweets, Black and Mild, Garcia y Vega, Cheyenne, White Owl, or Dutch Masters. |
O |
18. Have you ever been curious about smoking a cigar, cigarillo, or little cigar? A. Definitely Yes B. Probably Yes C. Probably Not D. Definitely Not |
We request to re-order existing question 18 to question 23. No change to the survey question is requested.
We request to move this question to later in the cigar section, following the skip pattern introduced in the next question. As this question assesses curiosity, it is not applicable for respondents who have ever smoked a cigar.
23. Have you ever been curious about smoking a cigar, cigarillo, or little cigar? A. Definitely Yes B. Probably Yes C. Probably Not D. Definitely Not |
M, I |
19. Have you ever tried smoking cigars, cigarillos, or little cigars, such Black and Mild, Swisher Sweets, Dutch Masters, White Owl, or Phillies Blunts even one or two puffs? A. Yes B. No |
We request to edit the list of brand examples based on current market data (as per preamble). We request to include a skip instruction for respondents who have never tried smoking a cigar, cigarillo, or little cigar, even one or two puffs. This question number will change from 19 to 18 to reflect the order change to a previous question. The modified question and instruction is below:
18. Have you ever tried smoking cigars, cigarillos, or little cigars, such as Swisher Sweets, Black and Mild, Garcia y Vega, Cheyenne, White Owl, or Dutch Masters, even one or two puffs? A. Yes B. No [SKIP TO QN23] |
M |
20. How old were you when you first tried smoking a cigar, cigarillo, or little cigar, even one or two puffs? A. I have never smoked cigars, cigarillos, or little cigars, not even one or two puffs B. 8 years old or younger C. 9 years old D. 10 years old E. 11 years old F. 12 years old G. 13 years old H. 14 years old I. 15 years old J. 16 years old K. 17 years old L. 18 years old M. 19 years old or older |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 18. This question number will change from 20 to 19 to reflect the order change to a previous question. The modified question is below:
19. How old were you when you first tried smoking a cigar, cigarillo, or little cigar, even one or two puffs?
|
I, M |
21. During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars? A. 0 days B. 1 or 2 days C. 3 to 5 days D. 6 to 9 days E. 10 to 19 days F. 20 to 29 days G. All 30 days |
Following questionnaire vetting by sister agencies, we have agreed with the suggestion to modify this question from a categorical to a continuous variable. Additionally, we request to include a programming instruction where respondents who have not smoked a cigar, cigarillo, or little cigar in the past 30 days will skip to the next section, as remaining questions are only applicable to current or never users of cigar products. The modified question and skip instruction is below:
20. During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars? Specify: |__|__| (Range: 0 – 30)
[PROGRAMMING: RANGE (0 – 30) ALLOWED] IF RESPONSE EQ (0) SKIP TO INSTRUCT_4. ELSE IF RESPONSE EQ (1-30) CONTINUE TO QN 21. |
M |
22. During the past 30 days, on the days that you smoked, about how many cigars, cigarillos, or little cigars did you smoke per day? A. I did not smoke cigars, cigarillos, or little cigars during the past 30 days B. Less than 1 cigar, cigarillo, or little cigar per day C. 1 per day D. 2 to 5 per day E. 6 to 10 per day F. 11 to 20 per day G. More than 20 per day |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 20. This question number will change from 22 to 21 to reflect the order change to a previous question. The modified question is below:
21. During the past 30 days, on the days that you smoked, about how many cigars, cigarillos, or little cigars did you smoke per day?
|
N, I |
Not applicable, new question |
We request to add a question to assess the types of cigars used in the past 30 days in response to the OMB terms of clearance: “In response to the most recent public comments suggesting more updated question options for cigars and e-cigarettes, CDC will evaluate the suggestions for incorporation prior to the next expected NYTS revision request in 2019.”
We also request to include a skip instruction following this question, as remaining questions are only applicable to never cigar users. The proposed question is below:
22. During the past 30 days, which of the following types of cigars have you smoked? (Select one or more.) A. Regular cigars B. Cigarillos C. Little Cigars D. Don’t Know [EXCLUSIVE]
[ALL RESPONSES SKIP TO INSTRUCT_4] |
R |
Not applicable, reinstated question |
We request to reinstate a question from the 2015 NYTS survey. Following the introduction of skip-instructions, never users of tobacco products will be asked fewer questions overall. Adding questions for never users will help to ensure that the time to complete the survey is comparable across tobacco product users. Susceptibility is a useful measure to identify those at different stages of future risk of experimentation and established use of tobacco products. This measure can be used to target population groups with public education campaigns, use as inclusion criteria for experiments targeting those at risk, as well as for surveillance and evaluation of tobacco control and regulatory efforts. The introduction of these questions is not anticipated to increase the overall average participant burden.
24. Do you think you will try a cigar, cigarillo, or little cigar soon? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
R |
Not applicable, reinstated question |
We request to reinstate a question from the 2015 NYTS survey. Following the introduction of skip-instructions, never users of tobacco products will be asked fewer questions overall. Adding questions for never users will help to ensure that the time to complete the survey is comparable across tobacco product users. Susceptibility is a useful measure to identify those at different stages of future risk of experimentation and established use of tobacco products. This measure can be used to target population groups with public education campaigns, use as inclusion criteria for experiments targeting those at risk, as well as for surveillance and evaluation of tobacco control and regulatory efforts. The introduction of these questions is not anticipated to increase the overall average participant burden.
25. Do you think you will smoke a cigar, cigarillo, or little cigar in the next year? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
R |
Not applicable, reinstated question |
We request to reinstate a question from the 2015 NYTS survey. Following the introduction of skip-instructions, never users of tobacco products will be asked fewer questions overall. Adding questions for never users will help to ensure that the time to complete the survey is comparable across tobacco product users. Susceptibility is a useful measure to identify those at different stages of future risk of experimentation and established use of tobacco products. This measure can be used to target population groups with public education campaigns, use as inclusion criteria for experiments targeting those at risk, as well as for surveillance and evaluation of tobacco control and regulatory efforts. The introduction of these questions is not anticipated to increase the overall average participant burden.
26. If one of your best friends were to offer you a cigar, cigarillo, or little cigar, would you smoke it? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
M |
The next four questions are about the use of chewing tobacco, snuff, or dip. Do not think about snus or dissolvable tobacco products when you answer these questions. |
We request to change the preamble for this section to reflect the change to an electronic survey mode of administration. Due to the introduction of skip patterns, not all respondents will answer all questions, thus we have revised from “four questions” to “several questions”. The modified preamble is below:
INSTRUCT_4: The next several questions are about the use of chewing tobacco, snuff, or dip. Do not think about snus or dissolvable tobacco products when you answer these questions. |
O |
23. Have you ever been curious about using chewing tobacco, snuff, or dip? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
We request to re-order existing question 23 to question 30. No change to the survey question is requested.
We request to move this question to later in the smokeless tobacco product section, following the skip pattern introduced in the next question. As this question assesses curiosity, it is not applicable for respondents who have ever used smokeless tobacco products.
30. Have you ever been curious about using chewing tobacco, snuff, or dip? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
M, I |
24. Have you ever used chewing tobacco, snuff, or dip, such as Redman, Levi Garrett, Beechnut, Skoal, Skoal Bandits or Copenhagen, even just a small amount? A. Yes B. No |
We request to edit the list of brand examples based on current market data (Nielsen Scanner Data reported by Wells Fargo for the 52 weeks ending 4/22/2018). We request to include a skip instruction for respondents who have never tried smokeless tobacco products, as the following questions are not applicable for never users. This question number will change from 24 to 27. The modified question and instruction is as follows:
27. Have you ever used chewing tobacco, snuff, or dip, such as Copenhagen, Grizzly, Skoal, or Longhorn even just a small amount? A. Yes B. No [SKIP TO QN30] |
M |
25. How old were you when you used chewing tobacco, snuff, or dip for the first time? A. I have never used chewing tobacco, snuff, or dip B. 8 years old or younger C. 9 years old D. 10 years old E. 11 years old F. 12 years old G. 13 years old H. 14 years old I. 15 years old J. 16 years old K. 17 years old L. 18 years old M. 19 years old or older |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 27. This question number will change from 25 to 28. The modified question is below:
28. How old were you when you used chewing tobacco, snuff, or dip for the first time?
|
I, M |
26. During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip? A. 0 days B. 1 or 2 days C. 3 to 5 days D. 6 to 9 days E. 10 to 19 days F. 20 to 29 days G. All 30 days |
Following questionnaire vetting by sister agencies, we have agreed with the suggestion to modify this question from a categorical to a continuous variable. Additionally, we request to include a programming instruction where respondents answering this question should skip the remaining questions in the smokeless tobacco product section, as these questions are relevant only for never users of chewing tobacco, snuff, or dip. The modified question and skip instruction is below:
29. During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip? Specify: |__|__| (Range: 0 – 30)
[PROGRAMMING: RANGE (0 – 30) ALLOWED] [ALL RESPONSES SKIP TO INSTRUCT_5] |
N |
Not applicable, new question |
We request to add susceptibility questions for smokeless tobacco products in the 2019 survey. Following the introduction of skip-instructions, never users of tobacco products will be asked fewer questions overall. Adding questions for never users will help to ensure that the time to complete the survey is comparable across tobacco product users. Susceptibility is a useful measure to identify those at different stages of future risk of experimentation and established use of tobacco products. This measure can be used to target population groups with public education campaigns, use as inclusion criteria for experiments targeting those at risk, as well as for surveillance and evaluation of tobacco control and regulatory efforts. The introduction of these questions is not anticipated to increase the overall average participant burden. 31. Do you think you will try chewing tobacco, snuff, or dip, soon?
|
N |
Not applicable, new question |
We request to add susceptibility questions for smokeless tobacco products in the 2019 survey. Following the introduction of skip-instructions, never users of tobacco products will be asked fewer questions overall. Adding questions for never users will help to ensure that the time to complete the survey is comparable across tobacco product users. Susceptibility is a useful measure to identify those at different stages of future risk of experimentation and established use of tobacco products. This measure can be used to target population groups with public education campaigns, use as inclusion criteria for experiments targeting those at risk, as well as for surveillance and evaluation of tobacco control and regulatory efforts. The introduction of these questions is not anticipated to increase the overall average participant burden.
32. Do you think you will use chewing tobacco, snuff, or dip in the next year?
|
N |
Not applicable, new question |
We request to add susceptibility questions for smokeless tobacco products in the 2019 survey. Following the introduction of skip-instructions, never users of tobacco products will be asked fewer questions overall. Adding questions for never users will help to ensure that the time to complete the survey is comparable across tobacco product users. Susceptibility is a useful measure to identify those at different stages of future risk of experimentation and established use of tobacco products. This measure can be used to target population groups with public education campaigns, use as inclusion criteria for experiments targeting those at risk, as well as for surveillance and evaluation of tobacco control and regulatory efforts. The introduction of these questions is not anticipated to increase the overall average participant burden.
33. If one of your best friends were to offer you chewing tobacco, snuff, or dip, would you use it?
|
M |
The next 11 questions are about electronic cigarettes or e-cigarettes. E-cigarettes are battery powered devices that usually contain a nicotine-based liquid that is vaporized and inhaled. You may also know them as e-cigs, vape-pens, hookah-pens, e-hookahs, e-cigars, e-pipes, personal vaporizers, or mods. Some brand examples include NJOY, Blu, Vuse, MarkTen, Logic, Vapin Plus, eGo, and Halo. |
In response to the OMB terms of clearance (“In response to the most recent public comments suggesting more updated question options for cigars and e-cigarettes, CDC will evaluate the suggestions for incorporation prior to the next expected NYTS revision request in 2019.”), and changes to the e-cigarette marketplace and nomenclature, we request to modify this preamble in several ways: 1. We request to update the brand examples based on current market share (Nielsen Scanner Data reported by Wells Fargo for the 12 weeks ending 4/22/2018). 2. We request to update the list of examples that respondents may know them by, per cognitive testing (FDA). 3. We request to re-order the sentences in this paragraph (i.e. move brands up to second sentence). 4. Because of the introduction of skip patterns, not all respondents answer all questions. Thus, we request to revise from “11 questions” to “several questions”. The revised preamble is as follows:
INSTRUCT_5: The next several questions are about electronic cigarettes or e-cigarettes. Some brand examples include JUUL, Vuse, MarkTen, and blu. E-cigarettes are battery powered devices that usually contain a nicotine-based liquid that is vaporized and inhaled. You may also know them as e-cigs, vape-pens, e-hookahs, vapes, or mods. |
O |
27. Have you ever been curious about using an e-cigarette? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
We request to re-order existing question 27 to question 43. No change to the survey question is requested. We request to move this question to later in the e-cigarette section, following the skip pattern introduced in the next question. As this question assesses curiosity, it is not applicable for respondents who have ever used e-cigarettes.
43. Have you ever been curious about using an e-cigarette? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
I |
28. Have you ever used an e-cigarette, even once or twice? A. Yes B. No |
We request to include a programming instruction, only, due to introduction of skip pattern. This question number will change from 28 to 34. No change to the survey question is requested.
Respondents who have never tried an e-cigarette, even one or two puffs would skip to question 43, as questions 35-42 are not applicable to never e-cigarette users. The proposed instruction is below:
34. Have you ever used an e-cigarette, even once or twice? A. Yes B. No [SKIP TO QN43] |
M |
29. How old were you when you first tried using an e-cigarette, even once or twice? A. I have never used e-cigarettes B. 8 years old or younger C. 9 years old D. 10 years old E. 11 years old F. 12 years old G. 13 years old H. 14 years old I. 15 years old J. 16 years old K. 17 years old L. 18 years old M. 19 years old or older |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 34. This question number will change from 28 to 35. The modified question is below:
35. How old were you when you first tried using an e-cigarette, even once or twice?
|
M |
30. In total, on how many days have you used e-cigarettes in your entire life? A. 0 days B. 1 day C. 2 to 10 days D. 11 to 20 days E. 21 to 50 days F. 51 to 100 days G. Over 100 days |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 34. This question number will change from 28 to 36. The modified question is below:
36. In total, on how many days have you used e-cigarettes in your entire life?
|
N, I |
Not applicable, new question |
In response to the OMB terms of clearance (“In response to the most recent public comments suggesting more updated question options for cigars and e-cigarettes, CDC will evaluate the suggestions for incorporation prior to the next expected NYTS revision request in 2019.”), we request to add the following proposed question to better understand the frequency of e-cigarette use among youth. This question wording and response options are modeled after the question to assess last use of cigarettes (question 9). Following questionnaire vetting by sister organizations, we have agreed to edit from “puffs” to “times”. Additionally, given the transition to an electronic survey, we request to introduce skip-instructions following this question, where those who have not used an e-cigarette in the past 30 days (choices D-G) will skip the questions related to e-cigarette behaviors during this period. The proposed question and instruction is below:
37. When was the last time you used an e-cigarette, even one or two times? Please choose the first answer that fits.
[IF QN37 EQ (1-3 [A-C]) CONTINUE TO QN38 IF QN37 EQ (4-7 [D-G]) SKIP TO QN42] |
M |
31. During the past 30 days, on how many days did you use e-cigarettes? A. 0 days B. 1 or 2 days C. 3 to 5 days D. 6 to 9 days E. 10 to 19 days F. 20 to 29 days G. All 30 days |
Following questionnaire vetting by sister agencies, we have agreed with the suggestion to modify this question from a categorical to a continuous variable. Respondents will not be given the option to answer “0 days” (not applicable) following the introduction of the skip instruction to question 37. This question number will change from 31 to 38. The modified question is below:
38. During the past 30 days, on how many days did you use e-cigarettes? Specify: |__|__| (Range: 1 – 30)
[PROGRAMMING: RANGE (1 – 30) ALLOWED] |
R, M |
Reinstated (modified) question from 2016 NYTS. |
In response to the OMB terms of clearance (“In response to the most recent public comments suggesting more updated question options for cigars and e-cigarettes, CDC will evaluate the suggestions for incorporation prior to the next expected NYTS revision request in 2019.”), we request to reinstate a question to assess the type of e-cigarette currently used among respondents. The previous question (NYTS 2016) was edited to reflect the evolving e-cigarette marketplace for 2019. The question below was cognitively tested for the PATH study, with minor modifications to option B for the NYTS (adding “pods” language). “Pods” is a term used by JUUL and increasingly by other manufacturers to describe the prefilled cartridges of “pod mod” type e-cigarette devices. Additionally, following questionnaire vetting by sister organizations, we have agreed to add a brand example (e.g. JUUL) to option B to increase the validity of this “rechargeable” response option. Brand descriptions are not possibly for other response options, as no major brands would fit exclusively in those categories – all major tobacco companies have brands that extend across types (disposable and rechargeable). The new questions is below:
39. Which of the following best describes the type of e-cigarette you have used in the past 30 days? If you have used more than one type, please think about the one you use most often. A. A disposable e-cigarette B. An e-cigarette that uses pre-filled pods or cartridges (e.g. JUUL) C. An e-cigarette with a tank that you refill with liquids D. A mod system (a mod system is customized by the user with their own combination of batteries, atomizers, etc.) E. I don’t know the type |
R |
Reinstated (modified) question from 2016 NYTS |
In response to the OMB terms of clearance (“In response to the most recent public comments suggesting more updated question options for cigars and e-cigarettes, CDC will evaluate the suggestions for incorporation prior to the next expected NYTS revision request in 2019.”) and the rapidly evolving e-cigarette marketplace, we request to reinstate a question from the 2016 NYTS survey to assess the brand of e-cigarettes currently used among respondents. The brand examples provided as answer choices have been updated for 2019 based on market-share data (Nielsen scanner data reported by Wells Fargo ending 4/22/18):
40. During the past 30 days, what brand of e-cigarettes did you usually use? A. I did not use a usual brand B. Blu C. JUUL D. Logic E. MarkTen F. NJOY G. Vuse H. Some other brand not listed here (specify): ___________________________ |
M |
32. During the past 30 days, where did you get or buy the e-cigarettes that you have used? (Select one or more) A. I have never tried an e-cigarette in the past 30 days B. A gas station or convenience store C. A grocery store D. A drugstore E. A mall or shopping center kiosk/stand F. On the Internet G. A vape shop or other store that only sells e-cigarettes H. Some other place not listed here I. From a family member J. From a friend K. From some other person that is not a family member or a friend |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 37. The question number will change from 32 to 41. The modified question is below:
41. During the past 30 days, where did you get or buy the e-cigarettes that you have used? (Select one or more)
|
M |
33. What are the reasons you have used e-cigarettes? (Select one or more) A. I have never tried an e-cigarette B. Friend or family member used them C. To try to quit using other tobacco products, such as cigarettes D. They cost less than other tobacco products, such as cigarettes E. They are easier to get than other tobacco products, such as cigarettes F. Famous people on TV or in movies use them G. They are less harmful than other forms of tobacco, such as cigarettes H. They are available in flavors, such as mint, candy, fruit, or chocolate I. They can be used in areas where other tobacco products, such as cigarettes, are not allowed J. I used them for some other reason |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 37. Additionally, we have revised or added response options based on cognitive interviews with youth (E and H-K). We have added a skip instruction following this question, as remaining e-cigarette questions are not applicable for ever e-cigarette users. The question number will change from 33 to 42. The modified question is below:
42. What are the reasons you have used e-cigarettes? (Select one or more)
ALL RESPONSES SKIP TO INSTRUCT_6. |
D |
34. Have you ever used marijuana, marijuana concentrates, marijuana waxes, THC, or hash oils in an e-cigarette? A. I have never used an electronic product B. Yes C. No |
We request to delete this question on marijuana use in e-cigarettes until further cognitive testing can be completed. We will plan to reinstate this question on a future NYTS survey. |
O |
35. Do you think that you will try an e-cigarette soon? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
We request to renumber from question 35 to question 44. No change to the survey question is requested.
44. Do you think that you will try an e-cigarette soon? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
O |
36. Do you think you will use an e-cigarette in the next year? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
We request to renumber from question 36 to question 45. No change to the survey question is requested.
45. Do you think you will use an e-cigarette in the next year? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
O |
37. If one of your best friends were to offer you an e-cigarette, would you use it? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
We request to renumber from question 37 to question 46. No change to the survey question is requested.
46. If one of your best friends were to offer you an e-cigarette, would you use it? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
M |
The next eight questions are about smoking tobacco in a hookah, which is a type of waterpipe. Shisha (or hookah tobacco) is smoked in a hookah. |
We request to edit the preamble for this section to reflect the change to an electronic survey mode of administration. Due to the introduction of skip patterns, not all respondents will answer all questions, thus we have revised from “eight questions” to “several questions”. The modified preamble is below:
INSTRUCT_6: The next several questions are about smoking tobacco in a hookah, which is a type of waterpipe. Shisha (or hookah tobacco) is smoked in a hookah. |
O |
38. Have you ever been curious about smoking tobacco in a hookah or waterpipe? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
We request to re-order existing question 38 to question 51. No change to the survey question is requested. We request to move this question to later in the hookah section, following the skip pattern introduced in the next question. As this question assesses curiosity, it is not applicable for respondents who have ever smoked hookah.
51. Have you ever been curious about smoking tobacco in a hookah or waterpipe? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
I |
39. Have you ever tried smoking tobacco in a hookah or waterpipe, even one or two puffs? A. Yes B. No |
We request to include a programming instruction, only, due to introduction of skip pattern. This question number will change from 39 to 47. No change to the survey question is requested.
Respondents who have never tried smoking hookah will skip to question 51, as remaining questions are not applicable to never hookah users. The proposed instruction is below:
47. Have you ever tried smoking tobacco in a hookah or waterpipe, even one or two puffs? A. Yes B. No [SKIP TO QN51] |
M |
40. How old were you when you first tried smoking tobacco in a hookah or waterpipe, even one or two puffs? A. I have never smoked tobacco from a hookah or waterpipe B. 8 years old or younger C. 9 years old D. 10 years old E. 11 years old F. 12 years old G. 13 years old H. 14 years old I. 15 years old J. 16 years old K. 17 years old L. 18 years old M. 19 years old or older |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 47. The question number will change from 40 to 48. The modified question is below:
48. How old were you when you first tried smoking tobacco in a hookah or waterpipe, even one or two puffs?
|
I, M |
41. During the past 30 days, on how many days did you smoke tobacco in a hookah or waterpipe? A. 0 days B. 1 or 2 days C. 3 to 5 days D. 6 to 9 days E. 10 to 19 days F. 20 to 29 days G. All 30 days |
Following questionnaire vetting by sister agencies, we have agreed with the suggestion to modify this question from a categorical to a continuous variable. Additionally, we request to include a programming instruction where respondents who have not smoked hookah in the past 30 days (former hookah users) should skip to the next section, as remaining questions are not applicable. The modified question and skip instruction is below:
49. During the past 30 days, on how many days did you smoke tobacco in a hookah or waterpipe? Specify: |__|__| (Range: 0 – 30)
[PROGRAMMING: RANGE (0 – 30) ALLOWED] [ALL RESPONSES SKIP TO INSTRUCT_7] |
M |
42. During the past 30 days, where did you smoke tobacco in a hookah or waterpipe? (Select one or more) A. I did not smoke tobacco in a hookah or waterpipe during the past 30 days B. At my house C. At a friend’s house D. At a family member’s house, other than my house E. At a hookah bar F. At a café or restaurant G. Some other place not listed here |
We request to remove option “A” (not applicable) following the introduction of the skip instruction to question 49. We also request to add a skip instruction following this question, as the remaining questions in this section are not applicable to ever hookah users. The question number will change from 42 to 50. The modified question and skip instruction is below:
50. During the past 30 days, where did you smoke tobacco in a hookah or waterpipe? (Select one or more) A. At my house B. At a friend’s house C. At a family member’s house, other than my house D. At a hookah bar E. At a café or restaurant F. Some other place not listed here
[ALL RESPONSES SKIP TO INSTRUCT_7] |
O |
43. Do you think that you will try smoking tobacco in a hookah or waterpipe soon? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
We request to renumber from question 43 to question 52. No change to the survey question is requested.
52. Do you think that you will try smoking tobacco in a hookah or waterpipe soon? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
O |
44. Do you think you will smoke tobacco in a hookah or waterpipe in the next year? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
We request to renumber from question 44 to question 53. No change to the survey question is requested.
53. Do you think you will smoke tobacco in a hookah or waterpipe in the next year? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
O |
45. If one of your best friends were to offer you a hookah or waterpipe with tobacco, would you try it? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
We request to renumber from question 45 to question 54. No change to the survey question is requested.
54. If one of your best friends were to offer you a hookah or waterpipe with tobacco, would you try it? A. Definitely yes B. Probably yes C. Probably not D. Definitely not |
M |
The next two questions are about the use of other tobacco products, not described in the previous sections. |
We request to edit the preamble for this section to reflect the change to an electronic survey mode of administration. Due to the introduction of skip patterns, not all respondents will answer both questions. The modified preamble is below:
INSTRUCT_7: The next section is about the use of other tobacco products, not described in the previous sections. |
I |
46. Which of the following tobacco products have you ever tried, even just one time? (Select one or more) A. Roll-your-own cigarettes B. Pipes filled with tobacco (not waterpipe) C. Snus, such as Camel, Marlboro, or General Snus D. Dissolvable tobacco products such as Ariva, Stonewall, Camel orbs, Camel sticks, Marlboro sticks, or Camel strips E. Bidis (small brown cigarettes wrapped in a leaf) F. I have never tried any of the products listed above |
We request to modify option B to be consistent with language regarding hookah or waterpipe throughout the survey. We also request to introduce a skip instruction related to Option F. Individuals selecting “F” will not be asked about use of these products in the past 30 days. The question number will change from 46 to 55. The modified question is below:
55. Which of the following tobacco products have you ever tried, even just one time? (Select one or more)
|
M |
47. In the past 30 days, which of the following products have you used on at least one day? (Select one or more)
|
We request to modify option B to be consistent with language regarding hookah or waterpipe throughout the survey. The question number will change from 47 to 56.
56. In the past 30 days, which of the following products have you used on at least one day? (Select one or more)
|
N |
Not applicable, new question |
In response to the terms of OMB clearance (“…will be revised to maintain relevance with emerging tobacco use behaviors and control policies”) and the rapidly changing tobacco landscape, we request to add the following preamble and 3 questions on heated tobacco products. These products are currently not available for sale in the United States, but are available in other markets. Heated Tobacco Product manufacturers have submitted proposals to the FDA to be able to market and sell these products in the United States under the label of modified risk tobacco products (MRTP). Thus, it is important to assess the baseline awareness and current use behaviors of these products among youth before they are widely available on the U.S. market.
INSTRUCT_8: The next section is about “heated tobacco products”, also referred to as “heat-not-burn” tobacco products. Heated tobacco products heat tobacco sticks or capsules to produce an aerosol or vapor. They are different from e-cigarettes, which heat a liquid to produce an aerosol or vapor. Some brands of “heated tobacco products” include iQOS, glo, and Eclipse. |
N, I |
Not applicable, new question |
In response to the terms of OMB clearance (“…will be revised to maintain relevance with emerging tobacco use behaviors and control policies”) and the rapidly changing tobacco landscape, we request to add the following question to assess awareness of heated tobacco products. As described in the previous row, it is important to assess baseline awareness of these products before they are widely available on the U.S. market. We will include a skip instruction to reduce burden time, in which respondents who have never heard of these tobacco products will not be asked about use behaviors.
57. Before today, have you heard of “heated tobacco products”?
[IF QN57 EQ (1 [A]) CONTINUE TO QN58. IF QN57 EQ (2-3 [B-C]) SKIP TO INSTRUCT_9a] |
N |
Not applicable, new question |
In response to the terms of OMB clearance (“…will be revised to maintain relevance with emerging tobacco use behaviors and control policies”) and the rapidly changing tobacco landscape, we request to add the following question to assess ever use of heated tobacco products. As described previously, it is important to assess baseline use of these products before they are widely available on the U.S. market. To reduce burden time, respondents who have never used these products will not be asked about current use.
58. Have you ever tried a “heated tobacco product”, even just one time?
[IF QN58 EQ (1 [A]) CONTINUE TO QN59. IF QN58 EQ (2-3 [B-C]) SKIP TO INSTRUCT_9a |
N, I |
Not applicable, new question |
In response to the terms of OMB clearance (“…will be revised to maintain relevance with emerging tobacco use behaviors and control policies”) and the rapidly changing tobacco landscape, we request to add the following question to assess past 30-day use of heated tobacco products. Following questionnaire vetting by sister agencies, we have agreed with the suggestion to modify this question from a categorical to a continuous variable. As described previously, it is important to assess baseline use of these products before they are widely available on the U.S. market.
59. During the past 30 days, on how many days did you use a heated tobacco product? Specify: |__|__| (Range: 0 – 30)
[PROGRAMMING: RANGE (0 – 30) ALLOWED] [ALL RESPONSES SKIP TO INSTRUCT_9a] |
I |
N/A, inclusion of programming instruction only. |
We request to include a programming instruction, only, due to the change in mode to an electronic survey and the introduction of skip pattern. No change to any survey items are requested here.
Following the introduction of these skip instructions, never, former, and current users of tobacco products will answer questions specific to their tobacco use status, thus eliminating the need to answer non-applicable questions and reducing overall respondent burden.
INSTRUCT_9a (programming, only):
IF “never tobacco product user” SKIP TO INSTRUCT_13a. (all tobacco products) IF [(QN6 EQ (2) AND QN18 EQ (2) AND QN27 EQ (2) AND QN34 EQ (2) AND QN47 EQ (2) AND QN55F EQ (1) AND [((QN57 EQ (2-3)) OR (QN57 EQ (1) AND QN58 EQ (2-3))]] SKIP TO INSTRUCT_13a]
IF “current tobacco product user” CONTINUTE TO INSTRUCT_9. (at least one product) IF [(QN6 EQ (1) AND QN9 EQ (1-3)) OR (QN18 EQ (1) AND QN20 EQ (1-30)) OR (QN27 EQ (1) AND QN29 EQ (1-30)) OR (QN34 EQ (1) AND QN37 EQ (1-3)) OR (QN47 EQ (1) AND QN49 EQ (1-30)) OR (QN55A EQ (1) AND QN56A EQ (1)) OR (QN55B EQ (1) AND QN56B EQ (1)) OR (QN55C EQ (1) AND QN56C EQ (1)) OR (QN55D EQ (1) AND QN56D EQ (1)) OR (QN55E EQ (1) AND QN56E EQ (1)) OR (QN58 EQ (1) AND QN59 EQ (1-30))] CONTINUE TO INSTRUCT_9
IF “former tobacco product user” SKIP TO INSTRUCT_11. (at least one product) IF [(QN6 EQ (1) AND QN9 EQ (4-7)) OR (QN18 EQ (1) AND QN20 EQ (0)) OR (QN27 EQ (1) AND QN29 EQ (0)) OR (QN34 EQ (1) AND QN37 EQ (4-7)) OR (QN47 EQ (1) AND QN49 EQ (0)) OR (QN55A EQ (1) AND QN56F EQ (1)) OR (QN55B EQ (1) AND QN56F EQ (1)) OR (QN55C EQ (1) AND QN56F EQ (1)) OR (QN55D EQ (1) AND QN56F EQ (1)) OR (QN55E EQ (1) AND QN56F EQ (1)) OR (QN58 EQ (1) AND QN59 EQ (0))] SKIP TO INSTRUCT_11
|
M |
Now thinking about your responses to questions from the last six sections about past 30 day use of cigarettes, cigars, smokeless tobacco, e-cigarettes, hookahs, pipes, snus, dissolvable tobacco, and bidis. |
We request to edit the preamble to include mention of roll-your-own cigarettes and heated tobacco products. The modified preamble is provided below.
INSTRUCT_9: Now think about your responses to the questions about past 30 day use of cigarettes, cigars, smokeless tobacco, e-cigarettes, hookahs, roll-your-own cigarettes, pipes, snus, dissolvable tobacco, bidis and heated tobacco products. |
M |
48. During the past 30 days, on how many days did you use any tobacco product(s)? A. 1 or 2 days B. 3 to 5 days C. 6 to 9 days D. 10 to 19 days E. 20 to 29 days F. All 30 days |
Following questionnaire vetting by sister agencies, we have agreed with the suggestion to modify this question from a categorical to a continuous variable. This question will change from number 48 to 60. The modified question is below:
60. During the past 30 days, on how many days did you use any tobacco product(s)? Specify: |__|__| (Range 0 – 30)
[PROGRAMMING: RANGE (0 – 30) ALLOWED] ALL RESPONSES CONTINUE TO INSTRUCT_10 |
M |
The next two questions ask about flavors in tobacco products. |
We request to change the preamble for this section to reflect the change to an electronic survey mode of administration. Due to the introduction of skip patterns, not all respondents will answer all questions, thus we have revised from “two questions” to “few questions”. The modified preamble is below:
INSTRUCT_10: The next few questions ask about flavors in tobacco products. |
M, I |
49. Which of the following tobacco products that you used in the past 30 days were flavored to taste like menthol (mint), alcohol (wine, cognac), candy, fruit, chocolate or any other flavors? (Select one or more) A. Cigars, cigarillos, or little cigars B. Chewing tobacco, snuff, or dip C. E-cigarettes D. Tobacco in a hookah or waterpipe E. Pipe filled with tobacco (not waterpipe) F. Snus G. Dissolvable tobacco products H. Bidis (small brown cigarettes wrapped in a leaf) I. I did not use any of the flavored tobacco products listed above in the past 30 days |
We request to modify this question to reflect a change to an electronic survey mode of administration and to include answer choices of “Roll your own cigarettes” (“I”) and “Heated tobacco products” (“J”). Option choice “K” has been modified slightly to reflect that only current tobacco product users are asked this question. We also request to include a skip instruction. If the respondent does not report using any flavored products (option “K”), they will skip the follow-up question on specific flavors used. The modified skip pattern and question is below:
61. Which of the following tobacco products that you used in the past 30 days were flavored to taste like menthol (mint), alcohol (wine, cognac), candy, fruit, chocolate, or any other flavors? (Select one or more)
IF QN61 EQ (11 [K]) THEN SKIP TO INSTRUCT_11 IF ((QN61 EQ (1)) OR (QN61 EQ (2)) OR (QN61 EQ (3)) OR QN61 EQ (4)) OR QN61 EQ (5)) OR QN61 EQ (6)) OR QN61 EQ (7)) OR QN61 EQ (8)) OR QN61 EQ (9)) OR QN61 EQ (10))) THEN CONTINUE TO QN62. |
M |
50. What flavors of tobacco products have you used in the past 30 days? (Select one or more) A. Menthol or mint B. Clove or spice C. Fruit D. Chocolate E. Alcoholic drink (such as wine, cognac, margarita or other cocktails) F. Candy, desserts or other sweets G. Some other flavor not listed here H. I did not use flavored tobacco products in the past 30 days |
We request to modify this question to reflect the change to an electronic survey mode of administration. Only respondents who indicated in the previous question that they used a flavored tobacco product in the past 30 days will be asked to specify the flavor(s) used. Thus, option “H” will be eliminated (not applicable). These modifications will eliminate the need for respondents to provide information about flavored tobacco products when they are not being used. Furthermore, option “G” will be modified to allow respondents the opportunity to specify any “other” flavor that was used. The modified skip pattern and question is below:
ALL RESPONSES CONTINUE TO INSTRUCT_11 |
M |
The next two questions are about issues related to urges or needs to use tobacco products. |
We request to revise this preamble to delete “or needs”. This could imply an endorsement that people “need” nicotine or tobacco use. The updated text is below.
INSTRUCT_11: The next two questions are about issues related to urges to use tobacco products. |
O |
51. During the past 30 days, have you had a strong craving or felt like you really needed to use a tobacco product of any kind? A. Yes B. No
|
We request to renumber from question 51 to question 63. No change to the survey question is requested.
63. During the past 30 days, have you had a strong craving or felt like you really needed to use a tobacco product of any kind? A. Yes B. No |
I, M |
52. How soon after you wake up do you want to use a tobacco product? A. I do not want to use tobacco B. Within 5 minutes C. From 6 to 30 minutes D. From more than 30 minutes to 1 hour E. After more than 1 hour but less than 24 hours F. I rarely want to use tobacco |
We request to modify options (A) and (F) for clarification to “tobacco products”. Additionally, we request to include programming instructions following this question related to the questions on quit attempts and cessation. The question number will change from 52 to 64. The modified question and skip instruction is below:
64. How soon after you wake up do you want to use a tobacco product? A. I do not want to use tobacco products B. Within 5 minutes C. From 6 to 30 minutes D. From more than 30 minutes to 1 hour E. After more than 1 hour but less than 24 hours F. I rarely want to use tobacco products
[IF CURRENT TOBACCO PRODUCT USER (ANY PRODUCT), CONTINUE TO INSTRUCT_12.] IF [((QN6 EQ (1)) and (QN9 EQ (4-5))] SKIP TO INSTRUCT_12a. ELSE SKIP TO INSTRUCT_13a. |
M |
The next four questions are about quitting tobacco products. |
We request to change the preamble for this section to reflect the change to an electronic survey mode of administration. Due to the introduction of skip patterns, not all respondents will answer all questions, thus we have revised from “four questions” to “few questions”. The modified preamble is below:
INSTRUCT_12: The next few questions are about quitting tobacco products. |
M |
53. Are you seriously thinking about quitting the use of all tobacco products? (Please choose the first answer that fits) A. I do not use tobacco products B. Yes, during the next 30 days C. Yes, during the next 6 months D. Yes, during the next 12 months E. Yes, but not during the next 12 months F. No, I am not thinking about quitting the use of all tobacco products |
We request to remove option “A” (not applicable) following the introduction of skip instructions after question 64. The question number will change from 53 to 65. The modified question is below:
65. Are you seriously thinking about quitting the use of all tobacco products? (Please choose the first answer that fits)
|
M |
54. During the past 12 months, how many times have you stopped using all tobacco products for one day or longer because you were trying to quit all tobacco products for good? A. I did not use tobacco products during the past 12 months B. I did not try to quit all tobacco products during the past 12 months C. 1 time D. 2 times E. 3 to 5 times F. 6 to 9 times G. 10 or more times |
We request to remove option “A” (not applicable) following the introduction of the skip instruction after question 64. We will also include a skip instruction following this question so that only current cigarette smokers are asked the question specific to cigarette cessation indicators. The question number will change from 54 to 66. The modified question is below:
66. During the past 12 months, how many times have you stopped using all tobacco products for one day or longer because you were trying to quit all tobacco products for good?
[IF [((QN6 EQ (1)) AND (QN9 EQ (1-3))] CONTINUE TO QN68.] [ELSE SKIP TO INSTRUCT_13] |
I, M |
55. Are you seriously thinking about quitting cigarettes? (Please choose the first answer that fits) A. I do not smoke cigarettes B. Yes, during the next 30 days C. Yes, during the next 6 months D. Yes, during the next 12 months E. Yes, but not during the next 12 months F. No, I am not thinking about quitting cigarettes |
We request to remove option “A” (not applicable) following the introduction of these skip instructions. The question number will change from 55 to 67. The new skip instruction and modified question is below:
67. Are you seriously thinking about quitting cigarettes? (Please choose the first answer that fits)
[ALL RESPONSES SKIP TO CONTINUE TO QN68.] |
N, I |
n/a – new instruction |
We request to add in instructions specifically for respondents who have smoked cigarettes in the past 12 months (skip instruction introduced in QN64), as these individuals would not have seen INSTRUCT_12. The instruction is as follows:
INSTRUCT_12a: The next question is about quitting cigarettes. |
M |
56. During the past 12 months, how many times have you stopped smoking cigarettes for one day or longer because you were trying to quit smoking cigarettes for good? A. I did not smoke cigarettes during the past 12 months B. I did not try to quit during the past 12 months C. 1 time D. 2 times E. 3 to 5 times F. 6 to 9 times G. 10 or more times |
We request to remove option “A” (not applicable) following the introduction of the skip instruction before question 68. We will introduce a skip pattern following this question, where former cigarette smokers skip the non-applicable questions in the next section (getting tobacco products). The question number will change from 56 to 68. The modified question is below:
68. During the past 12 months, how many times have you stopped smoking cigarettes for one day or longer because you were trying to quit smoking cigarettes for good?
IF [((QN6 EQ (1)) AND (QN9 EQ (1-3))] CONTINUE TO INSTRUCT_13] [IF [((QN6 EQ (1)) and (QN9 EQ (4-5))] SKIP TO INSTRUCT_13a] |
M |
The next four questions are about getting tobacco products. |
We request to change the preamble for this section to reflect the change to an electronic survey mode of administration. Due to the introduction of skip patterns, not all respondents will answer all questions, thus we have revised from “four questions” to “few questions”. The modified preamble is below:
INSTRUCT_13: The next few question are about getting tobacco products. |
M |
57. During the past 30 days, how did you get your own tobacco products? (Select one or more) A. I did not get any tobacco products during the past 30 days B. I bought them myself C. I had someone else buy them for me D. I asked someone to give me some E. Someone offered them to me F. I bought them from another person G. I took them from a store or another person H. I got them some other way |
We request to remove option “A” (not applicable) following the introduction of the skip instructions. Due to the change in mode of administration, we will also include a “write-in” response option with choice (G). The question number will change from 57 to 69. The revised question is below:
69. During the past 30 days, how did you get your own tobacco products? (Select one or more)
|
O |
58. During the past 30 days, where did you buy your own tobacco products? (Select one or more) A. I did not buy tobacco products during the past 30 days B. A gas station or convenience store C. A grocery store D. A drugstore E. A vending machine F. On the Internet G. Through the mail H. A vape shop or tobacco shop I. Some other place not listed here |
Due to the change in mode of administration, we request to include a “write-in” response option with choice (I). The question number will change from question 58 to question 70. The updated question is below.
70. During the past 30 days, where did you buy your own tobacco products? (Select one or more) A. I did not buy tobacco products during the past 30 days B. A gas station or convenience store C. A grocery store D. A drugstore E. A vending machine F. On the Internet G. Through the mail H. A vape shop or tobacco shop I. Some other place not listed here (specify: ___________________________) |
I |
59. During the past 30 days, did anyone refuse to sell you any tobacco products because of your age? A. I did not try to buy any tobacco products during the past 30 days B. Yes C. No
|
We request to include a programming instruction, only, due to introduction of skip pattern. The question number will change from 59 to 71. No change to the survey question is requested.
Current users of any tobacco product should skip directly to QN72 as they have already received instructions before this section related to getting tobacco products. The skip instruction is provided below.
71. During the past 30 days, did anyone refuse to sell you any tobacco products because of your age? A. I did not try to buy any tobacco products during the past 30 days B. Yes C. No
[ALL RESPONSES SKIP TO QN72] |
N, I |
N/A, new instructions |
Due to the introduction of skip patterns, we request to include instructions related to getting tobacco products, applicable to former and never users of any tobacco product, only. Current tobacco product users have already received instructions for these questions (INSTRUCT_13). The instructions are below:
INSTRUCT_13a: The next two questions ask your thoughts about getting tobacco products. |
M |
60. How easy do you think it is for kids your age to buy tobacco products in a store? A. Easy B. Somewhat easy C. Not easy at all |
We request to modify this question from “kids” to “people”. The question number will change from 60 to 72. The modified text is below:
72. How easy do you think it is for people your age to buy tobacco products in a store? A. Easy B. Somewhat easy C. Not easy at all |
N |
N/A, new question |
In response to the OMB terms of clearance (“…will be revised to maintain relevance with emerging tobacco use behaviors and control policies”) and the rapidly evolving tobacco product and regulatory landscapes, we request to add a new question to assess ease of access to tobacco products sales over the internet. The new question is below:
73. How easy do you think it is for people your age to buy tobacco products online? A. Easy B. Somewhat easy C. Not easy at all |
O |
61. During the past 30 days, how often did you see a warning label on a cigar, cigarillo, or little cigar package? A. I did not see a cigar, cigarillo, or little cigar package during the past 30 days B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to renumber from question 61 to question 74. No change to the survey question is requested.
74. During the past 30 days, how often did you see a warning label on a cigar, cigarillo, or little cigar package? A. I did not see a cigar, cigarillo, or little cigar package during the past 30 days B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
O |
62. During the past 30 days, how often did you see a warning label on an e-cigarette package? A. I did not see an e-cigarette package during the past 30 days B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to renumber from question 62 to question 75. No change to the survey question is requested.
75. During the past 30 days, how often did you see a warning label on an e-cigarette package? A. I did not see an e-cigarette package during the past 30 days B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
O |
63. During the past 30 days, how often did you see a warning label on a package of hookah tobacco? A. I did not see a package of hookah tobacco during the past 30 days B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to renumber from question 63 to question 76. No change to the survey question is requested.
76. During the past 30 days, how often did you see a warning label on a package of hookah tobacco? A. I did not see a package of hookah tobacco during the past 30 days B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
O |
64. In the past 12 months, have you seen or heard The Real Cost, on television, the internet, social media, or radio as part of ads about tobacco? A. Yes B. No C. Not sure |
We request to renumber from question 64 to question 77. No change to the survey question is requested.
77. In the past 12 months, have you seen or heard The Real Cost, on television, the internet, social media, or radio as part of ads about tobacco? A. Yes B. No C. Not sure |
M |
The next nine questions ask about your thoughts on tobacco products. |
We request to modify this preamble to reflect the addition of newly proposed questions regarding thoughts on tobacco products. The updated preamble is below:
INSTRUCT_15: The next 11 questions ask about your thoughts on tobacco products. |
O |
65. How much do you think people harm themselves when they smoke cigarettes some days but not every day? A. No harm B. Little harm C. Some harm D. A lot of harm |
We request to renumber from question 65 to question 78. No change to the survey question is requested.
78. How much do you think people harm themselves when they smoke cigarettes some days but not every day? A. No harm B. Little harm C. Some harm D. A lot of harm |
M |
66. How much do you think people harm themselves when they use chewing tobacco, snuff, dip, or snus some days but not every day? A. No harm B. Little harm C. Some harm D. A lot of harm |
We request to modify this question to include “or dissolvable tobacco products” to reflect all smokeless tobacco products. The question number will change from 66 to 79. The modified question is below:
79. How much do you think people harm themselves when they use chewing tobacco, snuff, dip, snus, or dissolvable tobacco products, some days but not every day? A. No harm B. Little harm C. Some harm D. A lot of harm |
M |
67. Do you believe that chewing tobacco, snuff, dip, or snus is (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes? A. Less addictive B. Equally addictive C. More addictive D. I have never heard of chewing tobacco, snuff, dip, or snus E. I don’t know enough about these products |
We request to modify this question to include “or dissolvable tobacco products” to reflect all smokeless tobacco products. The question number will change from 67 to 80. The modified question is below:
80. Do you believe that chewing tobacco, snuff, dip, snus, or dissolvable tobacco products are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes? A. Less addictive B. Equally addictive C. More addictive D. I have never heard of chewing tobacco, snuff, dip, snus, or dissolvable tobacco products E. I don’t know enough about these products |
O |
68. How much do you think people harm themselves when they use e-cigarettes some days but not every day? A. No harm B. Little harm C. Some harm D. A lot of harm |
We request to renumber from question 68 to question 81. No change to the survey question is requested.
81. How much do you think people harm themselves when they use e-cigarettes some days but not every day? A. No harm B. Little harm C. Some harm D. A lot of harm |
O |
69. Do you believe that e-cigarettes are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes? A. Less addictive B. Equally addictive C. More addictive D. I have never heard of e-cigarettes E. I don’t know enough about these products |
We request to renumber from question 69 to question 82. No change to the survey question is requested.
82. Do you believe that e-cigarettes are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes? A. Less addictive B. Equally addictive C. More addictive D. I have never heard of e-cigarettes E. I don’t know enough about these products |
O |
70. How much do you think people harm themselves when they smoke tobacco in a hookah or waterpipe some days but not every day? A. No harm B. Little harm C. Some harm D. A lot of harm |
We request to renumber from question 70 to question 83. No change to the survey question is requested.
83. How much do you think people harm themselves when they smoke tobacco in a hookah or waterpipe some days but not every day? A. No harm B. Little harm C. Some harm D. A lot of harm |
O |
71. Do you believe that smoking tobacco in a hookah or waterpipe is (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes? A. Less addictive B. Equally addictive C. More addictive D. I have never heard of smoking tobacco in a hookah or waterpipe E. I don’t know enough about these products |
We request to renumber from question 71 to question 84. No change to the survey question is requested.
84. Do you believe that smoking tobacco in a hookah or waterpipe is (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes? A. Less addictive B. Equally addictive C. More addictive D. I have never heard of smoking tobacco in a hookah or waterpipe E. I don’t know enough about these products |
N |
N/A, New Question |
In response to the OMB terms of clearance (“…will be revised to maintain relevance with emerging tobacco use behaviors and control policies”), we request to add the following question regarding harm perceptions of low nicotine cigarettes. FDA recently published an Advance Notice of Proposed Rulemaking (ANPRM) to obtain information for consideration in developing a potential product standard to lower nicotine in cigarettes to a minimally or non-addictive level. Little is known on youth harm perceptions of low nicotine cigarettes. Information on this would add to the information FDA received from comments on the ANPRM and would be useful from a regulatory perspective, should such a product standard be developed. The new question is below:
85: Compared to a typical cigarette, do you think that a cigarette advertised as low nicotine would be… A. Much less harmful B. Slightly less harmful C. Equally harmful D. Slightly more harmful E. Much more harmful |
O |
72. How strongly do you agree with the statement ‘All tobacco products are dangerous’? A. Strongly agree B. Agree C. Disagree D. Strongly disagree |
We request to renumber from question 72 to question 86. No change to the survey question is requested.
86. How strongly do you agree with the statement ‘All tobacco products are dangerous’? A. Strongly agree B. Agree C. Disagree D. Strongly disagree |
O |
73. Not including the vapor from e-cigarettes, do you think that breathing smoke from other people’s cigarettes or other tobacco products causes… A. No harm B. Little harm C. Some harm D. A lot of harm |
We request to renumber from question 73 to question 87. No change to the survey question is requested.
87. Not including the vapor from e-cigarettes, do you think that breathing smoke from other people’s cigarettes or other tobacco products causes… A. No harm B. Little harm C. Some harm D. A lot of harm |
N |
N/A, New Question |
Given the changes to the tobacco product landscape, we request to add the following question regarding harm perceptions for e-cigarette aerosol. This question will mirror existing question 87). The newly proposed question is below.
88. Do you think that breathing the vapor from other people’s e-cigarettes causes… A. No harm B. Little harm C. Some harm D. A lot of harm |
M |
The next four questions ask about issues related to tobacco advertisements. Do not think of electronic cigarettes. |
We request to edit this preamble to clarify what products are included in the definition of “other tobacco products” for this section. The updated preamble is below:
INSTRUCT_16: The next four questions ask about issues related to advertisements for tobacco products such as cigarettes, cigars, smokeless tobacco, hookahs, roll-your-own cigarettes, pipes, snus, dissolvable tobacco, and bidis. Do not think of electronic cigarettes. |
O |
74. When you are using the Internet, how often do you see ads or promotions for cigarettes or other tobacco products? A. I do not use the Internet B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to renumber from question 74 to question 89. No change to the survey question is requested.
89. When you are using the Internet, how often do you see ads or promotions for cigarettes or other tobacco products? A. I do not use the Internet B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
O |
75. When you read newspapers or magazines, how often do you see ads or promotions for cigarettes or other tobacco products? A. I do not read newspapers or magazines B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to renumber from question 75 to question 90. No change to the survey question is requested.
90. When you read newspapers or magazines, how often do you see ads or promotions for cigarettes or other tobacco products? A. I do not read newspapers or magazines B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
O |
76. When you go to a convenience store, supermarket, or gas station, how often do you see ads or promotions for cigarettes or other tobacco products? A. I never go to a convenience store, supermarket, or gas station B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to renumber from question 76 to question 91. No change to the survey question is requested.
91. When you go to a convenience store, supermarket, or gas station, how often do you see ads or promotions for cigarettes or other tobacco products? A. I never go to a convenience store, supermarket, or gas station B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
M |
77. When you watch TV or go to the movies, how often do you see ads or promotions for cigarettes or other tobacco products? A. I do not watch TV or go to the movies B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to modify this question to expand the definition of TV to include streaming services (Netflix, Hulu, or Amazon Prime), given the shifting methods that people use to view these entertainment sources. The question number will change from 77 to 92. The updated question is below.
92. When you watch TV, streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the movies, how often do you see ads or promotions for cigarettes or other tobacco products? A. I do not watch TV, streaming services, or go to the movies B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
O |
78. When you are using the Internet, how often do you see ads or promotions for e-cigarettes? A. I do not use the Internet B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to renumber from question 78 to question 93. No change to the survey question is requested.
93. When you are using the Internet, how often do you see ads or promotions for e-cigarettes? A. I do not use the Internet B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
O |
79. When you read newspapers or magazines, how often do you see ads or promotions for e-cigarettes? A. I do not read newspapers or magazines B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to renumber from question 79 to question 94. No change to the survey question is requested.
94. When you read newspapers or magazines, how often do you see ads or promotions for e-cigarettes? A. I do not read newspapers or magazines B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
O |
80. When you go to a convenience store, supermarket, or gas station, how often do you see ads or promotions for e-cigarettes? A. I never go to a convenience store, supermarket, or gas station B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to renumber from question 80 to question 95. No change to the survey question is requested.
95. When you go to a convenience store, supermarket, or gas station, how often do you see ads or promotions for e-cigarettes? A. I never go to a convenience store, supermarket, or gas station B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
M |
81. When you watch TV, how often do you see ads or promotions e-cigarettes? A. I do not watch TV B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
We request to revise this question to expand the definition of TV to include streaming services (Netflix, Hulu, or Amazon Prime), given the shifting methods that people use to view these entertainment sources. Additionally, to maintain consistency with question 92, movies has been added to the definition. The question number will changed from 81 to 96. The updated question is below.
96. When you watch TV, streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the movies, how often do you see ads or promotions for e-cigarettes? A. I do not watch TV, streaming services, or go to the movies B. Never C. Rarely D. Sometimes E. Most of the time F. Always |
O |
82. During the past 7 days, on how many days did someone smoke tobacco products in your home while you were there? A. 0 days B. 1 day C. 2 days D. 3 days E. 4 days F. 5 days G. 6 days H. 7 days |
We request to renumber from question 82 to question 97. No change to the survey question is requested.
97. During the past 7 days, on how many days did someone smoke tobacco products in your home while you were there? A. 0 days B. 1 day C. 2 days D. 3 days E. 4 days F. 5 days G. 6 days H. 7 days |
O |
83. During the past 7 days, on how many days did you ride in a vehicle when someone was smoking a tobacco product? A. 0 days B. 1 day C. 2 days D. 3 days E. 4 days F. 5 days G. 6 days H. 7 days |
We request to renumber from question 83 to question 98. No change to the survey question is requested.
98. During the past 7 days, on how many days did you ride in a vehicle when someone was smoking a tobacco product? A. 0 days B. 1 day C. 2 days D. 3 days E. 4 days F. 5 days G. 6 days H. 7 days |
M |
84. During the past 30 days, on how many days did you breathe the smoke from someone who was smoking tobacco products in an indoor or outdoor public place? Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Examples of outdoor public places are school grounds, parking lots, stadiums, and parks. A. 0 days B. 1 or 2 days C. 3 to 5 days D. 6 to 9 days E. 10 to 19 days F. 20 to 29 days G. All 30 days |
We request to revise this question to modify the wording from “breathe” to “smell”. The question number will change from 84 to 99. The updated question is below.
99. During the past 30 days, on how many days did you smell the smoke from someone who was smoking tobacco products in an indoor or outdoor public place? Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Examples of outdoor public places are school grounds, parking lots, stadiums, and parks. A. 0 days B. 1 or 2 days C. 3 to 5 days D. 6 to 9 days E. 10 to 19 days F. 20 to 29 days G. All 30 days |
M |
The next question asks about being around other people’s e-cigarette vapor. Do not include exposure to smoke from other tobacco products. |
We request to modify this preamble to reflect the addition of a question related to exposure to e-cigarette vapor. The updated preamble is below:
The next two questions ask about being around other people’s e-cigarette vapor. Do not include exposure to smoke from other tobacco products. |
M |
85. During the past 30 days, on how many days did you breathe the vapor from someone who was using an e-cigarette in an indoor or outdoor public place? Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Examples of outdoor public places are school grounds, parking lots, stadiums, and parks. A. 0 days B. 1 or 2 days C. 3 to 5 days D. 6 to 9 days E. 10 to 19 days F. 20 to 29 days G. All 30 days |
We request to revise this question to modify the wording from “breathe” to “smell”. The question number will change from 85 to 100. The updated question is below.
100. During the past 30 days, on how many days did you smell the vapor from someone who was using an e-cigarette in an indoor or outdoor public place? Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Examples of outdoor public places are school grounds, parking lots, stadiums, and parks. A. 0 days B. 1 or 2 days C. 3 to 5 days D. 6 to 9 days E. 10 to 19 days F. 20 to 29 days G. All 30 days |
N |
N/A |
In response to OMB terms of clearance (“…will be revised to maintain relevance with emerging tobacco use behaviors and control policies”), we request to add a question to assess observance of e-cigarette use in and around schools. News reports, surveys, and other media have reported high use of e-cigarettes (such as JUUL) in schools. The new question is below:
101. Have you ever seen anyone using an e-cigarette, such as JUUL, Vuse, MarkTen, or blu in any locations in or around your school? (Select one or more) A. No [EXCLUSIVE] B. Yes, inside a school bathroom or locker room C. Yes, inside a classroom D. Yes, inside some other area of the school (hallway, cafeteria) E. Yes, outside of the school, such as in the parking lot, sidewalk, or other school grounds F. Yes, somewhere else not listed here |
I |
86. Does anyone who lives with you now…? (Select one or more) A. Smoke cigarettes B. Smoke cigars, cigarillos, or little cigars C. Use chewing tobacco, snuff, or dip D. Use e-cigarettes E. Smoke tobacco in a hookah or waterpipe F. Smoke pipes filled with tobacco (not waterpipes) G. Use snus H. Use dissolvable tobacco products I. Smoke bidis (small brown cigarettes wrapped in a leaf) J. No one who lives with me now uses any form of tobacco |
We request to revise this question to include “uses heated tobacco products” as an option, and to update option (F) to reflect “hookah or waterpipes”. The question number will change from 86 to 102. The updated question is below:
102. Does anyone who lives with you now…? (Select one or more) A. Smoke cigarettes B. Smoke cigars, cigarillos, or little cigars C. Use chewing tobacco, snuff, or dip D. Use e-cigarettes E. Smoke tobacco in a hookah or waterpipe F. Smoke pipes filled with tobacco (not hookah or waterpipes) G. Use snus H. Use dissolvable tobacco products I. Smoke bidis (small brown cigarettes wrapped in a leaf) J. Use heated tobacco products K. No one who lives with me now uses any form of tobacco [EXCLUSIVE] |
O |
87. Do you speak a language other than English at home? A. Yes B. No |
We request to renumber from question 87 to question 103. No change to the survey question is requested.
103. Do you speak a language other than English at home? A. Yes B. No |
O |
88. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? A. Yes B. No |
We request to renumber from question 88 to question 104. No change to the survey question is requested.
104. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? A. Yes B. No |
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| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |