Table 3

Recommended questions for studies assessing secondhand smoke exposure (SHSe)

QuestionLocationSourceReliable* Validation air* Validation biomarker*
Lifetime
 Number of years living with a smokerHomeMotherYes
Adulthood
 Living with a regular smoker (yes/no)HomeWifeYes
HusbandYes
MotherYes
 No. of years sharing the home with smoker(s)HomeSpouseYes
Other HMYes
 No. of pack-years of SHSe (number of cigarette packs smoked per day by the source × number of years the source has smoked)TotalParentsYes
All HMYes
 No. of cigarettes smokedHomeAll smokers Nicotine/particulate matter
WorkAll smokers Nicotine
 No. of smokersWorkAll smokers Nicotine/particulate matterSaliva cotinine
 No. of hours of SHSeWorkAll smokers Nicotine/particulate matterUrine cotinine
 No. of hours of exposure × no. of smokers × proximity to the participantTotalAll smokers Nicotine
Childhood (past)
 SHSe during childhood (yes/no)TotalMotherYes
FatherYes
 SHSe while mother was pregnant (yes/no)TotalMotherYes
 No. of years sharing the home with smoker(s)HomeMotherYes
FatherYes
Other HMYes
 No. of hours per day of SHSeTotalFatherYes
Other HMYes
 No. of pack-years of SHSeTotalParentsYes
All HMYes
Pregnant women (third trimester)
 Hours of woman's SHSe at homeHomeAll HM Cord blood cotinine
 Cigarettes per day smoked in their presenceHomeAll HM Cord blood cotinine
Home or workAll HM and coworkers Cord blood cotinine
Childhood (current)
 Smoking status of parentTotalMother Saliva cotinine
Father Saliva cotinine
 Hours of child's SHSe at homeHomeAll smokers Nicotine
 Cigarettes per day smokedTotalMotherYes Plasma cotinine
All HM Plasma cotinine
 Cigarettes per day smoked in the homeHomeMotherYes Urine cotinine
ParentsYes Urine cotinine/hair nicotine
All HM Urine cotinine
All HM and visitors Urine cotinine
All smokers Hair nicotine
 Cigarettes per day smoked in the presence of the childHomeAll smokersYes Urine cotinine
TotalAll smokers Hair nicotine
 No. of cigarettes smokedTotalMother Nicotine
 No. of cigarettes smoked in the homeHomeAll smokers NicotineUrine cotinine
Mother Urine cotinine
 No. of cigarettes smoked in the presence of the childTotalMother Nicotine
All smokersYes Urine cotinine
HomeMother NicotineUrine cotinine
ParentsYes
CarMotherYes
 Weekly no. of cigarettes smokedTotalMother Urine cotinine
HomeMotherYesNicotine
FatherYes
ParentsYes
 Weekly no. of cigarettes smoked in the home in the presence of the childHomeMotherYes
FatherYes
ParentsYes
All smokersYes
 Weekly no. of cigarettes smoked in the presence of the childTotalAll smokersYes
 No. of smokersTotalAll HM Hair nicotine/urine cotinine/serum cotinine
All HM and visitors Urine cotinine
 Cigarette butt counts in 24 hHomeMother Urine cotinine
 Cigarette butt counts × hours spent in living roomHomeFather Urine cotinine
  • * κ ≥0.75 or correlation coefficient (r) ≥0.50.

  • Reported by the smoking parent.

  • H, hair nicotine; HM, household members.