Scottish Health Survey: content review outcomes report

This report summarises changes that have and will be made to the content of the Scottish Health Survey (SHeS) from 2024 onwards. Some of these changes do not apply to the 2024 survey and will be made to future years.


Annex 12 - Smoking module

Please note that changes to the module are highlighted in bold

If Age of Respondent is 18 or 19 years THEN

[BookChk]

INTERVIEWER CHECK: (Name of respondent) IS AGED (age of respondent). RESPONDENT TO BE...

1        Asked Smoking/Drinking questions

2        Given SELF-COMPLETION BOOKLET FOR YOUNG ADULTS

 

ASK ALL AGED 20+ (OR AGED 18-19 IF BEING ASKED IN MAIN INTERVIEW)

[SmokPreAm]

The next few questions ask about your use of tobacco products and includes, for example, cigarettes, hand-rolling tobacco and heated tobacco products 

When answering these questions please do NOT include:

-cigarettes that include no tobacco, or

- An e-cigarette or vaping device

INTERVIEWER: PRESS 1 AND ENTER TO CONTINUE

         

[SmokEv] SmokEv08

May I just check, have you ever smoked a cigarette, a cigar or a pipe or used a heated tobacco product?

CODE ALL THAT APPLY.

1        Yes: cigarette      [SmokEv08]

2        Yes: cigars      [SmokEv09]

3        Yes: pipe      [SmokEv10]

4        Yes: heated tobacco product      [SmokEv11]

5        No      [SmokEv12]

 

IF ANY SmokEv08 to Smokev11 = yes THEN SmokEver = Yes; IF SmokEv08 = 5

THEN SmokEver = N

IF SmokEver = Yes THEN

[SmokNow15] SmokeNow

Do you smoke cigarettes nowadays?

1        Yes

2        No

IF SmokeNow = Yes THEN

[DlySmoke]$

About how many cigarettes a day do you usually smoke on weekdays?

----------------

IF DlySmoke = 97 THEN

[DlyEst] RolDly

How much tobacco do you usually smoke on weekdays?

CODE HERE WHETHER THE AMOUNT IS TO BE CODED IN GRAMS OR OUNCES.

ENTER THE AMOUNT AT THE NEXT QUESTION:

1        Grams

2        Ounces

 

IF DlyEst = Grams THEN

[DlyG] GramRol

ENTER AMOUNT IN GRAMS

----------------

IF DlyEst = Ounces OR Don’t know THEN

[DlyOz] OuncRol

ENTER AMOUNT IN OUNCES

----------------

IF SmokeNow = Yes THEN

[WkndSmok]$

And about how many cigarettes a day do you usually smoke at weekends?

----------------

IF WkndSmok = 97 THEN

[WkndEst] RolWknd

How much tobacco do you usually smoke on weekends?

CODE HERE WHETHER THE AMOUNT IS TO BE CODED IN GRAMS OR OUNCES.

ENTER THE AMOUNT AT THE NEXT QUESTION

1        Grams

2        Ounces

 

IF WkndEst = Grams THEN

[WkndG]$ GramWknd

ENTER AMOUNT IN GRAMS

----------------

IF WkndEst = Ounces THEN

[WkndOz] OuncWknd

ENTER AMOUNT IN OUNCES

----------------

IF SmokeEv08=Yes AND SmokeNow= No THEN

[SmokeReg]

Did you smoke cigarettes regularly, that is at least one cigarette a day, or did you smoke them only occasionally?

1        Smoked cigarettes regularly, at least 1 per day

2        Smoked them only occasionally

3        SPONTANEOUS: Never really smoked cigarettes, just tried them once or twice

         

IF SmokeReg = Smoked cigarettes regularly THEN

[NumSmok]

About how many cigarettes did you smoke in a day?

IF RESPONDENT CAN ONLY GIVE RANGE, TAKE THE MID-POINT.

IF LESS THAN ONE A DAY, ENTER 0

IF SMOKES ROLL-UPS, AND CANNOT GIVE CIGARETTE NO., CODE 97

 

IF NumSmok = 97 THEN

[NumEst] RolNum

About how much tobacco did you smoke a day?

CODE HERE WHETHER THE AMOUNT IS TO BE CODED IN GRAMS OR OUNCES.

ENTER THE AMOUNT AT THE NEXT QUESTION

1        Grams

2        Ounces

 

IF NumEst= Grams THEN

[NumG] GramExS

ENTER AMOUNT IN GRAMS

 

IF NumEst = Ounces THEN

[NumOz] OuncExS

ENTER AMOUNT IN OUNCES

 

IF SmokeReg = Smoked cigarettes regularly THEN

[SmokYrs]

And for approximately how many years did you smoke regularly?

INTERVIEWER: IF LESS THAN ONE YEAR, CODE 0.

 

IF SmokeReg = Smoked cigarettes regularly OR Smoked them only occasionally THEN

[EndSmoke]

How long ago did you stop smoking cigarettes (regularly/occasionally)?

INTERVIEWER: ENTER NO. OF YEARS. IF LESS THAN ONE YEAR AGO, CODE 0.

 

IF EndSmoke  >= 0 THEN

[LongEnd]

How many months ago was that?

1        Less than six months ago

2        Six months, but less than one year

 

IF (SmokeNow = Yes) OR (SmokeReg = Smoked cigarettes regularly) THEN

[StartSmk]

How old were you when you started to smoke cigarettes regularly?

INTERVIEWER: IF 'Never smoked regularly', CODE 97.

 

IF (SmokeNow = Yes) OR (SmokeReg = Smoked cigarettes regularly OR Smoked them only occasionally) THEN

[DrSmoke] AdSmoke

Has a medical person (e.g. doctor/nurse) ever advised you to stop smoking altogether because of your health?

1        Yes

2        No

 

IF DrSmoke= Yes THEN

[DrSmoke1] AdGiven

How long ago was that?

1        Within the last twelve months

2        Over twelve months ago

 

ASK ALL 20+ (OR AGED 18-19 IF BEING ASKED IN MAIN INTERVIEW) WHO CURRENTLY SMOKE (IF SmokeNow = Yes)

[SmokStop] LongStop

Can I check, how many times, if any, have you tried to give up smoking?

1        Never tried to stop smoking

2        Once or twice

3        Three times or more

 

ASK ALL 20+ (OR AGED 18-19 IF BEING ASKED IN MAIN INTERVIEW) WHO HAVE GIVEN UP SMOKING IF (SmokStop= once or twice OR three times or more) THEN

[StopLong]

SHOW CARD J1

 And what is the longest period of time you have ever managed to stop smoking?:

1        Less than a week

2        At least a week but less than a month

3        1 – 3 months

4        4 – 6 months

5        Over 6 months

 

[StopWant]

Would you like to give up smoking?

1        Yes

2        No

 

ASK ALL 20+ (OR AGED 18-19 IF BEING ASKED IN MAIN INTERVIEW)

[ECigEv24]

Have you ever used an e-cigarette or vaping device ?

INTERVIEWER NOTE: AN E-CIGARETTE OR VAPING DEVICE IS A DEVICE THAT CAN LOOK LIKE A NORMAL CIGARETTE (THOUGH SOME CAN LOOK DIFFERENT) AND THAT USES A BATTERY TO CREATE A VAPOUR THAT CAN LOOK LIKE SMOKE.  UNLIKE NORMAL CIGARETTES, THEY DO NOT BURN, NOR CONTAIN TOBACCO,

 

THEY SHOULD NOT BE CONFUSED WITH NICOTINE INHALERS/INHALATORS, WHICH ARE LICENSED NICOTINE REPLACEMENT THERAPY (NRT) PRODUCTS.  E-CIGARETTES OR VAPING DEVICES ARE SOLD AS AN ALTERNATIVE TO SMOKING.

1        Yes

2        No

 

IF ECigEv24=1 THEN

[ECigNw24]

Do you use an e-cigarette or vaping device at all nowadays?

1        Yes

2        No

 

IF ECigNw24=yes

[OftECigC24]

SHOW CARD J2

How often in the last four weeks have you used an e-cigarette or vaping device ?

1        Every day

2         4-6 days a week

3         2-3 days a week

4         Once a week

5         2-3 times in the last 4 weeks

6         Once in the last 4 weeks

7         Not at all in last 4 weeks

 

IF ECigNw24=no

[EcigReg24]

Did you use an e-cigarette or vaping device regularly or did you only try them once or twice?

1        Used an e-cigarette or vaping device regularly

2        SPONTANEOUS:  Used an e-cigarette or vaping device occasionally

3        Never really used an e-cigarette or vaping device, just tried them once or twice

 

IF EcigReg24 =regular or occasional

[OftECigX24]

SHOW CARD J3

How often did you use an e-cigarette or vaping device in a typical four week period?

1        Every day

2        4-6 days a week

3        2-3 days a week

4        Once a week

5        2-3 times in a 4 week period

6        Once in a 4 week period

7        Less than once in a 4 week period

 

IF ECigNw24=yes OR EcigReg24= used an e-cigarette or vaping device regularly/occasionally

[StrtEcig24]

Can I just check, how old were you when you first tried an e-cigarette or vaping device?

IF ECigNw24=yes

[EcigYrC24]

And for approximately how long have you been using an e-cigarette or vaping device?

----------------

[EcigMthC24]

INTERVIEWER:  Record months here.

 

IF ECigReg24=used an e-cigarette or vaping device regularly or occasionally

[EcigYrX24]

And for approximately how long did you use an e-cigarette or vaping device?

----------------

[EcigMthX24]

INTERVIEWER:  Record months here.

IF StrtEcig AND StartSmk=SAME

WhchFrst24

Can I just check, did you start regularly smoking tobacco cigarettes before first trying an e-cigarette or vaping device?

1        Yes, started regularly smoking tobacco cigarettes before first trying an e-cigarette or vaping device, or

2        No, started regularly smoking tobacco cigarettes after first trying an e-cigarette or vaping device

 

NPouch

Nicotine pouches are non-medicinal consumer pouches of nicotine which are placed in the mouth and sucked. Brands include Lyft, Skruf, Zin, Nordic Spirit and Velo.

Which of the following statements BEST applies to you?

1            I have never heard of nicotine pouches and have never tried them

2            I have heard of nicotine pouches but have never tried them

3            I have tried nicotine pouches but do not use them (anymore)

4            I have tried nicotine pouches and still use them

977       Don’t know

 

IF (SmokStop >1 OR (EndSmoke >= 0) THEN

[UseNRT24…]

SHOW CARD H4

We are also interested in whether people use any nicotine replacement or other products. Have you used any of the following products as part of your most recent attempt to stop smoking?

CODE ALL THAT APPLY

1        Yes, nicotine gum      [UseNRT241]

2        Yes, nicotine patches that you stick on your skin      [UseNRT242]

3        Yes, nasal spray/nicotine inhaler      [UseNRT243]

4        Yes, lozenge/microtab      [UseNRT244]

5        Yes, Champix/Varenicline      [UseNRT245]

6        Yes, Zyban/Bupropion      [UseNRT246]

7        Yes, an e-cigarette or vaping device      [UseNRT247]

8        Yes, other       [UseNRT248]

9        No      [UseNRT249]

 

[NRTOth]

What other products did you use?

 

ASK IF (LongStop > 2 OR EndSmoke = RESPONSE) AND response given at UseNRT

Loop for each product mentioned at UseNRT ASK

[ScQtNRT] NRTHelp

Did using (product) help you to successfully stop smoking for a month or more?

1        Yes

2        No

 

[NRTpresc]

Did you buy these products yourself or did you get them on prescription?

1        Bought them myself

2        Got them on prescription

3        Mixture of both

IF NOT ‘NO’ in USENRT

[NRTSupp…]

IF Smokstop>1 OR EndSmoke>=0

[NRTSupp24…]

Did you receive smoking cessation support?

INTERVIEWER: IF YES: From Whom?

1         Yes, pharmacy      [NRTSupp241]

2        Yes, GP practice nurse      [NRTSupp242]

3        Yes, GP      [NRTSupp243]

4        Yes, specialist smoking cessation advisor      [NRTSupp244]

5        Yes, stop smoking app(s)      [NRTSupp245]

6        Yes, other      [NRTSupp246]

7        No      [NRTSupp247]

 

If NRTSUPP24=5

[SuppApp]

Which app/apps did you use?

[SuppOth]*

What other type of support did you receive?

 

ASK ALL – age range extended to all (0+) in 2012

[Passive24…]

SHOW CARD H5

Are you regularly exposed to other people’s tobacco smoke in any of these places?

PROBE: Where else?

INTERVIEWER: If asked: only include current exposure to other people’s tobacco.

CODE ALL THAT APPLY

1 At own home from members of my household/visitors to my home     [Passive241]

2 At own home coming from communal spaces or neighbouring properties      [Passive 242]

3  At work       [Passive243]

4 In other people's homes       [Passive244]

5 In cars, vans etc      [Passive245]

6 Outside of buildings (e.g. pubs, shops, hospitals)    [Passive246]

7        In other public places       [Passive247]

8        No, none of these      [Passive248]

 

[PassVap]

SHOW CARD H6

Are you regularly exposed to other people’s vapour (from an e-cigarette or vaping device)  in any of these places?

PROBE: Where else?

INTERVIEWER: If asked: only include current exposure to vapour from products such as e-cigarettes, vapes etc.

CODE ALL THAT APPLY

1        At own home from members of my household/visitors to my home      [PassVap 241]

2        At own home coming from communal spaces or neighbouring properties      [PassVap242]

3        At work       [PassVap243]

4        In other people's homes      [PassVap244]

5        In cars, vans etc      [PassVap245]

6        Inside of public buildings (e.g. pubs, shops, hospitals)      [PassVap246]

7        Outside of buildings (e.g. pubs, shops, hospitals)      [PassVap247]

8        In other public places      [PassVap248]

9        No, none of these      [PassVap 249]

Contact

ScottishHealthSurvey@gov.scot

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