Dimensions and domains to assess secondhand tobacco smoke exposure: insights from a Delphi study
Por:
Blanco-Ferreiro, A, Rey-Brandariz, J, Ahluwalia, JS, Varela-Lema, L, Galán, I, Santiago-Pérez, MI, Sureda, X, Fu, M, Schiaffino, A, López, MJ, Continente, X, Candal-Pedreira, C, Mahabee-Gittens, M, Pérez-Ríos, M
Publicada:
1 jun 2025
Ahead of Print:
1 jun 2025
Resumen:
Objective: To identify the dimensions and domains to be included in questionnaires when assessing self-reported secondhand tobacco smoke (SHS) exposure in etiological studies and in population health surveys. Method: A qualitative study was conducted in two stages. In stage one, based on a Delphi methodology, 16 experts in tobacco epidemiology completed two questionnaires and attended a group session. In stage two, triangulation interviews were conducted with six experts from the Delphi study to provided in-depth reflection on the domains identified in stage one. The recorded transcriptions were analyzed using a thematic approach. Results: The experts discussed the importance of assessing SHS exposure in specific scenarios, highlighting the home, workplace, leisure venues, and private transport. They discussed the importance of asking about cohabiting with smokers when assessing exposure at home. The experts stressed the importance of differentiating between leisure venues, by prioritizing closed over open spaces. In population-based health surveys, the experts recommended that the recall time should be recent, referring to the last seven days. In etiological studies, they suggested that lifetime exposures should be explored. Conclusions: This study marks the first step toward identifying the dimensions and domains for assessing self-reported SHS exposure. Question standardization when ascertaining SHS exposure is critical to permit cross study comparisons and to analyze trends in the evolution of SHS exposure.
(c) 2025 SESPAS. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Filiaciones:
Blanco-Ferreiro, A:
Univ Santiago de Compostela, Dept Prevent Med & Publ Hlth, Santiago De Compostela, A Coruna, Spain
Rey-Brandariz, J:
Univ Santiago de Compostela, Dept Prevent Med & Publ Hlth, Santiago De Compostela, A Coruna, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Ahluwalia, JS:
Brown Univ, Sch Publ Hlth, Dept Behav & Social Sci, Providence, RI USA
Brown Univ, Ctr Alcohol & Addict Studies, Sch Publ Hlth, Providence, RI USA
Brown Univ, Alpert Med Sch, Dept Med, Providence, RI USA
Varela-Lema, L:
Univ Santiago de Compostela, Dept Prevent Med & Publ Hlth, Santiago De Compostela, A Coruna, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Hlth Res Inst Santiago de Compostela IDIS, Santiago De Compostela, A Coruna, Spain
Galán, I:
Inst Salud Carlos III, Natl Ctr Epidemiol, Madrid, Spain
Autonomous Univ Madrid, Dept Prevent Med & Publ Hlth, Madrid, Spain
Santiago-Pérez, MI:
Galician Reg Hlth Author, Directorate Gen Publ Hlth, Epidemiol Dept, Santiago De Compostela, A Coruna, Spain
Sureda, X:
Bellvitge Biomed Res Inst, Tobacco Control Res Grp, Lhospitalet De Llobregat, Barcelona, Spain
Univ Alcala, Sch Med, Publ Hlth & Epidemiol Res Grp, Alcala De Henares, Madrid, Spain
CIBER Enfermedades Resp CIBERES, Madrid, Spain
Fu, M:
Bellvitge Biomed Res Inst, Tobacco Control Res Grp, Lhospitalet De Llobregat, Barcelona, Spain
CIBER Enfermedades Resp CIBERES, Madrid, Spain
Inst Catala Oncol, Canc Control & Prevent Program, Tobacco Control Unit, Barcelona, Spain
Univ Barcelona, Sch Med & Hlth Sci, Barcelona, Spain
Schiaffino, A:
Bellvitge Biomed Res Inst, Tobacco Control Res Grp, Lhospitalet De Llobregat, Barcelona, Spain
Inst Catala Oncol, Canc Control & Prevent Program, Tobacco Control Unit, Barcelona, Spain
Generalitat Catalunya, Dept Salut, Direccio Gen Planificacio Salut, Barcelona, Spain
López, MJ:
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Agencia Salut Publ Barcelona, Serv Avaluacio & Metodes Intervencio, Barcelona, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Continente, X:
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Agencia Salut Publ Barcelona, Serv Avaluacio & Metodes Intervencio, Barcelona, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Candal-Pedreira, C:
Univ Santiago de Compostela, Dept Prevent Med & Publ Hlth, Santiago De Compostela, A Coruna, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Mahabee-Gittens, M:
Univ Cincinnati, Div Emergency Med, Cincinnati Childrens Hosp Med Ctr, Dept Pediat,Coll Med, Cincinnati, OH USA
Pérez-Ríos, M:
Univ Santiago de Compostela, Dept Prevent Med & Publ Hlth, Santiago De Compostela, A Coruna, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Hlth Res Inst Santiago de Compostela IDIS, Santiago De Compostela, A Coruna, Spain
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