Blanco-Ferreiro Ana, Teijeiro Ana, Varela-Lema Leonor, Rey-Brandariz Julia, Candal-Pedreira Cristina, Martin-Gisbert Lucía, García Guadalupe, Galán Iñaki, Fernández Esteve, Mourino Nerea, Pérez-Ríos Mónica
Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Spain.
Health Research Institute of Santiago de Compostela, Santiago de Compostela, Spain.
Tob Induc Dis. 2024 Oct 11;22. doi: 10.18332/tid/192118. eCollection 2024.
There is no consensus on the questions that should be included in questionnaires to properly ascertain exposure to secondhand tobacco smoke (SHS). The objective of this study is to analyze the questions included in studies which have assessed SHS exposure in Spain.
A scoping review was performed, using PubMed, Embase and Web of Science databases, selecting original articles published in English and Spanish, across the period 2012-2021. We extracted data from each study regarding its design, target population, sample size or geographical scope; we also collected data regarding how studies dealt with exposure to SHS including assessment and intensity of SHS, exposure setting, geographical scope, and the verbatim questions used.
Finally, 75 studies were identified. In the 23 studies carried out in children, verbatim questions were included in 8 studies, and the setting most studied was the home. SHS exposure was assessed during pregnancy and postnatally by 8 studies, the verbatim questions used were described in 2 studies, being exposure ascertained at home and workplace. In the adult population, 14 of 44 studies described the verbatim questions; the setting most studied was the home. Verbatim questions varied among studies.
Questionnaire-based assessment of SHS exposure is highly heterogeneous, hindering comparability between studies. Therefore, it is necessary to set a standard questionnaire to assess exposure to SHS.
对于在问卷中应纳入哪些问题以准确确定二手烟草烟雾（SHS）暴露情况，目前尚无共识。本研究的目的是分析西班牙评估SHS暴露的研究中所包含的问题。
进行了一项范围综述，使用PubMed、Embase和Web of Science数据库，选取2012年至2021年期间以英文和西班牙文发表的原创文章。我们从每项研究中提取了有关其设计、目标人群、样本量或地理范围的数据；我们还收集了有关研究如何处理SHS暴露的数据，包括SHS的评估和强度、暴露环境、地理范围以及所使用的逐字问题。
最终确定了75项研究。在针对儿童开展的23项研究中，8项研究包含逐字问题，研究最多的环境是家庭。8项研究在孕期和产后评估了SHS暴露，2项研究描述了所使用的逐字问题，确定的暴露环境是家庭和工作场所。在成年人群中，44项研究中的14项描述了逐字问题；研究最多的环境是家庭。逐字问题在不同研究中有所不同。
基于问卷的SHS暴露评估具有高度异质性，阻碍了研究之间的可比性。因此，有必要制定一份标准问卷来评估SHS暴露情况。
