Youth tobacco use

Knowledge (9 questions)


Is there an adult in your household who is a regular smoker?

1 Yes

2 No

77 Don't know

99 Refused

SOURCE: Youth BRFSS


How many of your four closest friends smoke cigarettes?

1 None

2 One

3 Two

4 Three

5 Four

77 Don't Know/Not sure

99 Refused

SOURCE: Youth BRFSS


Do you have any brothers or sisters who currently smoke cigarettes?

1 Yes

2 No

3 No brothers or sisters

77 Don't Know

99 Refused

SOURCE: Youth BRFSS


Are your siblings who smoke...

1 Older than you are

2 Younger than you are

3 Both older and younger

4 Same age

99 Refused

SOURCE: Youth BRFSS


Nicotine is physically addictive

  1. Strongly Agree
  2. Agree
  3. Disagree
  4. Strongly Disagree
  1. Don’t Know
  1. Refused

SOURCE: Youth BRFSS


 

Tobacco is a dangerous product

  1. Strongly Agree
  2. Agree
  3. Disagree
  4. Strongly Disagree
  1. Don’t Know
  1. Refused

SOURCE: Youth BRFSS


 

Has your smoking affected your health?

    1. Yes

    2. No

    77. Don’t Know

    99. Refused


 

 

If so, which of these health concerns have been affected? (check all that apply)

 

_____ Heart trouble/problem

_____ High blood pressure

_____ Cancer

_____ Emphysema

_____ Cough

_____ Shortness of breath

_____ Cold/flu/virus

_____ Other respiratory problem

_____ Sore throat

_____ Pregnancy

_____

Other: _________________________________________________

DK

Source:1987 NHIS


Do you think there is a strong, moderate, or slight relationship between cigarette smoking and:

 

1 Strong

2 Moderate

3 Slight

(77 DK)

(99 Refused)

Emphysema

________

________

________

________

________

Gallstones

________

________

________

________

________

Lung cancer

________

________

________

________

________

Chronic bronchitis

________

________

________

________

________

Diabetes

________

________

________

________

________

Cancer of the mouth or throat

________

________

________

________

________

Heart disease

________

________

________

________

________

 

Source:1987 NHIS