Heat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017
Abstract Background From among the global public health concerns, smoking remains one of the most crucial challenges. Especially for adolescents, the increase in the use of electronic cigarettes is controversial, as its use may lead to established smoking. In Japan, where a unique tobacco regulation...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08916-x |
| _version_ | 1819058477532708864 |
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| author | Yuki Kuwabara Aya Kinjo Maya Fujii Aya Imamoto Yoneatsu Osaki Maki Jike Yuichiro Otsuka Osamu Itani Yoshitaka Kaneita Ruriko Minobe Hitoshi Maezato Susumu Higuchi Hisashi Yoshimoto Hideyuki Kanda |
| author_facet | Yuki Kuwabara Aya Kinjo Maya Fujii Aya Imamoto Yoneatsu Osaki Maki Jike Yuichiro Otsuka Osamu Itani Yoshitaka Kaneita Ruriko Minobe Hitoshi Maezato Susumu Higuchi Hisashi Yoshimoto Hideyuki Kanda |
| author_sort | Yuki Kuwabara |
| collection | DOAJ |
| description | Abstract Background From among the global public health concerns, smoking remains one of the most crucial challenges. Especially for adolescents, the increase in the use of electronic cigarettes is controversial, as its use may lead to established smoking. In Japan, where a unique tobacco regulation system exists, the heat-not-burn tobacco market has been growing. However, the prevalence and association of combustible cigarettes and new tobacco-related products have not yet been closely investigated among Japanese adolescents. This study aimed to clarify the prevalence of smoking among adolescents, including new types of tobacco-related products, and to compare the characteristics of their users. Methods The 2017 Lifestyle Survey of Adolescents is a nationally-representative survey collected in Japan. From the national school directory, 98 junior high schools and 86 high schools were randomly sampled throughout Japan. The students completed an anonymous questionnaire at school. We calculated the prevalence of use for each type of tobacco product. Then, the use of a combination of products and the characteristics of different types of products were examined. Results In total, 64,152 students from 48 junior high schools and 55 high schools were included the analysis (school response rate = 56%, M age = 15.7 years, 53.9% boys). The age-adjusted rate of ever (current) use of electronic cigarettes was 2.1% (0.7%) in junior high school and 3.5% (1.0%) in high school; that of combustible cigarettes was 2.6% (0.6%) in junior high school and 5.1% (1.5%) in high school. The rate of heat-not-burn tobacco use was lower relative to other products: 1.1% (0.5%) in junior high school and 2.2% (0.9%) in high school. An examination of the combined use of the three products identified a high number of dual users. Comparisons between different types of users indicated different backgrounds for combustible cigarette users and new product users. Conclusions The prevalence of new tobacco-alternative products is growing in popularity among Japanese adolescents. Dual use is common, and many adolescents use new products only. Moreover, e-cigarettes might attract a broader range of groups to smoking. Continuous monitoring and research are needed to investigate their influence as a possible gateway to tobacco smoking. |
| first_indexed | 2024-12-21T13:55:50Z |
| format | Article |
| id | doaj.art-16db86d021bb43d9be15d2ff59210f91 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-21T13:55:50Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-16db86d021bb43d9be15d2ff59210f912022-12-21T19:01:33ZengBMCBMC Public Health1471-24582020-05-012011910.1186/s12889-020-08916-xHeat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017Yuki Kuwabara0Aya Kinjo1Maya Fujii2Aya Imamoto3Yoneatsu Osaki4Maki Jike5Yuichiro Otsuka6Osamu Itani7Yoshitaka Kaneita8Ruriko Minobe9Hitoshi Maezato10Susumu Higuchi11Hisashi Yoshimoto12Hideyuki Kanda13Division of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori UniversityDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori UniversityDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori UniversityDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori UniversityDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori UniversityDepartment of Public Health, School of Medicine, Nihon University, Itabashi-kuDepartment of Public Health, School of Medicine, Nihon University, Itabashi-kuDepartment of Public Health, School of Medicine, Nihon University, Itabashi-kuDepartment of Public Health, School of Medicine, Nihon University, Itabashi-kuNational Institute of Alcoholism, Kurihama National HospitalNational Institute of Alcoholism, Kurihama National HospitalNational Institute of Alcoholism, Kurihama National HospitalPrimary Care and Medical Education, Graduate School of Comprehensive Human Sciences, Majors of Medical Science, University of Tsukuba, TsukubaDepartment of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama-shiAbstract Background From among the global public health concerns, smoking remains one of the most crucial challenges. Especially for adolescents, the increase in the use of electronic cigarettes is controversial, as its use may lead to established smoking. In Japan, where a unique tobacco regulation system exists, the heat-not-burn tobacco market has been growing. However, the prevalence and association of combustible cigarettes and new tobacco-related products have not yet been closely investigated among Japanese adolescents. This study aimed to clarify the prevalence of smoking among adolescents, including new types of tobacco-related products, and to compare the characteristics of their users. Methods The 2017 Lifestyle Survey of Adolescents is a nationally-representative survey collected in Japan. From the national school directory, 98 junior high schools and 86 high schools were randomly sampled throughout Japan. The students completed an anonymous questionnaire at school. We calculated the prevalence of use for each type of tobacco product. Then, the use of a combination of products and the characteristics of different types of products were examined. Results In total, 64,152 students from 48 junior high schools and 55 high schools were included the analysis (school response rate = 56%, M age = 15.7 years, 53.9% boys). The age-adjusted rate of ever (current) use of electronic cigarettes was 2.1% (0.7%) in junior high school and 3.5% (1.0%) in high school; that of combustible cigarettes was 2.6% (0.6%) in junior high school and 5.1% (1.5%) in high school. The rate of heat-not-burn tobacco use was lower relative to other products: 1.1% (0.5%) in junior high school and 2.2% (0.9%) in high school. An examination of the combined use of the three products identified a high number of dual users. Comparisons between different types of users indicated different backgrounds for combustible cigarette users and new product users. Conclusions The prevalence of new tobacco-alternative products is growing in popularity among Japanese adolescents. Dual use is common, and many adolescents use new products only. Moreover, e-cigarettes might attract a broader range of groups to smoking. Continuous monitoring and research are needed to investigate their influence as a possible gateway to tobacco smoking.http://link.springer.com/article/10.1186/s12889-020-08916-xCigarette smokingE-cigarettesTobacco useAdolescentsSmokingHeat-not-burn tobacco |
| spellingShingle | Yuki Kuwabara Aya Kinjo Maya Fujii Aya Imamoto Yoneatsu Osaki Maki Jike Yuichiro Otsuka Osamu Itani Yoshitaka Kaneita Ruriko Minobe Hitoshi Maezato Susumu Higuchi Hisashi Yoshimoto Hideyuki Kanda Heat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017 BMC Public Health Cigarette smoking E-cigarettes Tobacco use Adolescents Smoking Heat-not-burn tobacco |
| title | Heat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017 |
| title_full | Heat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017 |
| title_fullStr | Heat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017 |
| title_full_unstemmed | Heat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017 |
| title_short | Heat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017 |
| title_sort | heat not burn tobacco electronic cigarettes and combustible cigarette use among japanese adolescents a nationwide population survey 2017 |
| topic | Cigarette smoking E-cigarettes Tobacco use Adolescents Smoking Heat-not-burn tobacco |
| url | http://link.springer.com/article/10.1186/s12889-020-08916-x |
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