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Electronic Cigarette Use and Smoking Abstinence in Japan: A Cross-Sectional Study of Quitting Methods

Author

Listed:
  • Tomoyasu Hirano

    (Center for Cancer Control and Information Services/Center for Public Health Sciences, National Cancer Center, Tokyo 104-0045, Japan)

  • Takahiro Tabuchi

    (Center for Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka 537-8511, Japan)

  • Rika Nakahara

    (National Cancer Center Hospital, National Cancer Center, Tokyo 104-0045, Japan)

  • Naoki Kunugita

    (Department of Environmental Health, National Institute of Public Health, Saitama 351-0197, Japan)

  • Yumiko Mochizuki-Kobayashi

    (Center for Cancer Control and Information Services/Center for Public Health Sciences, National Cancer Center, Tokyo 104-0045, Japan)

Abstract

The benefit of electronic cigarettes (e-cigarettes) in smoking cessation remains controversial. Recently, e-cigarettes have been gaining popularity in Japan, without evidence of efficacy on quitting cigarettes. We conducted an online survey to collect information on tobacco use, difficulties in smoking cessation, socio-demographic factors, and health-related factors in Japan. Among the total participants (n = 9055), 798 eligible persons aged 20–69 years who smoked within the previous five years were analyzed to assess the relationship between the outcome of smoking cessation and quitting methods used, including e-cigarettes, smoking cessation therapy, and unassisted. E-cigarette use was negatively associated with smoking cessation (odds ratio (OR) = 0.632; 95% confidence interval (CI) = 0.414–0.964) after adjusting for gender, age, health-related factors, and other quitting methods. Conversely, smoking cessation therapy (i.e., varenicline) was significantly associated with smoking cessation (OR = 1.885; 95% CI = 1.018–3.492) in the same model. For effective smoking cessation, e-cigarette use appears to have low efficacy among smokers in Japan. Allowing for the fact that this study is limited by its cross-sectional design, follow-up studies are needed to assess the prospective association between e-cigarette use and smoking cessation.

Suggested Citation

  • Tomoyasu Hirano & Takahiro Tabuchi & Rika Nakahara & Naoki Kunugita & Yumiko Mochizuki-Kobayashi, 2017. "Electronic Cigarette Use and Smoking Abstinence in Japan: A Cross-Sectional Study of Quitting Methods," IJERPH, MDPI, vol. 14(2), pages 1-9, February.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:2:p:202-:d:90731
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    References listed on IDEAS

    as
    1. Popova, L. & Ling, P.M., 2013. "Alternative tobacco product use and smoking cessation: a national study," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 923-930.
    2. Popova, L. & Ling, P.M., 2013. "Alternative tobacco product use and smoking cessation: A national study," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 923-930.
    3. Muhammad Aziz Rahman & Nicholas Hann & Andrew Wilson & George Mnatzaganian & Linda Worrall-Carter, 2015. "E-Cigarettes and Smoking Cessation: Evidence from a Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-16, March.
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