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Prevalence, Use Behaviors, and Preferences among Users of Heated Tobacco Products: Findings from the 2018 ITC Japan Survey

Author

Listed:
  • Edward Sutanto

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Connor Miller

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Danielle M. Smith

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Richard J. O’Connor

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Anne C. K. Quah

    (Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • K. Michael Cummings

    (Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Steve Xu

    (Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Geoffrey T. Fong

    (Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
    Ontario Institute for Cancer Research, Toronto, ON M5G 0A3, Canada)

  • Andrew Hyland

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Janine Ouimet

    (Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Itsuro Yoshimi

    (Division of Tobacco Policy Research, National Cancer Center Japan, Tokyo 104-0045, Japan)

  • Yumiko Mochizuki

    (Japan Cancer Society, Tokyo 100-0006, Japan)

  • Takahiro Tabuchi

    (Cancer Control Center, Osaka International Cancer Institute, Osaka 537-8511, Japan)

  • Maciej L. Goniewicz

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

Abstract

Heated tobacco products (HTPs), such as IQOS, glo, and Ploom TECH, with a variety of flavored tobacco-containing inserts, have reportedly achieved a significant market share in Japan. We analyzed data from Wave 1 of the ITC Japan Survey, a nationally representative web survey conducted in February to March 2018 among 4684 adult participants to estimate the prevalence of HTP use, describe characteristics of HTP users, and explore user preferences for HTP device and flavor. The overall prevalence of monthly HTP use was 2.7% (1.7% daily use). Virtually all HTP users were current cigarette smokers (67.8%) or former smokers (25.0%); only 1.0% of HTP users were never smokers. Among HTP users, IQOS was the most frequently reported brand used (64.5%), and menthol was the most common flavor reported (41.5%). IQOS was used more by younger respondents and those who reported daily use, while Ploom TECH was more popular among older respondents and non-daily HTP users. This is one of the first non-industry funded studies to explore the use of HTPs in Japan.

Suggested Citation

  • Edward Sutanto & Connor Miller & Danielle M. Smith & Richard J. O’Connor & Anne C. K. Quah & K. Michael Cummings & Steve Xu & Geoffrey T. Fong & Andrew Hyland & Janine Ouimet & Itsuro Yoshimi & Yumiko, 2019. "Prevalence, Use Behaviors, and Preferences among Users of Heated Tobacco Products: Findings from the 2018 ITC Japan Survey," IJERPH, MDPI, vol. 16(23), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:23:p:4630-:d:289375
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    Citations

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    Cited by:

    1. Steve S. Xu & Gang Meng & Mi Yan & Shannon Gravely & Anne C. K. Quah & Janine Ouimet & Richard J. O’Connor & Edward Sutanto & Itsuro Yoshimi & Yumiko Mochizuki & Takahiro Tabuchi & Geoffrey T. Fong, 2020. "Reasons for Regularly Using Heated Tobacco Products among Adult Current and Former Smokers in Japan: Finding from 2018 ITC Japan Survey," IJERPH, MDPI, vol. 17(21), pages 1-11, October.
    2. Edward Sutanto & Connor Miller & Danielle M. Smith & Ron Borland & Andrew Hyland & K. Michael Cummings & Anne C.K. Quah & Steve Shaowei Xu & Geoffrey T. Fong & Janine Ouimet & Itsuro Yoshimi & Yumiko , 2020. "Concurrent Daily and Non-Daily Use of Heated Tobacco Products with Combustible Cigarettes: Findings from the 2018 ITC Japan Survey," IJERPH, MDPI, vol. 17(6), pages 1-18, March.
    3. Edward Sutanto & Danielle M. Smith & Connor Miller & Richard J. O’Connor & Andrew Hyland & Takahiro Tabuchi & Anne C. K. Quah & K. Michael Cummings & Steve Xu & Geoffrey T. Fong & Janine Ouimet & Itsu, 2019. "Use of Heated Tobacco Products within Indoor Spaces: Findings from the 2018 ITC Japan Survey," IJERPH, MDPI, vol. 16(23), pages 1-8, December.
    4. Tomoyasu Hirano & Tokuaki Shobayashi & Teiji Takei & Fumihiko Wakao, 2020. "Exposure Assessment of Environmental Tobacco Aerosol from Heated Tobacco Products: Nicotine and PM Exposures under Two Limited Conditions," IJERPH, MDPI, vol. 17(22), pages 1-11, November.

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