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Reasons for Regularly Using Heated Tobacco Products among Adult Current and Former Smokers in Japan: Finding from 2018 ITC Japan Survey

Author

Listed:
  • Steve S. Xu

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

  • Gang Meng

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

  • Mi Yan

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

  • Shannon Gravely

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

  • Anne C. K. Quah

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

  • Janine Ouimet

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

  • Richard J. O’Connor

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

  • Edward Sutanto

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

  • Itsuro Yoshimi

    (Division of Tobacco Policy Research, National Cancer Center Japan, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan)

  • Yumiko Mochizuki

    (Japan Cancer Society, 13th Floor, Yurakucho Center Bldg. 2-5-1, Yurakucho, Chiyoda-ku, Tokyo 100-0006, Japan)

  • Takahiro Tabuchi

    (Cancer Control Center, Osaka International Cancer Institute, Chome-1-69 Otemae, Chuo Ward, Osaka 541-8567, Japan)

  • Geoffrey T. Fong

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

Abstract

The market growth of heated tobacco products (HTPs), such as IQOS, Ploom TECH, and glo, has increased dramatically in Japan since 2016. Little is known about the reasons why current and former smokers are using HTPs. The data for this cross-sectional study were from the 2018 (Wave 1) International Tobacco Control (ITC) Japan Survey, a national web-based survey of 4500 people, including 658 current HTP users, of whom 549 were concurrently smoking cigarettes and 109 were former smokers. The most common reasons for regularly using HTPs were: beliefs that HTP are less harmful than cigarettes to themselves (90.6%) or to others (86.7%), enjoyment (76.5%), and social acceptability (74.4%). About half of current smokers (55.1%) reported using HTPs because these products might help them quit smoking. However, a near-equal percentage (52.0%) of current smokers reported using HTPs to replace some of the cigarettes they smoked so that they did not have to give up smoking altogether. If smokers are using HTPs to complement rather than quit their smoking, then the harm reduction potential of HTPs suggested by the toxicity studies will be diminished.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8030-:d:438198
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    References listed on IDEAS

    as
    1. Shannon Gravely & Geoffrey T. Fong & Edward Sutanto & Ruth Loewen & Janine Ouimet & Steve S. Xu & Anne C. K. Quah & Mary E. Thompson & Christian Boudreau & Grace Li & Maciej L. Goniewicz & Itsuro Yosh, 2020. "Perceptions of Harmfulness of Heated Tobacco Products Compared to Combustible Cigarettes among Adult Smokers in Japan: Findings from the 2018 ITC Japan Survey," IJERPH, MDPI, vol. 17(7), pages 1-14, April.
    2. Genevieve Sansone & Geoffrey T. Fong & Gang Meng & Lorraine V. Craig & Steve S. Xu & Anne C. K. Quah & Janine Ouimet & Yumiko Mochizuki & Itsuro Yoshimi & Takahiro Tabuchi, 2020. "Secondhand Smoke Exposure in Public Places and Support for Smoke-Free Laws in Japan: Findings from the 2018 ITC Japan Survey," IJERPH, MDPI, vol. 17(3), pages 1-10, February.
    3. 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.
    4. Mary E. Thompson & Christian Boudreau & Anne C.K. Quah & Janine Ouimet & Grace Li & Mi Yan & Yumiko Mochizuki & Itsuro Yoshimi & Geoffrey T. Fong, 2020. "Survey Methods of the 2018 International Tobacco Control (ITC) Japan Survey," IJERPH, MDPI, vol. 17(7), pages 1-8, April.
    5. 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.
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