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Heat Not Burn Tobacco Product—A New Global Trend: Impact of Heat-Not-Burn Tobacco Products on Public Health, a Systematic Review

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  • Aleksandra Ratajczak

    (Department of Pediatric Respiratory Diseases and Allergy, Medical University of Warsaw, Żwirki i Wigury 63A, PL-02-091 Warsaw, Poland)

  • Piotr Jankowski

    (Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, PL-02-091 Warsaw, Poland)

  • Piotr Strus

    (Department of Pediatric Respiratory Diseases and Allergy, Medical University of Warsaw, Żwirki i Wigury 63A, PL-02-091 Warsaw, Poland)

  • Wojciech Feleszko

    (Department of Pediatric Respiratory Diseases and Allergy, Medical University of Warsaw, Żwirki i Wigury 63A, PL-02-091 Warsaw, Poland)

Abstract

Introduction: The use of heat-not-burn tobacco products (HnB) is being adopted increasingly as an alternative to smoking combusted products, primarily cigarettes. Substantial controversy has accompanied their marketing and use in the public health context. In this study, we aimed to consider the probable impacts of HnB tobacco products use on public health. Methods: In May 2019, we conducted a systematic review of 15 studies concerning awareness and use of IQOS (abbrv. I Quit Ordinary Smoking) selected from three databases: Cochrane, PubMed, and Embase regarding public health. Results: All key outcomes varied by smoking status: more young adults who were currently smoking reported being aware of, interested in trying, and prone to trying heat-not-burn tobacco products. Interest in trying HnB products was also present among non-smokers, which raises concerns regarding new smokers. Interestingly, susceptibility to trying IQOS (25.1%) was higher than for traditional cigarettes (19.3%), but lower than for e-cigarettes (29.1%). Conclusions: Present studies suggest that HnB tobacco products have the potential to be a reduced risk product for public health compared to conventional cigarettes, considering indirectly the potential effects on the chronic diseases which are traditionally linked to traditional cigarette use as well as second hand exposure, but further studies are needed to determine whether this potential is likely to be realized. The process of HnB tobacco products becoming increasingly popular is of a global scale. Only small differences between countries on different continents regarding popularity and use of HnB tobacco products have been reported.

Suggested Citation

  • Aleksandra Ratajczak & Piotr Jankowski & Piotr Strus & Wojciech Feleszko, 2020. "Heat Not Burn Tobacco Product—A New Global Trend: Impact of Heat-Not-Burn Tobacco Products on Public Health, a Systematic Review," IJERPH, MDPI, vol. 17(2), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:409-:d:306331
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    References listed on IDEAS

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    1. Karolien Adriaens & Dinska Van Gucht & Frank Baeyens, 2018. "IQOS TM vs. e-Cigarette vs. Tobacco Cigarette: A Direct Comparison of Short-Term Effects after Overnight-Abstinence," IJERPH, MDPI, vol. 15(12), pages 1-20, December.
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    Cited by:

    1. Joshua O. Barker & Julia Vassey & Julia C. Chen-Sankey & Jon-Patrick Allem & Tess Boley Cruz & Jennifer B. Unger, 2021. "Categorizing IQOS-Related Twitter Discussions," IJERPH, MDPI, vol. 18(9), pages 1-10, April.
    2. David T. Levy & Christopher J. Cadham & Yameng Li & Zhe Yuan & Alex C. Liber & Hayoung Oh & Nargiz Travis & Mona Issabakhsh & David T. Sweanor & Luz Maria Sánchez-Romero & Rafael Meza & K. Michael Cum, 2022. "A Decision-Theoretic Public Health Framework for Heated Tobacco and Nicotine Vaping Products," IJERPH, MDPI, vol. 19(20), pages 1-17, October.
    3. Małgorzata Znyk & Joanna Jurewicz & Dorota Kaleta, 2021. "Exposure to Heated Tobacco Products and Adverse Health Effects, a Systematic Review," IJERPH, MDPI, vol. 18(12), pages 1-18, June.
    4. Yvonne C. M. Staal & Wieneke Bil & Bas G. H. Bokkers & Lya G. Soeteman-Hernández & W. Edryd Stephens & Reinskje Talhout, 2022. "Challenges in Predicting the Change in the Cumulative Exposure of New Tobacco and Related Products Based on Emissions and Toxicity Dose–Response Data," IJERPH, MDPI, vol. 19(17), pages 1-15, August.
    5. Minji Kim & Shannon Lea Watkins & Kimberly A. Koester & Jeremiah Mock & Hyunjin Cindy Kim & Sarah Olson & Arit Michael Harvanko & Pamela M. Ling, 2020. "Unboxed: US Young Adult Tobacco Users’ Responses to a New Heated Tobacco Product," IJERPH, MDPI, vol. 17(21), pages 1-14, November.
    6. Carmela Protano & Maurizio Manigrasso & Vittoria Cammalleri & Giuseppe Biondi Zoccai & Giacomo Frati & Pasquale Avino & Matteo Vitali, 2020. "Impact of Electronic Alternatives to Tobacco Cigarettes on Indoor Air Particular Matter Levels," IJERPH, MDPI, vol. 17(8), pages 1-10, April.
    7. Yuki Kuwabara & Aya Kinjo & Maya Fujii & Aya Imamoto & Yoneatsu Osaki & Ann McNeill & Nicholas Beckley-Hoelscher, 2020. "Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey," IJERPH, MDPI, vol. 17(9), pages 1-15, April.
    8. 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.
    9. Mariangela Peruzzi & Elena Cavarretta & Giacomo Frati & Roberto Carnevale & Fabio Miraldi & Giuseppe Biondi-Zoccai & Sebastiano Sciarretta & Francesco Versaci & Vittoria Cammalleri & Pasquale Avino & , 2020. "Comparative Indoor Pollution from Glo, Iqos, and Juul, Using Traditional Combustion Cigarettes as Benchmark: Evidence from the Randomized SUR-VAPES AIR Trial," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    10. Hagai Levine & Zongshuan Duan & Yael Bar-Zeev & Lorien C. Abroms & Amal Khayat & Sararat Tosakoon & Katelyn F. Romm & Yan Wang & Carla J. Berg, 2023. "IQOS Use and Interest by Sociodemographic and Tobacco Behavior Characteristics among Adults in the US and Israel," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    11. Marina Vaz & Pedro Cascais & Olga Lourenço, 2024. "Use of and Beliefs toward Novel Tobacco and Nicotine Products among Portuguese University Students: A Pandemic Survey," IJERPH, MDPI, vol. 21(4), pages 1-19, April.

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