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E-Cigarettes Use Behaviors in Japan: An Online Survey

Author

Listed:
  • Shihoko Koyama

    (Cancer Control Center, Osaka International Cancer Institute, Osaka 541-8567, Japan
    These authors contributed equally to this work.)

  • Takahiro Tabuchi

    (Cancer Control Center, Osaka International Cancer Institute, Osaka 541-8567, Japan
    These authors contributed equally to this work.)

  • Isao Miyashiro

    (Cancer Control Center, Osaka International Cancer Institute, Osaka 541-8567, Japan)

Abstract

Electronic cigarette (e-cigarette) use has become increasingly widespread throughout the world, including in Japan. However, little is known about how e-cigarettes are used in Japan, a country with heavy restrictions on nicotine-containing e-liquids and/or vaping products. This study examined e-cigarette use (e-cigarette use duration, frequency of use, device type, electrical resistance, nicotine use, favorite e-liquid flavors) among users in Japan, through an online survey using a web-based self-reported questionnaire which included questions about sex, age, combustible cigarette and heated tobacco product (HTP) use behaviors. Of 4689 e-cigarettes users analyzed, 93.5% were men and 52.9% had been using e-cigarettes for 1–3 years. Over 80% used e-cigarettes every day; 62.3% used nicotine liquid, and half of the nicotine liquid users used nicotine salt. The most popular liquid flavor was fruit (prevalence: 68.1%), followed by tobacco (prevalence: 48.4%). While 50.9% were e-cigarette single users, 35.2% were dual users (e-cigarettes and cigarettes or HTPs) and 13.8% were triple user (e-cigarettes, cigarettes and HTPs). This is the first comprehensive survey of Japanese e-cigarette users and our finding suggest more than half use nicotine liquid, although e-cigarettes containing nicotine liquid have been prohibited by the Pharmaceutical Affairs Act since 2010 in Japan. The study also showed 49.1% of participants used cigarettes and/or HTPs concurrently (dual or triple users).

Suggested Citation

  • Shihoko Koyama & Takahiro Tabuchi & Isao Miyashiro, 2022. "E-Cigarettes Use Behaviors in Japan: An Online Survey," IJERPH, MDPI, vol. 19(2), pages 1-8, January.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:892-:d:724442
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    References listed on IDEAS

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    1. Andrea K. Bowe & Frank Doyle & Debbi Stanistreet & Emer O’Connell & Michéal Durcan & Emmet Major & Diarmuid O’Donovan & Paul Kavanagh, 2021. "E-Cigarette-Only and Dual Use among Adolescents in Ireland: Emerging Behaviours with Different Risk Profiles," IJERPH, MDPI, vol. 18(1), pages 1-13, January.
    2. Penelope Truman & Marewa Glover & Trish Fraser, 2018. "An Online Survey of New Zealand Vapers," IJERPH, MDPI, vol. 15(2), pages 1-14, January.
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    Cited by:

    1. Makoto Aoike & Yukihiro Mori & Yuka Aoyama & Mamoru Tanaka & Hana Kozai & Yukihiro Shigeno & Hatsumi Kawamura & Masato Tsurudome & Morihiro Ito, 2023. "Nicotine Dependence among College Students Uninterested in Smoking Cessation during the COVID-19 Pandemic: A Cross-Sectional Survey," IJERPH, MDPI, vol. 20(6), pages 1-12, March.
    2. Michael S. Dunbar & Joan S. Tucker, 2022. "Introduction to the Special Issue “Emerging Trends in Combustible Tobacco and Vaping Product Use”," IJERPH, MDPI, vol. 19(9), pages 1-4, April.

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