Heat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017.
Adolescent
Adolescent Behavior
Electronic Nicotine Delivery Systems
/ statistics & numerical data
Female
Hot Temperature
Humans
Japan
/ epidemiology
Life Style
Longitudinal Studies
Male
Prevalence
Schools
Smoking
/ epidemiology
Students
Surveys and Questionnaires
Nicotiana
Tobacco Products
/ classification
Tobacco Smoking
/ epidemiology
Vaping
/ epidemiology
Adolescents
Cigarette smoking
E-cigarettes
Heat-not-burn tobacco
Prevalence
Smoking
Tobacco use
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
20 May 2020
20 May 2020
Historique:
received:
14
10
2019
accepted:
13
05
2020
entrez:
22
5
2020
pubmed:
22
5
2020
medline:
21
10
2020
Statut:
epublish
Résumé
From among the global public health concerns, smoking remains one of the most crucial challenges. Especially for adolescents, the increase in the use of electronic cigarettes is controversial, as its use may lead to established smoking. In Japan, where a unique tobacco regulation system exists, the heat-not-burn tobacco market has been growing. However, the prevalence and association of combustible cigarettes and new tobacco-related products have not yet been closely investigated among Japanese adolescents. This study aimed to clarify the prevalence of smoking among adolescents, including new types of tobacco-related products, and to compare the characteristics of their users. The 2017 Lifestyle Survey of Adolescents is a nationally-representative survey collected in Japan. From the national school directory, 98 junior high schools and 86 high schools were randomly sampled throughout Japan. The students completed an anonymous questionnaire at school. We calculated the prevalence of use for each type of tobacco product. Then, the use of a combination of products and the characteristics of different types of products were examined. In total, 64,152 students from 48 junior high schools and 55 high schools were included the analysis (school response rate = 56%, M The prevalence of new tobacco-alternative products is growing in popularity among Japanese adolescents. Dual use is common, and many adolescents use new products only. Moreover, e-cigarettes might attract a broader range of groups to smoking. Continuous monitoring and research are needed to investigate their influence as a possible gateway to tobacco smoking.
Sections du résumé
BACKGROUND
BACKGROUND
From among the global public health concerns, smoking remains one of the most crucial challenges. Especially for adolescents, the increase in the use of electronic cigarettes is controversial, as its use may lead to established smoking. In Japan, where a unique tobacco regulation system exists, the heat-not-burn tobacco market has been growing. However, the prevalence and association of combustible cigarettes and new tobacco-related products have not yet been closely investigated among Japanese adolescents. This study aimed to clarify the prevalence of smoking among adolescents, including new types of tobacco-related products, and to compare the characteristics of their users.
METHODS
METHODS
The 2017 Lifestyle Survey of Adolescents is a nationally-representative survey collected in Japan. From the national school directory, 98 junior high schools and 86 high schools were randomly sampled throughout Japan. The students completed an anonymous questionnaire at school. We calculated the prevalence of use for each type of tobacco product. Then, the use of a combination of products and the characteristics of different types of products were examined.
RESULTS
RESULTS
In total, 64,152 students from 48 junior high schools and 55 high schools were included the analysis (school response rate = 56%, M
CONCLUSIONS
CONCLUSIONS
The prevalence of new tobacco-alternative products is growing in popularity among Japanese adolescents. Dual use is common, and many adolescents use new products only. Moreover, e-cigarettes might attract a broader range of groups to smoking. Continuous monitoring and research are needed to investigate their influence as a possible gateway to tobacco smoking.
Identifiants
pubmed: 32434517
doi: 10.1186/s12889-020-08916-x
pii: 10.1186/s12889-020-08916-x
pmc: PMC7240931
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
741Subventions
Organisme : Ministry of Health, Labour and Welfare
ID : 29060801
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