1. Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey
- Author
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Maya Fujii, Nicholas Beckley-Hoelscher, Ann McNeill, Aya Imamoto, Aya Kinjo, Yuki Kuwabara, and Yoneatsu Osaki
- Subjects
Adult ,Male ,medicine.medical_specialty ,Higher education ,Adolescent ,Health, Toxicology and Mutagenesis ,noncombustible tobacco / nicotine products ,lcsh:Medicine ,cigarette smoking ,Context (language use) ,tobacco use ,heat-not-burn tobacco ,Electronic Nicotine Delivery Systems ,Article ,smoking ,Nicotine ,WHO Framework Convention on Tobacco Control (FCTC) ,03 medical and health sciences ,tobacco control policies ,0302 clinical medicine ,Japan ,030225 pediatrics ,Environmental health ,Surveys and Questionnaires ,Medicine ,Humans ,030212 general & internal medicine ,adolescents ,harm reduction ,Harm reduction ,Smokers ,business.industry ,Public health ,lcsh:R ,Public Health, Environmental and Occupational Health ,Tobacco Products ,e-cigarettes ,heated tobacco product ,Product (business) ,noncombustible tobacco/nicotine products ,Health education ,Female ,Club ,business ,medicine.drug - Abstract
The impact of heated-tobacco-products (HTPs) and electronic cigarettes (e-cigarettes) on youth is a controversial public health issue, as it is unknown whether alternative products result in more youth using such products or smoking. In Japan, e-cigarettes with nicotine are prohibited, but e-cigarettes without nicotine are available. HTPs are marketed as tobacco products. Within this unique context, we aimed to compare any conventional cigarette smokers (including those who also used alternative products) with exclusive users of alternative products and examine factors relating to their use in Japan. In 2017, 22,275 students in grades 7&ndash, 9 (age 12&ndash, 15) and 42,142 in grades 10&ndash, 12 (age 15&ndash, 18) nationwide were surveyed. Overall, 1.8% were current users of any of the three products over the last month. Multivariable analysis revealed that risk factors for alternative product use were the same as those for cigarette use. Among all users, exclusive new product users were more likely to participate in club activities and intend to continue to higher education, any conventional cigarette users (including those who also used alternative products) were more likely to be exposed to secondhand smoke at home and to drink alcohol. Reducing adult smoking and disseminating health education remain relevant as strategies for preventing adolescents&rsquo, future tobacco use.
- Published
- 2020