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Secondhand Smoke Exposure in Public Places and Support for Smoke-Free Laws in Japan: Findings from the 2018 ITC Japan Survey

Author

Listed:
  • Genevieve Sansone

    (Department of Psychology, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada)

  • Geoffrey T. Fong

    (Department of Psychology, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada
    Ontario Institute for Cancer Research, 661 University Ave Suite 510, Toronto, ON M5G 0A3, Canada
    School of Public Health and Health Systems, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada)

  • Gang Meng

    (Department of Psychology, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada)

  • Lorraine V. Craig

    (Department of Psychology, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada)

  • Steve S. Xu

    (Department of Psychology, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada)

  • Anne C. K. Quah

    (Department of Psychology, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada)

  • Janine Ouimet

    (Department of Psychology, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada)

  • Yumiko Mochizuki

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

  • Itsuro Yoshimi

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

  • Takahiro Tabuchi

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

Abstract

Comprehensive smoke-free policies such as those called for by the WHO FCTC are the only way to protect the public effectively from the harms of secondhand smoke (SHS), yet Japan has been slow to implement this important health measure. This study examines baseline levels of smoking and SHS exposure in public places and support for smoking bans in Japan prior to the implementation of the 2018 national smoke-free law. Data are from the International Tobacco Control (ITC) Japan Wave 1 Survey (Feb–Mar 2018), a web survey of adult cigarette smokers, heated tobacco product users, dual users, and non-users (total N = 4684). Measures included prevalence of smoking (whether respondents noticed people smoking inside restaurants and bars at their last visit, and workplaces in the last month), and support for complete smoking bans in these venues. Smoking prevalence in each venue was high overall in 2018 (49% of workplaces, 55% of restaurants, and 83% of bars), even higher than in China, the country with the greatest toll of SHS. Support for complete smoking bans was very high overall (81% for workplaces, 78% for restaurants, and 65% for bars). Non-users were less likely to be exposed to SHS and had higher support for smoking bans than tobacco users. These findings point to the ineffectiveness of partial smoke-free laws in Japan and reinforce the call for comprehensive smoke-free laws, which even smokers would support at higher levels than in many other ITC countries.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:979-:d:316510
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    References listed on IDEAS

    as
    1. World Health Organization, 2015. "Smoke-free Policies in China: Evidence of Effectiveness and Implications for Action," University of California at San Francisco, Center for Tobacco Control Research and Education qt3wq3h5rh, Center for Tobacco Control Research and Education, UC San Francisco.
    2. World Health Organization, 2017. "WHO report on the global tobacco epidemic 2017: Monitoring tobacco use and prevention policies," University of California at San Francisco, Center for Tobacco Control Research and Education qt8nw5p0zt, Center for Tobacco Control Research and Education, UC San Francisco.
    3. Takahiro Tabuchi & Brian Colwell, 2016. "Disparity and Trends in Secondhand Smoke Exposure among Japanese Employees, Particularly Smokers vs. Non-Smokers," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-12, April.
    4. 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.
    5. Thrasher, J.F. & Pérez-Hernández, R. & Swayampakala, K. & Arillo-Santillán, E. & Bottai, M., 2010. "Policy support, norms, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico City," American Journal of Public Health, American Public Health Association, vol. 100(9), pages 1789-1798.
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    Cited by:

    1. 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.

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