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Concurrent Daily and Non-Daily Use of Heated Tobacco Products with Combustible Cigarettes: Findings from the 2018 ITC Japan Survey

Author

Listed:
  • Edward Sutanto

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Connor Miller

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Danielle M. Smith

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Ron Borland

    (Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne 3010, Australia)

  • Andrew Hyland

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • K. Michael Cummings

    (Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Anne C.K. Quah

    (Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Steve Shaowei Xu

    (Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Geoffrey T. Fong

    (Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
    Ontario Institute for Cancer Research, Toronto, ON M5G 0A3, Canada)

  • Janine Ouimet

    (Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Itsuro Yoshimi

    (Division of Tobacco Policy Research, National Cancer Center Japan, Tokyo 104-0045, Japan)

  • Yumiko Mochizuki

    (Japan Cancer Society, Tokyo 100-0006, Japan)

  • Takahiro Tabuchi

    (Cancer Control Center, Osaka International Cancer Institute, Osaka 537-8511, Japan)

  • Richard J. O’Connor

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Maciej L. Goniewicz

    (Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

Abstract

Use of heated tobacco products (HTPs) among current smokers is becoming increasingly popular in Japan. This study aims to compare characteristics and tobacco-related behaviors among concurrent users of HTPs and combustible cigarettes ( n = 644) with exclusive smokers ( n = 3194) or exclusive HTP users ( n = 164). The secondary aim was to explore heterogeneity within concurrent use subgroups. Data were from Wave 1 of the ITC Japan Survey, a nationally representative web survey conducted from February to March 2018. Concurrent cigarette-HTP users were younger and wealthier than exclusive smokers. However, there were no difference in the frequency of smoking, number of cigarettes per day, and smoking cessation behaviors between the two groups, suggesting that HTPs reinforce nicotine dependence. Compared to exclusive HTP users, concurrent cigarette-HTP users reported higher frequency of non-daily HTP use, and lower number of tobacco-containing inserts per day. Almost all concurrent cigarette-HTP users smoked every day (93.9%); 48.4% both smoked and used HTPs daily (dual daily users, n = 396), while 45.5% were daily smokers and non-daily HTP users (predominant smokers, n = 213). Concurrent user subgroups differed from each other on age, tobacco use behaviors, and quit intention. Alongside heterogeneity between concurrent and exclusive product users, differences across concurrent use subgroups highlight the importance of considering frequency of use in characterizing poly-tobacco users.

Suggested Citation

  • Edward Sutanto & Connor Miller & Danielle M. Smith & Ron Borland & Andrew Hyland & K. Michael Cummings & Anne C.K. Quah & Steve Shaowei Xu & Geoffrey T. Fong & Janine Ouimet & Itsuro Yoshimi & Yumiko , 2020. "Concurrent Daily and Non-Daily Use of Heated Tobacco Products with Combustible Cigarettes: Findings from the 2018 ITC Japan Survey," IJERPH, MDPI, vol. 17(6), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:2098-:d:335487
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    References listed on IDEAS

    as
    1. Edward Sutanto & Connor Miller & Danielle M. Smith & Richard J. O’Connor & Anne C. K. Quah & K. Michael Cummings & Steve Xu & Geoffrey T. Fong & Andrew Hyland & Janine Ouimet & Itsuro Yoshimi & Yumiko, 2019. "Prevalence, Use Behaviors, and Preferences among Users of Heated Tobacco Products: Findings from the 2018 ITC Japan Survey," IJERPH, MDPI, vol. 16(23), pages 1-18, November.
    2. Song, A.V. & Morrell, H.E.R. & Cornell, J.L. & Ramos, M.E. & Biehl, M. & Kropp, R.Y. & Halpern-Felsher, B.L., 2009. "Perceptions of smoking-related risks and benefits as predictors of adolescent smoking initiation," American Journal of Public Health, American Public Health Association, vol. 99(3), pages 487-492.
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    Cited by:

    1. Seung Hee Kim & Seo Young Kang & Hong-Jun Cho, 2020. "Beliefs about the Harmfulness of Heated Tobacco Products Compared with Combustible Cigarettes and Their Effectiveness for Smoking Cessation among Korean Adults," IJERPH, MDPI, vol. 17(15), pages 1-10, August.
    2. Dong-Hee Ryu & Soon-Woo Park & Jun Hyun Hwang, 2020. "Association between Intention to Quit Cigarette Smoking and Use of Heated Tobacco Products: Application of Smoking Intensity Perspective on Heated Tobacco Product Users," IJERPH, MDPI, vol. 17(22), pages 1-10, November.

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