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IQOS Use and Interest by Sociodemographic and Tobacco Behavior Characteristics among Adults in the US and Israel

Author

Listed:
  • Hagai Levine

    (Braun School of Public Health and Community Medicine, Faculty of Medicine, The Hebrew University of Jerusalem and Hadassah, Jerusalem 9112002, Israel)

  • Zongshuan Duan

    (Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA)

  • Yael Bar-Zeev

    (Braun School of Public Health and Community Medicine, Faculty of Medicine, The Hebrew University of Jerusalem and Hadassah, Jerusalem 9112002, Israel)

  • Lorien C. Abroms

    (Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA)

  • Amal Khayat

    (Braun School of Public Health and Community Medicine, Faculty of Medicine, The Hebrew University of Jerusalem and Hadassah, Jerusalem 9112002, Israel)

  • Sararat Tosakoon

    (Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA)

  • Katelyn F. Romm

    (TSET Health Promotion Research Center, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Yan Wang

    (Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA)

  • Carla J. Berg

    (Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA)

Abstract

Heated tobacco products (HTPs) have expanded globally. IQOS, a global HTP leader, was launched in Israel in 2016 and the US in 2019. To inform tobacco control efforts, it is critical to understand who is likely to use HTPs in different countries with distinct regulatory and marketing contexts. Thus, we conducted a cross-sectional survey among adult (ages 18–45) online panelists in the US ( n = 1128) and Israel ( n = 1094), oversampling tobacco users, in the fall of 2021, and used multivariable regression to identify correlates of (1) ever using IQOS; (2) past-month vs. former among ever users; and (3) interest in trying IQOS among never users. Among US adults, correlates of ever use included being Asian (aOR = 3.30) or Hispanic (aOR = 2.83) vs. White, and past-month use of cigarettes (aOR = 3.32), e-cigarettes (aOR = 2.67), and other tobacco (aOR = 3.34); in Israel, correlates included being younger (aOR = 0.97), male (aOR = 1.64), and cigarette (aOR = 4.01), e-cigarette (aOR = 1.92) and other tobacco use (aOR = 1.63). Among never users, correlates of greater interest included cigarette and e-cigarette use in the US (β = 0.57, β = 0.90) and Israel (β = 0.88, β = 0.92). IQOS use prevalence was low (US: 3.0%; Israel: 16.2%) but represented in vulnerable subpopulations (younger adults, racial/ethnic minorities).

Suggested Citation

  • Hagai Levine & Zongshuan Duan & Yael Bar-Zeev & Lorien C. Abroms & Amal Khayat & Sararat Tosakoon & Katelyn F. Romm & Yan Wang & Carla J. Berg, 2023. "IQOS Use and Interest by Sociodemographic and Tobacco Behavior Characteristics among Adults in the US and Israel," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3141-:d:1064611
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    References listed on IDEAS

    as
    1. Aleksandra Ratajczak & Piotr Jankowski & Piotr Strus & Wojciech Feleszko, 2020. "Heat Not Burn Tobacco Product—A New Global Trend: Impact of Heat-Not-Burn Tobacco Products on Public Health, a Systematic Review," IJERPH, MDPI, vol. 17(2), pages 1-12, January.
    2. Carla J. Berg & Lorien C. Abroms & Hagai Levine & Katelyn F. Romm & Amal Khayat & Christina N. Wysota & Zongshuan Duan & Yael Bar-Zeev, 2021. "IQOS Marketing in the US: The Need to Study the Impact of FDA Modified Exposure Authorization, Marketing Distribution Channels, and Potential Targeting of Consumers," IJERPH, MDPI, vol. 18(19), pages 1-10, October.
    3. Małgorzata Znyk & Joanna Jurewicz & Dorota Kaleta, 2021. "Exposure to Heated Tobacco Products and Adverse Health Effects, a Systematic Review," IJERPH, MDPI, vol. 18(12), pages 1-18, June.
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    1. Teresa DeAtley & Andrea C. Johnson & Matthew D. Stone & Janet Audrain-McGovern & Melissa Mercincavage & Andrew A. Strasser, 2023. "Effects of Modified Tobacco Risk Products with Claims and Nicotine Features on Perceptions among Racial and Ethnic Groups," IJERPH, MDPI, vol. 20(15), pages 1-14, July.

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