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Open AccessFeature PaperArticle

Prevalence, Use Behaviors, and Preferences among Users of Heated Tobacco Products: Findings from the 2018 ITC Japan Survey

1
Division of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
2
Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
3
Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA
4
Ontario Institute for Cancer Research, Toronto, ON M5G 0A3, Canada
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Division of Tobacco Policy Research, National Cancer Center Japan, Tokyo 104-0045, Japan
6
Japan Cancer Society, Tokyo 100-0006, Japan
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Cancer Control Center, Osaka International Cancer Institute, Osaka 537-8511, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(23), 4630; https://doi.org/10.3390/ijerph16234630
Received: 26 October 2019 / Revised: 15 November 2019 / Accepted: 18 November 2019 / Published: 21 November 2019
Heated tobacco products (HTPs), such as IQOS, glo, and Ploom TECH, with a variety of flavored tobacco-containing inserts, have reportedly achieved a significant market share in Japan. We analyzed data from Wave 1 of the ITC Japan Survey, a nationally representative web survey conducted in February to March 2018 among 4684 adult participants to estimate the prevalence of HTP use, describe characteristics of HTP users, and explore user preferences for HTP device and flavor. The overall prevalence of monthly HTP use was 2.7% (1.7% daily use). Virtually all HTP users were current cigarette smokers (67.8%) or former smokers (25.0%); only 1.0% of HTP users were never smokers. Among HTP users, IQOS was the most frequently reported brand used (64.5%), and menthol was the most common flavor reported (41.5%). IQOS was used more by younger respondents and those who reported daily use, while Ploom TECH was more popular among older respondents and non-daily HTP users. This is one of the first non-industry funded studies to explore the use of HTPs in Japan. View Full-Text
Keywords: heated tobacco products; heat-not-burn; modified risk tobacco products; flavored tobacco heated tobacco products; heat-not-burn; modified risk tobacco products; flavored tobacco
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Sutanto, E.; Miller, C.; Smith, D.M.; O’Connor, R.J.; Quah, A.C.K.; Cummings, K.M.; Xu, S.; Fong, G.T.; Hyland, A.; Ouimet, J.; Yoshimi, I.; Mochizuki, Y.; Tabuchi, T.; Goniewicz, M.L. Prevalence, Use Behaviors, and Preferences among Users of Heated Tobacco Products: Findings from the 2018 ITC Japan Survey. Int. J. Environ. Res. Public Health 2019, 16, 4630.

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