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Prevalence, Use Behaviors, and Preferences among Users of Heated Tobacco Products: Findings from the 2018 ITC Japan Survey
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Use of Heated Tobacco Products within Indoor Spaces: 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
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Cancer Control Center, Osaka International Cancer Institute, Osaka 537-8511, Japan
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Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
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Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA
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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
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Japan Cancer Society, Tokyo 100-0006, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(23), 4862; https://doi.org/10.3390/ijerph16234862
Received: 5 November 2019 / Revised: 21 November 2019 / Accepted: 1 December 2019 / Published: 3 December 2019
Although heated tobacco products (HTPs) have become increasingly popular in Japan, little is known about whether these emerging tobacco products are being used within indoor public spaces. Nationally representative data were obtained prior to implementation of a comprehensive smoke-free law in Japan as part of Wave 1 of the International Tobacco Control Japan Survey (February–March 2018). We estimated the weighted prevalence of HTP use within indoor public spaces among tobacco users and compared these to estimates for combustible cigarettes (CCs). Overall, 15.6% of current tobacco users in Japan declared that they used HTPs within indoor public spaces. Any HTP use within indoor public spaces was significantly lower than any CC use (80.1% vs. 96.7%). Dual HTP + CC users reported using CCs more frequently than using HTPs within indoor public spaces (97.7% vs. 76.0%). In conclusion, HTP use is less common than CC use within indoor public spaces. Findings of this study can inform the development of targeted smoke-free policies to benefit public health. View Full-Text
Keywords: heated tobacco products; heat-not-burn; secondhand exposure; involuntary exposure heated tobacco products; heat-not-burn; secondhand exposure; involuntary exposure
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Sutanto, E.; Smith, D.M.; Miller, C.; O’Connor, R.J.; Hyland, A.; Tabuchi, T.; Quah, A.C.K.; Cummings, K.M.; Xu, S.; Fong, G.T.; Ouimet, J.; Yoshimi, I.; Mochizuki, Y.; Goniewicz, M.L. Use of Heated Tobacco Products within Indoor Spaces: Findings from the 2018 ITC Japan Survey. Int. J. Environ. Res. Public Health 2019, 16, 4862.

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