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Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey

The impact of heated-tobacco-products (HTPs) and electronic cigarettes (e-cigarettes) on youth is a controversial public health issue, as it is unknown whether alternative products result in more youth using such products or smoking. In Japan, e-cigarettes with nicotine are prohibited, but e-cigaret...

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Autores principales: Kuwabara, Yuki, Kinjo, Aya, Fujii, Maya, Imamoto, Aya, Osaki, Yoneatsu, McNeill, Ann, Beckley-Hoelscher, Nicholas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246444/
https://www.ncbi.nlm.nih.gov/pubmed/32365873
http://dx.doi.org/10.3390/ijerph17093128
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author Kuwabara, Yuki
Kinjo, Aya
Fujii, Maya
Imamoto, Aya
Osaki, Yoneatsu
McNeill, Ann
Beckley-Hoelscher, Nicholas
author_facet Kuwabara, Yuki
Kinjo, Aya
Fujii, Maya
Imamoto, Aya
Osaki, Yoneatsu
McNeill, Ann
Beckley-Hoelscher, Nicholas
author_sort Kuwabara, Yuki
collection PubMed
description The impact of heated-tobacco-products (HTPs) and electronic cigarettes (e-cigarettes) on youth is a controversial public health issue, as it is unknown whether alternative products result in more youth using such products or smoking. In Japan, e-cigarettes with nicotine are prohibited, but e-cigarettes without nicotine are available. HTPs are marketed as tobacco products. Within this unique context, we aimed to compare any conventional cigarette smokers (including those who also used alternative products) with exclusive users of alternative products and examine factors relating to their use in Japan. In 2017, 22,275 students in grades 7–9 (age 12–15) and 42,142 in grades 10–12 (age 15–18) nationwide were surveyed. Overall, 1.8% were current users of any of the three products over the last month. Multivariable analysis revealed that risk factors for alternative product use were the same as those for cigarette use. Among all users, exclusive new product users were more likely to participate in club activities and intend to continue to higher education; any conventional cigarette users (including those who also used alternative products) were more likely to be exposed to secondhand smoke at home and to drink alcohol. Reducing adult smoking and disseminating health education remain relevant as strategies for preventing adolescents’ future tobacco use.
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spelling pubmed-72464442020-06-11 Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey Kuwabara, Yuki Kinjo, Aya Fujii, Maya Imamoto, Aya Osaki, Yoneatsu McNeill, Ann Beckley-Hoelscher, Nicholas Int J Environ Res Public Health Article The impact of heated-tobacco-products (HTPs) and electronic cigarettes (e-cigarettes) on youth is a controversial public health issue, as it is unknown whether alternative products result in more youth using such products or smoking. In Japan, e-cigarettes with nicotine are prohibited, but e-cigarettes without nicotine are available. HTPs are marketed as tobacco products. Within this unique context, we aimed to compare any conventional cigarette smokers (including those who also used alternative products) with exclusive users of alternative products and examine factors relating to their use in Japan. In 2017, 22,275 students in grades 7–9 (age 12–15) and 42,142 in grades 10–12 (age 15–18) nationwide were surveyed. Overall, 1.8% were current users of any of the three products over the last month. Multivariable analysis revealed that risk factors for alternative product use were the same as those for cigarette use. Among all users, exclusive new product users were more likely to participate in club activities and intend to continue to higher education; any conventional cigarette users (including those who also used alternative products) were more likely to be exposed to secondhand smoke at home and to drink alcohol. Reducing adult smoking and disseminating health education remain relevant as strategies for preventing adolescents’ future tobacco use. MDPI 2020-04-30 2020-05 /pmc/articles/PMC7246444/ /pubmed/32365873 http://dx.doi.org/10.3390/ijerph17093128 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kuwabara, Yuki
Kinjo, Aya
Fujii, Maya
Imamoto, Aya
Osaki, Yoneatsu
McNeill, Ann
Beckley-Hoelscher, Nicholas
Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey
title Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey
title_full Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey
title_fullStr Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey
title_full_unstemmed Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey
title_short Comparing Factors Related to Any Conventional Cigarette Smokers, Exclusive New Alternative Product Users, and Non-Users among Japanese Youth: A Nationwide Survey
title_sort comparing factors related to any conventional cigarette smokers, exclusive new alternative product users, and non-users among japanese youth: a nationwide survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246444/
https://www.ncbi.nlm.nih.gov/pubmed/32365873
http://dx.doi.org/10.3390/ijerph17093128
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