Challenges and opportunities for greater tobacco control in Japan

Tanigaki, Juno; Poudyal, Hemant

doi:10.1016/j.drugpo.2019.05.008

Cited by 13 publications

(14 citation statements)

References 44 publications

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“…Group smoking behaviours are also common in other regions, but may be in different outdoor settings [28]. In Japan, smoking on the street is also allowed if smokers could find an ashtray or remain at one place [29]. A study in the United States has reported multiple smokers gathered at outdoor public places such as parks, sidewalk cafes, restaurants, and pub patios [30].…”

Section: Discussionmentioning

confidence: 99%

First Report on Smoking and Infection Control Behaviours at Outdoor Hotspots during the COVID-19 Pandemic: An Unobtrusive Observational Study

Sun

Lam

Cheung

et al. 2021

IJERPH

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This study was to observe smoking behaviours and infection control behaviours in smokers at outdoor smoking hotspots during the COVID-19 pandemic in Hong Kong. We conducted unobtrusive observations at nine hotspots during 1 July 2019–31 January 2020 (pre-outbreak, 39 observations), 1 February–30 April 2020 (outbreak, eight observations), and 1 May–11 June 2020 (since-outbreak, 20 observations). Sex, age group, type of tobacco products used, duration of stay, group smoking behaviours, face mask wearing and infection control behaviours of smokers, and mask wearing of non-smoking pedestrians were observed. Compared with pre-outbreak, lower volumes of smokers were observed during outbreak and since-outbreak. Smokers gathered more in a group (24.5% and 25.8% vs. 13.4%, respectively) and stayed longer (91.5% and 83.6% vs. 80.6% stayed ≥1 min) during outbreak and since-outbreak than pre-outbreak. Ninety-six percent smokers possessed a face mask. While smoking, 81.6% of smokers put the mask under the chin and 13.8% carried it in the hand, 32.4% did not wear a mask immediately after smoking, 98.0% did not sanitize hands, and 74.3% did not keep a distance of at least one metre. During the COVID-19 pandemic, smokers gathered closely and stayed longer at the hotspots, and few practised hand hygiene, all of which may increase the risk of infection.

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Section: Discussionmentioning

confidence: 99%

First Report on Smoking and Infection Control Behaviours at Outdoor Hotspots during the COVID-19 Pandemic: An Unobtrusive Observational Study

Sun

Lam

Cheung

et al. 2021

IJERPH

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“…We hypothesized this difference may arise due country-level differences. Japan has stood out from the rest of developed countries due to its lax national tobacco control policies [37,38]. This would suggest less motivation to quit smoking based on health concerns among its population and likely contributed to the observed variation of pattern of products use.…”

Section: Characteristics Of Subgroups Of Concurrent Cigarette-htp Usersmentioning

confidence: 99%

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

Sutanto

Miller

Smith

et al. 2020

IJERPH

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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.

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“…Japan has high tobacco consumption with over 20 million smokers 6 . At present, there are 17000 smoking cessation clinics covered by medical insurance in Japan.…”

Section: Introductionmentioning

confidence: 99%

Development of a new craving index for anticipating quitting smoking in patients who undergo the Japanese smoking cessation therapy

Taniguchi¹,

Tanaka

Nakamura³

et al. 2019

Tob. Induc. Dis.

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INTRODUCTIONThe 10-item version of the Questionnaire of Smoking Urges (QSU-brief) has demonstrated excellent reliability. However, the QSU-brief may be too long to use in clinical settings. We developed a new craving index called the Tobacco Craving Index (TCI) and investigated how closely the TCI grade is associated with success of quitting smoking in Japanese smoking cessation therapy (SCT) patients.METHODSThe TCI questionnaire consists of two items: the first question asks about the strength of tobacco craving on a 4-point scale, and the second question asks about the frequency of tobacco craving per day on a 4-point scale. We conducted a prospective cohort study of 85 participants who underwent the Japanese SCT at a Japanese smoking cessation clinic. We administered the QSU-brief and TCI at each of the 5 sessions during the 12-week SCT.RESULTSSignificant correlations were observed between the TCI grade and QSU-brief score (r=0.27, 0.55, 0.72, 0.58 and 0.68, at the five sessions). The change in mean TCI grade showed a similar trend as the change in mean QSU-brief score among the 43 patients who succeeded in quitting smoking and also among the 7 patients who failed to quit smoking by the last session. Both TCI and QSU-brief assessed after the second session were significantly associated with the smoking status at the last session. The area under the receiver operating characteristic curve for the success of quitting smoking in TCI grade was 0.615–0.881 at the 5 sessions, whereas it was 0.536–0.849 in QSU-brief score.CONCLUSIONSThe TCI can be used as a predictive tool for success of quitting smoking in the Japanese SCT. As the TCI consists of two questionnaire items, it can be easily administered in smoking cessation interventions.

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Challenges and opportunities for greater tobacco control in Japan

Cited by 13 publications

References 44 publications

First Report on Smoking and Infection Control Behaviours at Outdoor Hotspots during the COVID-19 Pandemic: An Unobtrusive Observational Study

First Report on Smoking and Infection Control Behaviours at Outdoor Hotspots during the COVID-19 Pandemic: An Unobtrusive Observational Study

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

Development of a new craving index for anticipating quitting smoking in patients who undergo the Japanese smoking cessation therapy

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