Heated tobacco product use, its correlates, and reasons for use among Mexican smokers

Cruz-Jiménez, Lizeth; Barrientos‐Gutiérrez, Inti; Zavala‐Arciniega, Luis; Arillo-Santillán, Edna; Gallegos‐Carrillo, Katia; Rodríguez-Bolaños, Rosibel; Gravely, Shannon; Thrasher, James F.

doi:10.1016/j.drugalcdep.2022.109283

Cited by 6 publications

(6 citation statements)

References 48 publications

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“…Moreover, approximately 60% of current HTP smokers in Japan claimed that they were influenced by family or friends using HTPs [41]. Similarly, the most popular reason for using HTPs in Mexico was their social acceptability relative to cigarettes (50.6%) [46]. Thus, this study suggests that regarding e-cigarette and/or HTP use, Japanese physicians are less likely to be affected by mass media and surrounding people than the general population.…”

Section: Discussionmentioning

confidence: 76%

“…However, according to a study conducted in the US, the main reasons for e-cigarette use were cessation/health reasons (84.5%) and consideration of others (71.5%) [40]. In addition, as per a study conducted among HTP users in Mexico, approximately a quarter of the respondents considered using HTPs in places where other cigarettes cannot be smoked [46]. These findings suggested that most physicians who used e-cigarettes and/or HTPs did so for harm reduction but not for smoking cessation.…”

Section: Discussionmentioning

confidence: 99%

“…It is essential to recognize that e-cigarettes containing nicotine have been proscribed in Japan under the Pharmaceutical Affairs Law, consequently rendering e-cigarette use relatively unpopular in the country. In addition, only one study, conducted in Mexico, has reported distinctions wherein HTP users placed greater emphasis on reasons such as "using these products to reduce cigarette consumption" and "perceived social acceptability compared to cigarettes" when contrasted with e-cigarette users [46]. Subsequent research endeavors should comprehensively explore and compare the distinctions between these user groups.…”

Section: Discussionmentioning

confidence: 99%

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Why Do Physicians in Japan Use e-Cigarettes and/or Heated Tobacco Products? A Cross-Sectional Survey

Otsuka,

Kaneita,

Itani

et al. 2023

Hygiene

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Background: The tobacco industry has actively advocated for electronic cigarettes (e-cigarettes) and heated tobacco products (HTPs) as harm-reduction alternatives to traditional cigarettes. Around 40% of smoking physicians have adopted HTPs. This study aimed to uncover the motivations behind Japanese physicians’ e-cigarette and HTP use while analyzing the associations between product use, physician demographics, lifestyles, and smoking preferences. Methods: A mail-based survey was conducted in 2020, targeting 6000 male and 1500 female physicians. From the 5492 survey participants, 346 physicians aged 28 to 98 who were current smokers were selected. The survey assessed their usage of e-cigarettes and HTPs and explored the reasons for initial adoption. A multivariate logistic regression analysis examined the relationships between product use, physician characteristics, and behaviors. Results: Approximately 33.8% of smoking physicians had experimented with e-cigarettes and HTPs. E-cigarette and HTP use correlated with youthfulness, nicotine addiction, and a history of medical treatment. The primary drivers for adopting e-cigarettes and HTPs were reduced odor (74.4%), perceived harm reduction (48.7%), and decreased exposure to secondhand smoke (29.1%). Conclusions: Physicians, when transitioning from conventional cigarettes to HTPs or e-cigarettes, are primarily motivated by a desire to reduce the odor of conventional cigarettes rather than health-related concerns.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Why Do Physicians in Japan Use e-Cigarettes and/or Heated Tobacco Products? A Cross-Sectional Survey

Otsuka,

Kaneita,

Itani

et al. 2023

Hygiene

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“…The lack of association that we found between HTP use and either smoking reduction or quit attempts, suggests that HTP use in Mexico may similarly serve as a complement to rather than a substitute for combustible cigarette use. A prior study involving Mexican smokers indicated that they predominantly use HTPs due to their perceived greater social acceptability compared to combustible cigarettes, as well as their perceived reduced harm to people around them 16 .…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, specialized IQOS stores that were established prior to the prohibition persist as the sole brand on the market, taking advantage of a regulatory loophole. Two recent studies among Mexican smokers suggested that despite great interest in trying HTPs (75%) 15 , the prevalence of HTP use was low (1.1%) following their introduction in 2019, with current e-cigarette use being a particularly strong correlate for HTP use 16 . There is a crucial need for evidence to guide regulation development that considers their potential public health impact.…”

Section: Introductionmentioning

confidence: 99%

Heated tobacco product use frequency, smoking quit attempts, and smoking reduction among Mexican adult smokers

Cruz-Jiménez,

Barrientos-Gutiérrez,

Vidaña-Pérez

et al. 2024

Tob. Induc. Dis.

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Electronic Cigarette and Heated Tobacco Product Use and Their Association With Tobacco Control Factors Among Adults in Indonesia, Kazakhstan, and the Philippines

Sreeramareddy,

Shu Syuen,

Hon

et al. 2024

Nicotine and Tobacco Research

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Introduction Data on e-cigarette (EC) and heated tobacco product (HTP) use and the reasons for their use are useful for policy making. We report comparable nationally representative estimates of EC and HTP use and their associated factors. Aims and Methods Global Adult Tobacco Survey data from Indonesia (2021), Kazakhstan (2019), and the Philippines (2021) were analyzed. The weighted prevalence rates and 95% CI of EC and HTP awareness, current use, and ever use, and their distribution by cigarette smoking status were calculated. Binary logistic regression analyses assessed socioeconomic, and tobacco control factors associated with EC and HTP use. Results The prevalence (%) of EC awareness, ever use and current use were 48.7–69.4, 3.6–8.8, and 1.9–3.0, respectively. The prevalence(%) of HTP awareness, ever use and current use were 2.7–21.7, 0.2–2.1, and 0.1–1.2, respectively. The main reasons for EC and HTP use were attractive flavors(45.8%–73.9%), less harmful than smoking(23.0%–70.1%), and enjoyment(40.8%–76.7%). Avoiding going back to smoking(0.9%–54.4%) and quitting smoking(19.4%–49.8%) were less frequently cited reasons (except in the Philippines). EC/HTP use was associated with younger age, higher education and wealth, current/past smoking, exposure to information about the dangers of tobacco use, and advertisements about tobacco products and smoke-free rules at home. Conclusions The prevalence of EC and HTP use was higher among younger men with higher education and wealth, and current/past smoking. EC and HTP use should be closely monitored. Regulations to restrict the widespread marketing and sales of EC and HTP are needed to prevent the escalation of their use. Implications The population-level data provide the benchmark for future monitoring use of e-cigarettes and HTPs and identify population subgroups for future surveillance in low- and middle-income countries. The association of EC/HTP use with tobacco control-related factors provides leads for policies that should be formulated and implemented to regulate the product contents, marketing, and sales of EC and HTP.

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Heated tobacco product use, its correlates, and reasons for use among Mexican smokers

Cited by 6 publications

References 48 publications

Why Do Physicians in Japan Use e-Cigarettes and/or Heated Tobacco Products? A Cross-Sectional Survey

Why Do Physicians in Japan Use e-Cigarettes and/or Heated Tobacco Products? A Cross-Sectional Survey

Heated tobacco product use frequency, smoking quit attempts, and smoking reduction among Mexican adult smokers

Electronic Cigarette and Heated Tobacco Product Use and Their Association With Tobacco Control Factors Among Adults in Indonesia, Kazakhstan, and the Philippines

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