Trends in the co-use of alcohol and tobacco among Japanese adolescents: periodical nationwide cross-sectional surveys 1996–2017

Fujii, Maya; Kuwabara, Yuki; Kinjo, Aya; Imamoto, Aya; Jike, Maki; Otsuka, Yuichiro; Itani, Osamu; Kaneita, Yoshitaka; Minobe, Ruriko; Maesato, Hitoshi; Higuchi, Susumu; Yoshimoto, Hisashi; Kanda, Hideyuki; Osaki, Yoneatsu

doi:10.1136/bmjopen-2020-045063

Cited by 9 publications

(15 citation statements)

References 32 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The completed questionnaires were placed in envelopes and sealed by students; envelopes were collected by teachers and returned to our office. The data collection flow was reported previously …”

Section: Methodsmentioning

confidence: 99%

Secondhand Smoke Exposure and Smoking Prevalence Among Adolescents

Kuwabara,

Kinjo,

Kim

et al. 2023

JAMA Netw Open

Self Cite

View full text Add to dashboard Cite

ImportanceSecondhand smoke is a substantial risk factor for youth health globally, including in Japan, where tobacco control policies should be reassessed.ObjectiveTo assess trends in the prevalence of secondhand smoke exposure among Japanese adolescents from 2008 to 2017 and to examine the association between its frequency and smoking during the study period.Design, Setting, and ParticipantsThis study comprised a nationally representative, self-administered, school-based, cross-sectional survey focusing on tobacco and alcohol use and related factors among students in grades 7 to 12 (ages 12-18 years) in Japan. This random sampling survey used single-stage cluster sampling. Using the national school directory, junior and senior high schools throughout Japan were randomly extracted from each regional block. All students enrolled in the sampled schools were included as participants, and school-based surveys were completed in 2008, 2012, and 2017. Data analysis was performed from January 1 to March 15, 2023.Main Outcomes and MeasuresPrevalence of secondhand smoke exposure among adolescents in Japan from 2008 to 2017 and changes in the association between secondhand smoke exposure frequency and prevalence of smoking were examined using multiple logistic regression analysis.ResultsData were analyzed for 95 680 adolescents in 2008 (50.7% boys), 100 050 in 2012 (51.6% boys), and 64 152 in 2017 (53.9% boys). At baseline, 42.0%, 38.5%, and 34.6% of the participants were junior high school students in 2008, 2012, and 2017, respectively. Based on the 2008 surveys, 51.0% of adolescents in grades 7 to 12 were exposed to secondhand smoke in any place (≥1 day during the past 7 days), 37.2% were exposed at home, and 36.5% were exposed in public places. In 2017, 36.3% of participants were exposed to secondhand smoke in any place, 23.8% were exposed at home, and 27.0% were exposed in public places. An association between secondhand smoke exposure frequency and prevalence of smoking was observed consistently regardless of survey year, location, or pattern of exposure (adjusted odds ratios ranged from 2.29 [95% CI, 1.81-2.91] for 1-2 days at home to 11.15 [95% CI, 8.50-14.62] for 7 days in public places). Stratified analysis by higher education intention indicated that the prevalence of smoking and secondhand smoke exposure decreased but remained higher among adolescents who did not intend to pursue higher education. The association between secondhand smoke and smoking did not differ substantially between groups.Conclusions and RelevanceIn this cross-sectional study, the prevalence of secondhand smoke exposure among adolescents in Japan decreased but remained at high levels overall. There may not be a hazard-free threshold for smoking. Enhancing comprehensive tobacco control strategies is Japan’s first step toward achieving smoke-free environments to protect youths. Implementation and verification of the effectiveness of smoke-free legislation should be considered.

show abstract

Section: Methodsmentioning

confidence: 99%

Secondhand Smoke Exposure and Smoking Prevalence Among Adolescents

Kuwabara,

Kinjo,

Kim

et al. 2023

JAMA Netw Open

Self Cite

View full text Add to dashboard Cite

show abstract

“…Recently, alcohol consumption and smoking rates among adolescents have declined globally [ 1 , 14 ]. South Korea also showed a similar trend, with drinking and smoking rates in 2020 and 2021 decreasing by 3–4% compared to 2019 [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Drinking that begins in adolescence is associated with long-term effects, such as decreased memory and attention [ 1 ]. Neurotoxic effects are one of the many types of adverse effects of consuming alcohol at a developmentally vulnerable age, and this can cause changes in brain functions, increased susceptibility to diseases in adulthood, difficulties with emotional regulation, increased risky sexual behavior, fighting, and physical aggression [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Subsequently, drinking alcohol is highly related to depression and behavioral problems, such as attention-deficit hyperactivity disorder (ADHD), which can occur when children or adolescents begin substance abuse early [ 6 ]. This also causes emotional problems, such as aggression, impulsivity, anxiety, and excitement, and is more likely to cause eating disorders than smoking [ 1 , 7 ]. Therefore, it is important to investigate adolescents’ mental health and substance use, such as smoking and drinking, during the pandemic.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mental Health and Smoking-Related Determinants of Alcohol Drinking Experience in Korean Adolescents

Park

Song

2023

IJERPH

View full text Add to dashboard Cite

This study aimed to identify the determinants of mental health and smoking-related behaviors among Korean adolescents with drinking experience. Secondary data from the Korean Youth Risk Behavior Web-based Survey (2021) were analyzed. The final study sample consisted of data from 5905 adolescents with a history of smoking. Chi-square and multivariate logistic regression analyses were used to examine the factors related to drinking experience. The factors that influenced alcohol drinking were sex, school level, academic performance, self-reported depression, and smoking. The results of this study showed that there are numerous factors affecting adolescents’ drinking experience. Early education and interventions are needed to reduce alcohol consumption among adolescents. Integrated attention and support from society, school, and family are necessary so that they can cope with and adapt to stress in a healthy way.

show abstract

“…The prevalence of smoking in Japan has been decreasing among adolescents, middle-aged, and older adults of both genders, accompanied by limiting access of minors to cigarettes, prohibiting smoking in the workplace, providing smoking prevention and quitting programs, and putting a high tax on cigarettes [ 10 , 11 ]. In 2018, the crude and age-adjusted prevalence rates of current smoking among people aged ≥15 years in Japan reached their lowest levels in decades: 31.1% and 33.2% in men and 8.6% and 10.5% in women, respectively [ 12 ].…”

Section: Components Of Lifelong Health Support 10mentioning

confidence: 99%

The Lifelong Health Support 10: a Japanese prescription for a long and healthy life

Arafa

Kokubo

Kashima

et al. 2022

Environ. Health Prev. Med.

View full text Add to dashboard Cite

Background Although the age-adjusted incidence and mortality of cancer and cardiovascular disease (CVD) have been decreasing steadily in Japan, both diseases remain major contributors to morbidity and mortality along with the aging society. Herein, we aim to provide a prescription of 10 health tips for long and healthy life named the “Lifelong Health Support 10 (LHS10).” Method The LHS10 was developed by the preventive medicine specialists at the National Cerebral and Cardiovascular Center in Suita, where it has been used for health guidance to prevent CVD, cancer, and cognitive decline in addition to their major risk factors such as hypertension, diabetes, and obesity. It consisted of the lifestyle modification recommendations of the 2014 Japanese Society of Hypertension guidelines and the 2017 Japan Atherosclerosis Society Guidelines for preventing atherosclerotic CVD. Further, it came in line with other international lifestyle modification guidelines. In this narrative review, we summarized the results of several Japanese epidemiological studies investigating the association between the LHS10 items and the risk of cancer, CVD, and other chronic diseases including dementia, diabetes, and chronic kidney disease. Results The LHS10 included avoiding smoking and secondhand smoke exposure, engaging in physical activity, refraining from excessive alcohol drinking, reducing fried foods and sugary soft drinks, cutting salt in food, consuming more vegetables, fruits, fish, soy foods, and fibers, and maintaining proper body weight. All items of the LHS10 were shown to reduce the risk of cancer, CVD, and other chronic diseases. Conclusions The LHS10 can be a helpful tool for health guidance. Supplementary information The online version contains supplementary material available at https://doi.org/10.1265/ehpm.22-00085 .

show abstract

Trends in the co-use of alcohol and tobacco among Japanese adolescents: periodical nationwide cross-sectional surveys 1996–2017

Cited by 9 publications

References 32 publications

Secondhand Smoke Exposure and Smoking Prevalence Among Adolescents

Secondhand Smoke Exposure and Smoking Prevalence Among Adolescents

Mental Health and Smoking-Related Determinants of Alcohol Drinking Experience in Korean Adolescents

The Lifelong Health Support 10: a Japanese prescription for a long and healthy life

Contact Info

Product

Resources

About