Heat-not-burn tobacco product use in Japan: its prevalence, predictors and perceived symptoms from exposure to secondhand heat-not-burn tobacco aerosol.

Heat-not-burn tobacco product use in Japan: its prevalence, predictors and perceived symptoms from exposure to secondhand heat-not-burn tobacco aerosol.
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DOI:
10.1136/tobaccocontrol-2017-053947
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发表时间:
2018-07
期刊:
影响因子:
5.2
通讯作者:
Colwell B
Colwell B
中科院分区:
医学2区
文献类型:
--
作者:
Tabuchi T;Gallus S;Shinozaki T;Nakaya T;Kunugita N;Colwell B

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一种加热不燃烧(HNB)烟草产品IQOS首先在日本和意大利作为试验市场推出,目前在30个国家销售。使用两个数据来源,我们研究了对HNB烟草(IQOS,Ploom和Glo)的兴趣,其流行率,其使用的预测因素以及日本二手HNB烟草气雾剂暴露的症状,自2014年以来一直在销售HNB烟草。使用Google搜索查询数据探索了人群对HNB烟草的兴趣。使用对8240名个体(2015年为15-69岁)进行的纵向互联网调查计算了HNB烟草当前使用(即,前30天使用)的患病率,随访至2017年。还计算了暴露于他人的HNB烟草呼出气溶胶的感知症状率。IQOS的最大互联网搜索量发生在2016年4月,在一个受欢迎的全国娱乐电视节目介绍IQOS之后的一周。Ploom和Glo的搜索量自推出以来一直有限。IQOS使用者的患病率从2015年1月至2月的0.3%上升到2016年1月至2月的0.6%,2017年1月至2月上升到3.6%,而其他HNB烟草产品的估计使用率在2017年仍然很低。在2016年看过电视节目的受访者比没有看过的人更有可能使用IQOS(10.3%对2.7%)。在接触过二手HNB烟草气雾剂的从不吸烟者中,近一半的人报告至少有一种急性症状,尽管这些症状并不严重。一个受欢迎的电视节目引发了IQOS在日本的传播。从调查结果推断,日本目前约有310万人使用IQOS。烟草控制组织和政府应密切监测HNB烟草,并考虑如何对其进行监管。
A heat-not-burn (HNB) tobacco product, IQOS, was first launched in Japan and Italy as test markets and is currently in commerce in 30 countries. Using two data sources, we examined interest in HNB tobacco (IQOS, Ploom and glo), its prevalence, predictors of its use and symptoms from exposure to secondhand HNB tobacco aerosol in Japan, where HNB tobacco has been sold since 2014. Population interest in HNB tobacco was explored using Google search query data. Prevalence of HNB tobacco current use (ie, use in the previous 30 days) was calculated using a longitudinal internet survey of 8240 individuals (15–69 years old in 2015) followed up to 2017. Rates of perceived symptoms from exposure to exhaled aerosol of others’ HNB tobacco were also calculated. The largest internet search volume for IQOS occurred in April 2016 in the week after a popular national entertainment TV show introduced IQOS. For Ploom and glo, search volumes have remained limited since their launch. Prevalence of IQOS users increased from 0.3% in January–February 2015 to 0.6% in January–February 2016 and up to 3.6% in January–February 2017, while estimated rates of use of other HNB tobacco products remained low in 2017. Respondents who had seen the TV programme in 2016 were more likely to have used IQOS than those who had not seen it (10.3% vs 2.7%). Among never-smokers who had been exposed to secondhand HNB tobacco aerosol, nearly half reported at least one acute symptom, although these symptoms were not serious. A popular TV programme triggered IQOS diffusion in Japan. Extrapolating from survey results to the general population, around 3.1 million people currently use IQOS in Japan. Tobacco control organisations and governments should closely monitor HNB tobacco and consider how to regulate it.
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