Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

A National Cross-Sectional Survey to Assess Tobacco and Nicotine Product Usage Patterns and Behaviour Since the Introduction of Tobacco Heating Products in Japan: Wave 1

Version 1 : Received: 9 December 2020 / Approved: 10 December 2020 / Online: 10 December 2020 (14:01:14 CET)

A peer-reviewed article of this Preprint also exists.

Journal reference: Tobacco Regulatory Science 2021, 7, 210-220
DOI: 10.18001/TRS.7.3.6


Providing data on usage patterns is key to assessing the reduced-risk potential of novel tobacco and nicotine products at a population level. We performed a nationwide cross-sectional survey of the general population in Japan to assess usage patterns after the introduction of tobacco heating products (THPs). Eligible participants were Japanese residents, aged 20 years or older who consented to complete the survey. Individuals living in institutions were excluded. A three-stage probability sampling method was applied that was geographically stratified by street blocks proportionate to population density. Respondents self-reported patterns of product use and reasons for THP use. Complete responses were available from 5,306 individuals, of whom 933.5 (17.6%) were current users, 984.2 (18.5%) were former users and 3388.4 (63.9%) were never users of tobacco products. Cigarettes were used by 14.6% of current tobacco product users and THPs by 5.3%. Cigarettes and THPs were used exclusively by 64.5% and 12.2%, respectively, and both were used by 12.7%. The most common reasons reported for THP use were perceived reduction in harm to self and others compared to cigarettes. While the prevalence of cigarette use in Japan is decreasing, THPs seem to be increasingly used as long-term alternatives to cigarette smoking.


Tobacco and nicotine products; tobacco heating products; cigarettes; switching; consumer behaviour; usage patterns.



Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our diversity statement.

Leave a public comment
Send a private comment to the author(s)
Views 0
Downloads 0
Comments 0
Metrics 0

Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.