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• W4309526795 abstract "<ns7:p><ns7:bold>Background:</ns7:bold> Numerous smoke-free tobacco or nicotine-containing product (TNP) alternatives have been introduced to support individual- and population-level harm reduction relative to continued cigarette smoking. This article details the nationwide prevalence and patterns of TNP use between 2016 and 2019 in Japan following the commercialization of <ns7:italic>IQOS™,</ns7:italic> a smoke-free heated tobacco product (HTP).</ns7:p><ns7:p> <ns7:bold>Methods:</ns7:bold> Cross-sectional surveys were conducted over a period of three study years (2016/2017, 2017/2018, and 2018/2019) in representative samples of the Japanese general adult population and samples of Japanese adult <ns7:italic>IQOS</ns7:italic> users registered in the <ns7:italic>IQOS</ns7:italic> owner database of Philip Morris International’s affiliate in Japan.</ns7:p><ns7:p> <ns7:bold>Results:</ns7:bold> Across the three study years (Y1-Y3), the prevalence of overall current TNP use (Y1-Y3: 18.5%, 18.9%, and 18.2%) and overall TNP use by age and sex remained similar. However, there was a growing shift from cigarette smoking to smoke-free TNP use across the three study years. While the cigarette smoking prevalence (Y1-Y3: 17.6%, 17.3%, and 16.0%) decreased, the use prevalence of smoke-free TNPs, including the HTP <ns7:italic>IQOS</ns7:italic><ns7:bold><ns7:italic>™</ns7:italic></ns7:bold> (Y1-Y3: 1.8%, 3.2%, and 3.3%) and e-cigarettes (Y1-Y3, 0.7%, 1.6%, and 2.0%) increased. At the same time, TNP initiation, TNP relapse, and TNP reinitiation with <ns7:italic>IQOS</ns7:italic> were all very low across the three study years. Across Y1-Y3, exclusive use of only one type of TNP (Y1-Y3: 82.3%, 75.0%, and 70.4%) decreased, while dual use of two types of TNPs (Y1-Y3: 14.3%, 17.2%, and 16.7%) increased, and poly-TNP use (Y1-Y3: 2.1%, 6.1%, and 10.0%) increased markedly. Moreover, the majority of adult <ns7:italic>IQOS</ns7:italic> users were exclusive <ns7:italic>IQOS</ns7:italic> users.</ns7:p><ns7:p> <ns7:bold>Conclusions:</ns7:bold> These trends in IQOS use behavior suggest that IQOS™ has the potential to switch adult smokers from cigarettes to smoke-free tobacco products, which presents a harm reduction opportunity, and that HTPs are effective tools for complementing current tobacco control measures.</ns7:p>" @default.
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• W4309526795 date "2022-11-21" @default.
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• W4309526795 title "Trends in prevalence and patterns of use of a heated tobacco product (IQOS™) in Japan: A three-year repeated cross-sectional study" @default.
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• W4309526795 doi "https://doi.org/10.12688/f1000research.122491.2" @default.
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