☆ 4.6 Review

Global prevalence of heated tobacco product use, 2015-22: A systematic review and meta-analysis

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Summary: This study examined the use of heated tobacco products (HTPs) in locations where smoking was not allowed in Japan and found that a considerable number of people used HTPs in these smoke-free locations. The study also identified that individuals who believed HTP use was not forbidden in smoke-free locations were more likely to use HTPs in such places.

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Early adoption of heated tobacco products resembles that of e-cigarettes

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Summary: Although only 8.1% of Americans had heard of heated tobacco products (HTP), the actual rates of trying and current use were low, at 0.55% and 0.10% respectively. Compared to 2012, the rates of experimentation and current use for HTP were similar to those for e-cigarettes.

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Summary: In 2020, the prevalence of current HTP use and cigarette smoking in Japan was 10.9% and 25.9%, respectively. The most commonly used HTP brand was IQOS, followed by Ploom TECH/Ploom TECH+ and glo. One in three current cigarette smokers used HTPs regardless of their interest in quitting smoking.

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Summary: The study found that complete smoking cessation was associated with decreased prevalence of depression in Korean adults. However, former cigarette smokers who had ever used e-cigarettes were more likely to experience a depressed mood and depressive symptoms. The use of e-cigarettes or heated tobacco products at any time may reduce the beneficial effect of smoking cessation on mental health.

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Use and Awareness of Heated Tobacco Products in Europe

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Summary: A significant proportion of US adults were aware of HTP in 2020. Given the proliferation of e-cigarettes, monitoring the health effects of HTP products and implementing regulatory measures are necessary.

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Summary: The introduction of electronic inhalable products has brought new challenges to the nicotine market, as the similar product designs may lead to measurement errors in self-reported product use. Strategies such as including descriptive preambles in surveys and probing beyond initial usage questions can be used to address this issue. Caution is advised when interpreting survey results relying on self-reported use, due to the lack of comprehensive validation studies.

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Has increased youth e-cigarette use in the USA, between 2014 and 2020, changed conventional smoking behaviors, future intentions to smoke and perceived smoking harms?

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Heated Tobacco Products Have Reached Younger or More Affluent People in Japan

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Heated Tobacco Products: Awareness and Ever Use Among US Adults

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Summary: This study found that awareness of heated tobacco products among U.S. adults is approximately 8.6%, but actual use is low. Smokers, E-cigarette users, and other tobacco product users are more likely to be aware of and use heated tobacco products.

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Trends and Patterns of Tobacco and Nicotine Product Use Among Youth in Canada, England, and the United States From 2017 to 2019

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Summary: The consumption of heated tobacco products (HTPs) is increasing among adolescents worldwide, and there is a lack of proper studies on the association between suicide-related behavior, HTP use, and exposure to secondhand smoke (SHS). This study found that HTP use and SHS exposure are likely indicators of risk behaviors among South Korean adolescents, with higher risks of suicidal ideation and suicide attempts among HTP users exposed to SHS at home, school, and public places. The findings suggest the need for programs and services to monitor HTP use and SHS exposure among Korean adolescents.

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Characterization of Respiratory Symptoms Among Youth Using Heated Tobacco Products in Hong Kong

Lijun Wang et al.

Summary: The study found that former and current use of HTPs was associated with persistent respiratory symptoms among youth, especially among those who never or formerly smoked cigarettes. Respiratory symptoms were more prevalent in ever exclusive HTP users and ever dual users compared to ever exclusive cigarette users. These findings suggest that using HTPs instead of cigarettes may not reduce health risks.

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Summary: The study reveals that a proportion of young adults in the US are attracted to HTPs, with high awareness and acceptance. Future use likelihood depends on age, gender, ethnicity, and tobacco product use. Past-month HTP users tend to use other tobacco products more frequently than before.

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Summary: A significant number of people in the EU have ever used HTP, but current and daily use remains low. Current use is more common among younger people and smokers, with reasons including the perception that HTP are less harmful than smoking, use by friends, and smoking cessation or reduction.

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