Evidence map›Paper›PMID 32434517›Full record

ArticleBMC public health2020

Heat-not-burn tobacco, electronic cigarettes, and combustible cigarette use among Japanese adolescents: a nationwide population survey 2017.

Yuki Kuwabara, Aya Kinjo, Maya Fujii, Aya Imamoto, Yoneatsu Osaki, Maki Jike, Yuichiro Otsuka, Osamu Itani, Yoshitaka Kaneita, Ruriko Minobe and 4 more

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
  2. Recent Trends in Cigarette and HTP Use in Japan: A Scoping Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. A Scoping Review of Vaping Among the Asian Adolescent Population.Asia-Pacific journal of public health · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Initial insights on vaping-associated illnesses in Colombia: evidence for action.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Characterizing Heated Tobacco Product Use Among Adult Cigarette Smokers and Nicotine Vaping Product Users in the 2018 ITC Four Country Smoking & Vaping Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Yuki KuwabaraDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Nishi-machi 86, Yonago-shi, Tottori, 683-8503, Japan. ykuwabara@tottori-u.ac.jp.ORCID http://orcid.org/0000-0001-7164-6974
Aya KinjoDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Nishi-machi 86, Yonago-shi, Tottori, 683-8503, Japan.
Maya FujiiDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Nishi-machi 86, Yonago-shi, Tottori, 683-8503, Japan.
Aya ImamotoDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Nishi-machi 86, Yonago-shi, Tottori, 683-8503, Japan.
Yoneatsu OsakiDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Nishi-machi 86, Yonago-shi, Tottori, 683-8503, Japan.
Maki JikeDepartment of Public Health, School of Medicine, Nihon University, Itabashi-ku, Tokyo, Japan.
Yuichiro OtsukaDepartment of Public Health, School of Medicine, Nihon University, Itabashi-ku, Tokyo, Japan.
Osamu ItaniDepartment of Public Health, School of Medicine, Nihon University, Itabashi-ku, Tokyo, Japan.
Yoshitaka KaneitaDepartment of Public Health, School of Medicine, Nihon University, Itabashi-ku, Tokyo, Japan.
Ruriko MinobeNational Institute of Alcoholism, Kurihama National Hospital, Yokosuka, Kanagawa, Japan.
Hitoshi MaezatoNational Institute of Alcoholism, Kurihama National Hospital, Yokosuka, Kanagawa, Japan.
Susumu HiguchiNational Institute of Alcoholism, Kurihama National Hospital, Yokosuka, Kanagawa, Japan.
Hisashi YoshimotoPrimary Care and Medical Education, Graduate School of Comprehensive Human Sciences, Majors of Medical Science, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Hideyuki KandaDepartment of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama-shi, Okayama, Japan.

Funding

Ministry of Health, Labour and Welfare 29060801
6 · The paper itself

Abstract

backgroundFrom among the global public health concerns, smoking remains one of the most crucial challenges. Especially for adolescents, the increase in the use of electronic cigarettes is controversial, as its use may lead to established smoking. In Japan, where a unique tobacco regulation system exists, the heat-not-burn tobacco market has been growing. However, the prevalence and association of combustible cigarettes and new tobacco-related products have not yet been closely investigated among Japanese adolescents. This study aimed to clarify the prevalence of smoking among adolescents, including new types of tobacco-related products, and to compare the characteristics of their users.

methodsThe 2017 Lifestyle Survey of Adolescents is a nationally-representative survey collected in Japan. From the national school directory, 98 junior high schools and 86 high schools were randomly sampled throughout Japan. The students completed an anonymous questionnaire at school. We calculated the prevalence of use for each type of tobacco product. Then, the use of a combination of products and the characteristics of different types of products were examined.

resultsIn total, 64,152 students from 48 junior high schools and 55 high schools were included the analysis (school response rate = 56%, M

conclusionsThe prevalence of new tobacco-alternative products is growing in popularity among Japanese adolescents. Dual use is common, and many adolescents use new products only. Moreover, e-cigarettes might attract a broader range of groups to smoking. Continuous monitoring and research are needed to investigate their influence as a possible gateway to tobacco smoking.

Indexed as

Adolescent BehaviorElectronic Nicotine Delivery SystemsTobacco ProductsAdolescentFemaleHot TemperatureHumansJapanLife StyleLongitudinal StudiesMalePrevalenceSchoolsSmokingStudentsSurveys and QuestionnairesAdolescentsCigarette smokingE-cigarettesHeat-not-burn tobaccoPrevalenceSmokingTobacco use

Identifiers

PMID32434517
PMCPMC7240931

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.