ArticleBMJ open2021
Trends in the co-use of alcohol and tobacco among Japanese adolescents: periodical nationwide cross-sectional surveys 1996-2017.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- Prevalence and correlates of co-use of alcohol and cigarettes among Chinese adolescents: a cross-sectional national survey in 2021.Preventive medicine reports · 2026Article
- Trends in substance use and associations with internet use among Japanese high school students: A nationwide survey, 2018-2024.PCN reports : psychiatry and clinical neurosciences · 2026Article
- Background for High Risk Drinking Habits Among Adult Women: A Qualitative Study of Trigger, Maintenance, and Promotion Factors.Yonago acta medica · 2026Article
- Heavy Episodic Drinking and Hazardous Drinking Among Japanese Young Adults: A Cross-Sectional Study on Prevalence and Associated Factors.Neuropsychopharmacology reports · 2026Article
- Lifestyle Factors and Current Alcohol Consumption Among Japanese Adolescents During the COVID-19 Pandemic: A Nationwide Cross-Sectional Study.Neuropsychopharmacology reports · 2026Article
- Factors associated with smoking and risky drinking among university students in Japan.Environmental health and preventive medicine · 2026Article
- Article
- Oral administration of crocin significantly alleviated anxiety, and depressive-like behavior following ethanol and nicotine abstinence in adolescent male rats.Scientific reports · 2025Article
- Relative validity of food and nutrient intakes derived from a brief-type diet history questionnaire for Japanese children and adolescents.The British journal of nutrition · 2025Article
- Association of physical activity and sitting time with tobacco and alcohol use in 222,495 adolescents from 66 countries.BMC pediatrics · 2024Article
- Comparison of the responses of cross-sectional web- and paper-based surveys on lifestyle behaviors of Japanese adolescents.Preventive medicine reports · 2023Article
- Secondhand Smoke Exposure and Smoking Prevalence Among Adolescents.JAMA network open · 2023Article
- Mental Health and Smoking-Related Determinants of Alcohol Drinking Experience in Korean Adolescents.International journal of environmental research and public health · 2023Article
- Association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of Japanese adolescents.Environmental health and preventive medicine · 2023Article
- Development and validation of a nomogram for predicting pulmonary infection in patients receiving immunosuppressive drugs.Frontiers in pharmacology · 2023Article
- The Lifelong Health Support 10: a Japanese prescription for a long and healthy life.Environmental health and preventive medicine · 2022Review
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14 authors.
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Abstract
objectivesThis study aimed to assess trends in the prevalence of alcohol use depending on smoking behaviours and that of smoking depending on drinking behaviours among Japanese adolescents.
designThis was a retrospective study using Japanese school-based nationwide surveys conducted between 1996 and 2017.
settingSurveyed schools, both junior and senior high schools, considered representative of the entire Japanese population, were sampled randomly.
participantsWe enrolled 11 584-64 152 students from 179 to 103 schools yearly. They completed a self-reported and anonymous questionnaire on smoking and drinking behaviour.
resultsSince 1996, the prevalence of alcohol use and smoking among adolescents decreased in each survey (p<0.01). The prevalence of alcohol use in the non-smokers group was 29.0% in 1996 and 4.0% in 2017, and in the smokers group, it was 73.3% in 1996 and 57.4% in 2017. The reduction rate (the difference in prevalence between 1996 and 2017 divided by the prevalence in 1996) was 0.86 in the non-smokers group and 0.22 in the smokers group. The prevalence of smoking in the non-drinkers group was 6.7% in 1996 and 0.7% in 2017, while that in the drinkers group was 32.5% in 1996 and 18.9% in 2017. The reduction rate was 0.90 in the non-drinkers group and 0.42 in the drinkers group. Therefore, downward trends differed among the groups. In a subanalysis of senior high school students, we divided students into three groups according to their intention to pursue further education. Between 1996 and 2017, there was a consistent difference in the prevalence of alcohol use and smoking among these groups.
conclusionsAlcohol use and smoking among Japanese adolescents seem to have reduced. However, certain groups showed poor improvements, and health risk behaviour disparity exists, which may widen further. We need to focus on high-risk groups and implement appropriate measures or interventions accordingly.
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