Evidence map›Paper›PMID 42698977›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2026

Nationwide trends in cigarette, heated tobacco product, e-cigarette, and multiple-product use in Japan 2017-2025.

Satomi Mizuno, Satoshi Inoura, Toshihiko Matsumoto, Takuya Shimane

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Satomi MizunoDepartment of Drug Dependence Research, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Japan.ORCID https://orcid.org/0000-0003-0644-1520
Satoshi InouraDepartment of Drug Dependence Research, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Japan.
Toshihiko MatsumotoDepartment of Drug Dependence Research, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Japan.ORCID https://orcid.org/0000-0002-7076-2161
Takuya ShimaneDepartment of Drug Dependence Research, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Japan.ORCID https://orcid.org/0000-0001-8906-6230

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To describe nationally representative trends in overall and product-specific tobacco use, including cigarettes, heated tobacco products (HTPs), and electronic cigarettes (e-cigarettes), in Japan from 2017 to 2025. Methods: Data came from repeated cross-sectional nationwide surveys of the Japanese population using stratified two-stage random sampling. Self-administered questionnaires assessed tobacco use. Past-30-day prevalence of overall, product-specific, and multiple-product use was estimated using survey-weighted logistic regression, with marginal predicted prevalence standardized to the 2025 age-sex structure. Results: Among 16,499 participants, overall past-30-day tobacco use declined from 24.3% (95% confidence interval [CI]: 22.6-26.0%) in 2017 to 21.0% (CI: 19.4-22.7%) in 2025. Cigarette use decreased from 20.7% (CI: 19.0-22.3%) to 12.3% (CI: 11.1-13.6%), whereas HTP use increased from 5.3% (CI: 4.4-6.1%) to 11.7% (CI: 10.3-13.0%). e-cigarette use remained low, ranging from 0.7% to 1.3%. The most common multiple-product pattern was concurrent cigarette and HTP use, increasing from 2.5% (CI: 1.9-3.1%) to 4.1% (CI: 3.3-4.9%). Conclusion: Overall tobacco use in Japan declined modestly during 2017-2025, alongside a marked decrease in cigarette use and an increase in HTP use, while e-cigarette use remained limited. These findings suggest a shift in tobacco use, with increased HTP use partially offsetting reductions in cigarette smoking.

Indexed as

addictionnicotine dependencepublic policy

Identifiers

PMID42698977
PMCPMC13543303

What OpenQuestion holds

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Registered trials

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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.