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Siripongvutikorn Y, Tabuchi T, Okawa S. Workplace smoke-free policies that allow heated tobacco products and electronic cigarettes use are associated with use of both these products and conventional tobacco smoking: the 2018 JASTIS study. Tob Control. 2020;30(2):147-154doi: 10.1136/tobaccocontrol-2019-055465.
Siripongvutikorn, Y., Tabuchi, T., & Okawa, S. (2021). Workplace smoke-free policies that allow heated tobacco products and electronic cigarettes use are associated with use of both these products and conventional tobacco smoking: the 2018 JASTIS study. Tobacco control, 30(2), 147-154. https://doi.org/10.1136/tobaccocontrol-2019-055465
Siripongvutikorn, Yanakawee, et al. "Workplace smoke-free policies that allow heated tobacco products and electronic cigarettes use are associated with use of both these products and conventional tobacco smoking: the 2018 JASTIS study." Tobacco control vol. 30,2 (2021): 147-154. doi: https://doi.org/10.1136/tobaccocontrol-2019-055465
Siripongvutikorn Y, Tabuchi T, Okawa S. Workplace smoke-free policies that allow heated tobacco products and electronic cigarettes use are associated with use of both these products and conventional tobacco smoking: the 2018 JASTIS study. Tob Control. 2021 Mar;30(2):147-154. doi: 10.1136/tobaccocontrol-2019-055465. Epub 2020 Mar 18. PMID: 32188769.
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Tob Control. 2021 Mar;30(2):147-154. doi: 10.1136/tobaccocontrol-2019-055465. Epub 2020 Mar 18.

Workplace smoke-free policies that allow heated tobacco products and electronic cigarettes use are associated with use of both these products and conventional tobacco smoking: the 2018 JASTIS study.

Tobacco control

Yanakawee Siripongvutikorn, Takahiro Tabuchi, Sumiyo Okawa

Affiliations

  1. Osaka University Faculty of Medicine Graduate School of Medicine, Suita, Japan.
  2. Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan [email protected].
  3. Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan.

PMID: 32188769 DOI: 10.1136/tobaccocontrol-2019-055465

Abstract

OBJECTIVES: Heated tobacco products (HTPs) and electronic cigarettes (e-cigarettes) are rapidly gaining popularity, especially in Japan. However, at the time of the survey (2018), there was no national legislation banning HTPs or e-cigarette use in the workplace. The objective is to examine the current situation for workplace smoke-free policies which ban the use of HTPs/e-cigarettes and the associations of such rules with the use of HTP and e-cigarette as well as conventional cigarette smoking.

METHODS: An internet-based self-reported questionnaire survey was conducted in 2018 as a part of the Japan Society and New Tobacco Internet Survey study. 5646 eligible employees aged 15-72 years were analysed. Proportions and adjusted rate ratios for HTP and e-cigarette use were calculated according to covariates, using Poisson regression models. Those who reported HTP or e-cigarette use within 30 days were defined as current user of the products.

RESULTS: In workplaces which prohibited smoking indoors but permitted the use of HTPs/e-cigarettes, the rate ratios of HTP use was 2.19 (95% CI 1.57 to 3.06), e-cigarette use was 3.86 (95% CI 1.97 to 7.57) and combustible cigarette use was 1.67 (95% CI 1.19 to 2.34) when using workplaces which also prohibited HTPs/e-cigarettes as a reference category.

CONCLUSIONS: Workplaces that allow HTP/e-cigarette use indoors were associated with higher rate for HTP and e-cigarette users, and for combustible cigarette smokers. National legislation banning tobacco should be enforced and also cover HTPs and e-cigarettes in order to avoid renormalisation of smoking and nicotine addiction.

© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: electronic nicotine delivery devices; non-cigarette tobacco products; public policy

Conflict of interest statement

Competing interests: None declared.

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