{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T10:56:54Z","timestamp":1790679414275,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PCN Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe nationally representative trends in overall and product\u2010specific tobacco use, including cigarettes, heated tobacco products (HTPs), and electronic cigarettes (e\u2010cigarettes), in Japan from 2017 to 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data came from repeated cross\u2010sectional nationwide surveys of the Japanese population using stratified two\u2010stage random sampling. Self\u2010administered questionnaires assessed tobacco use. Past\u201030\u2010day prevalence of overall, product\u2010specific, and multiple\u2010product use was estimated using survey\u2010weighted logistic regression, with marginal predicted prevalence standardized to the 2025 age\u2013sex structure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 16,499 participants, overall past\u201030\u2010day tobacco use declined from 24.3% (95% confidence interval [CI]: 22.6\u201326.0%) in 2017 to 21.0% (CI: 19.4\u201322.7%) in 2025. Cigarette use decreased from 20.7% (CI: 19.0\u201322.3%) to 12.3% (CI: 11.1\u201313.6%), whereas HTP use increased from 5.3% (CI: 4.4\u20136.1%) to 11.7% (CI: 10.3\u201313.0%). e\u2010cigarette use remained low, ranging from 0.7% to 1.3%. The most common multiple\u2010product pattern was concurrent cigarette and HTP use, increasing from 2.5% (CI: 1.9\u20133.1%) to 4.1% (CI: 3.3\u20134.9%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overall tobacco use in Japan declined modestly during 2017\u20132025, alongside a marked decrease in cigarette use and an increase in HTP use, while e\u2010cigarette use remained limited. These findings suggest a shift in tobacco use, with increased HTP use partially offsetting reductions in cigarette smoking.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pcn5.70409","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:38:30Z","timestamp":1788518310000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nationwide trends in cigarette, heated tobacco product, e\u2010cigarette, and multiple\u2010product use in Japan 2017\u20132025"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0644-1520","authenticated-orcid":false,"given":"Satomi","family":"Mizuno","sequence":"first","affiliation":[{"name":"Department of Drug Dependence Research, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Inoura","sequence":"additional","affiliation":[{"name":"Department of Drug Dependence Research, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Japan"},{"name":"Department of Nursing, Faculty of Nursing Niigata Seiryo University Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7076-2161","authenticated-orcid":false,"given":"Toshihiko","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Drug Dependence Research, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8906-6230","authenticated-orcid":false,"given":"Takuya","family":"Shimane","sequence":"additional","affiliation":[{"name":"Department of Drug Dependence Research, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2018-054419"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2018-054340"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2018-054560"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2019-055585"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2023-058241"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2018-054413"},{"key":"e_1_2_12_8_1","unstructured":"World Health Organization. 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