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How is heated tobacco product use described by people who use them daily?
  1. Ron Borland1,
  2. Bibha Dhungel2,
  3. Coral E Gartner3,
  4. Geoffrey T Fong4,5,
  5. Andrew Hyland6,
  6. K Michael Cummings7,
  7. Katherine A East8
  1. 1School of Psychology, Deakin University, Burwood, Victoria, Australia
  2. 2The University of Melbourne, Melbourne, Victoria, Australia
  3. 3School of Public Health, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia
  4. 4Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada
  5. 5Ontario Institute for Cancer Research, Toronto, Ontario, Canada
  6. 6Health Behavior, Roswell Park Cancer Institute, Buffalo, New York, USA
  7. 7Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
  8. 8Department of Addictions, King's College London, London, UK
  1. Correspondence to Dr Ron Borland; r.borland{at}deakin.edu.au

https://doi.org/10.1136/tc-2024-058969

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    Heated tobacco products (HTPs) heat tobacco, usually in the form of a stick of compacted, reconstituted tobacco rather than burning it, to produce an aerosol that contains nicotine and other tobacco constituents. In countries where these products are marketed, prevalence has increased, most notably Japan.1 HTPs deliver lower levels of toxicants than conventional cigarette smoke2 and are promoted as harm-reduced alternatives to smoking. It is unclear how HTP users describe the act of inhaling the aerosol generated. One qualitative study among adult HTP users found considerable confusion as to what term was appropriate,3 and although the term ‘smoking’ was commonly used, they resisted being labelled as ‘smokers’.

    We asked participants of the International Tobacco Control Policy Evaluation Project Four Country Smoking and Vaping Survey who reported using HTPs daily ‘How do you describe the act of using your heated …

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    Footnotes

    • X @CoralGartner, @gfong570

    • Contributors Conceptualisation—RB; data curation—RB, BD; methodology—all authors; statistical analysis—BD; visualisation—RB; writing (first draft)—RB; writing (review and editing)—all authors.

    • Funding The ITC Four Country Smoking and Vaping Survey was supported by grants from the US National Cancer Institute (P01 CA200512), the Canadian Institutes of Health Research (FDN-148477) and the National Health and Medical Research Council of Australia (GTN1198301 and 2019252). Additional support to GTF is provided by a Senior Investigator Grant from the Ontario Institute for Cancer Research (IA-004).

    • Competing interests GTF has served as an expert witness or consultant for governments defending their country’s policies or regulations in litigation. KMC has in the past and continues to serve as a paid witness in litigation filed against cigarette manufacturers.

    • Provenance and peer review Not commissioned; externally peer reviewed.