Process of Using Heated Tobacco Products for Smokers to Continue Smoking
Objective: The objectives of this study were to examine the process by which smokers become habituated to using heat-not-burn tobacco products, identify changes in their attitudes and behaviors regarding smoking, and offer guidance for health promotion. Methods: Semi-structured interviews were condu...
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| Published in | Journal of Japan Society of Nursing Research Vol. 45; no. 5; pp. 5_937 - 5_950 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Society of Nursing Research
20.01.2023
一般社団法人 日本看護研究学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2188-3599 2189-6100 |
| DOI | 10.15065/jjsnr.20220403179 |
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| Abstract | Objective: The objectives of this study were to examine the process by which smokers become habituated to using heat-not-burn tobacco products, identify changes in their attitudes and behaviors regarding smoking, and offer guidance for health promotion. Methods: Semi-structured interviews were conducted with the participants and analyzed using a modified grounded theory approach. The data were collected from May to August 2019. Results: Regarding smoking behavior, participants always showed an awareness of their relationships with non-smokers. They were frustrated at being unable to smoke without hesitation, which led them to seek alternatives. They also experienced guilt at harming the health of those around them as well as their own. To assuage this guilt, they chose to use heat-not-burn tobacco. Heat-not-burn tobacco proved to be freeing, ultimately turning the use of tobacco into a lifestyle. In general, the number of cigarettes smoked increased, and motivation toward smoking cessation decreased. Conclusions: In an environment where it is difficult to smoke, heat-not-burn tobacco products provide an alternative for smokers and an opportunity to change their behavior in future. It is important to provide adequate health guidance while keeping in mind that the use of heat-not-burn tobacco products may increase nicotine dependence. |
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| AbstractList | Objective: The objectives of this study were to examine the process by which smokers become habituated to using heat-not-burn tobacco products, identify changes in their attitudes and behaviors regarding smoking, and offer guidance for health promotion. Methods: Semi-structured interviews were conducted with the participants and analyzed using a modified grounded theory approach. The data were collected from May to August 2019. Results: Regarding smoking behavior, participants always showed an awareness of their relationships with non-smokers. They were frustrated at being unable to smoke without hesitation, which led them to seek alternatives. They also experienced guilt at harming the health of those around them as well as their own. To assuage this guilt, they chose to use heat-not-burn tobacco. Heat-not-burn tobacco proved to be freeing, ultimately turning the use of tobacco into a lifestyle. In general, the number of cigarettes smoked increased, and motivation toward smoking cessation decreased. Conclusions: In an environment where it is difficult to smoke, heat-not-burn tobacco products provide an alternative for smokers and an opportunity to change their behavior in future. It is important to provide adequate health guidance while keeping in mind that the use of heat-not-burn tobacco products may increase nicotine dependence.
目的：紙巻きタバコを使用していた喫煙者が，加熱式タバコを習慣的に使用するようになり喫煙に関する態度・行動が変化するプロセスを明らかにし，保健指導の示唆を得ること。方法：対象者に半構造化面接を行い，修正版グラウンデッド・セオリー・アプローチを用いて分析した。データ収集期間は2019年５月〜８月であった。結果：喫煙者は常に非喫煙者との人間関係を意識していた。心置きなくタバコを吸えないもどかしさに悩まされる中，加熱式タバコに出合い，後ろめたさをごまかしながら使用する。そして加熱式タバコにより，遠慮なくタバコを生活習慣として成り立たせる術を手に入れ，喫煙本数の増加や禁煙意識の低下が起きていた。結論：タバコを吸いにくい環境であれば行動変容の機会が訪れるかもしれない喫煙者に対して，加熱式タバコが禁煙から遠ざかるという逃げ道を与えてしまう可能性やニコチン依存が強固になる可能性に留意する必要がある。 Objective: The objectives of this study were to examine the process by which smokers become habituated to using heat-not-burn tobacco products, identify changes in their attitudes and behaviors regarding smoking, and offer guidance for health promotion. Methods: Semi-structured interviews were conducted with the participants and analyzed using a modified grounded theory approach. The data were collected from May to August 2019. Results: Regarding smoking behavior, participants always showed an awareness of their relationships with non-smokers. They were frustrated at being unable to smoke without hesitation, which led them to seek alternatives. They also experienced guilt at harming the health of those around them as well as their own. To assuage this guilt, they chose to use heat-not-burn tobacco. Heat-not-burn tobacco proved to be freeing, ultimately turning the use of tobacco into a lifestyle. In general, the number of cigarettes smoked increased, and motivation toward smoking cessation decreased. Conclusions: In an environment where it is difficult to smoke, heat-not-burn tobacco products provide an alternative for smokers and an opportunity to change their behavior in future. It is important to provide adequate health guidance while keeping in mind that the use of heat-not-burn tobacco products may increase nicotine dependence. |
| Author | Ozaki, Itsuko Miyata, Ruriko Kadoma, Akiko |
| Author_FL | Miyata Ruriko 尾﨑 伊都子 門間 晶子 |
| Author_FL_xml | – sequence: 1 fullname: Miyata Ruriko – sequence: 2 fullname: 尾﨑 伊都子 – sequence: 3 fullname: 門間 晶子 |
| Author_xml | – sequence: 1 fullname: Kadoma, Akiko organization: Graduate School of Nursing, Nagoya City University – sequence: 1 fullname: Ozaki, Itsuko organization: Graduate School of Nursing, Nagoya City University – sequence: 1 fullname: Miyata, Ruriko organization: Graduate School of Nursing, Nagoya City University |
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| DocumentTitleAlternate | 喫煙者が加熱式タバコを「タバコを吸い続けるための逃げ道」とするプロセス |
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| References | 桝本妙子, 小笹晃太郎, 福井和代, 森 雅彦, 福本 恵, 堀井節子, 三橋美和, 渡邊能行（2005）. 禁煙の関心度を規定する要因：行動科学的検討. 日本公衆衛生雑誌, 52（5）, 375-386. Heatherton, T.F., KozlowskiL.T., FreckerR.C., Fagerström, K.O. (1991). The Fagerström Test for Nicotine Dependence: A revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 86(9), 1119-1127. St.Helen, G., Jacob Iii, P., Nardone, N., Benowitz, N.L. (2018). IQOS: Examination of Philip Morris International's claim of reduced exposure. Tobacco Control, 27, s30-s36. https://doi.org/10.1136/tobaccocontrol-2018-054321 Becker, M.H., Drachman, R.H., Kirscht, J.P. (1974). A new approach to explaining sick-role behavior in low-income populations. American Journal of Public Health, 64(3), 205-216. 小野奈津子, 星野明子, 桂 敏樹（2010）. 若年女性の喫煙が習慣化するプロセスと非喫煙が継続するプロセス. 日本看護研究学会雑誌, 33（5）, 121-130. 木下康仁（2003）. グラウンデッド・セオリー・アプローチの実践：質的研究への誘い. 89-91, 131, 138, 東京：弘文堂. 加藤善士, 太田充彦, 八谷 寛（2020）. 安全衛生担当労働者における加熱式タバコの利用状況. 厚生の指標, 67（6）, 23-28. Hair, E.C., Bennett, M., Sheen, E., Cantrell, J., Briggs, J., Fenn, Z., Willett, J.G., Vallone, D. (2018). Examining perceptions about IQOS heated tobacco product: Consumer studies in Japan and Switzerland. Tobacco Control, 27, s70-s73. https://doi.org/10.1136/tobaccocontrol-2018-054322 依田明子, 佐藤由美（2018）. 禁煙外来受診者が禁煙を開始し継続する心理的プロセス. 日本地域看護学会誌, 21（3）, 15-23. 厚生労働省（2020b）. 令和元年国民健康・栄養調査報告. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/eiyou/r1-houkoku_00002.html （参照2021年３月８日） 厚生労働省（2020a）. 平成30年「国民健康・栄養調査」の結果. https://www.mhlw.go.jp/stf/newpage_08789.html （参照2020年12月５日） Tabuchi, T., Silvano, G., Shinozaki, T., Kunugita, N., & Colwell, B. (2018). Heat-not-burn tobacco product use in Japan: Its prevalence, predictors and perceived symptoms from exposure to secondhand heat-not-burn tobacco aerosol. Tobacco Control, 27, e25-e33. https://doi.org/10.1136/tobaccocontrol-2017-053947 Prochaska, J.O., Velicer, W.F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12(1), 38-48. Tabuchi, T., Shinozaki, T., Kunugita, N., Nakamura, M., Tsuji, I. (2019). Study profile: The Japan "Society and New Tobacco" Internet Survey (JASTIS): A longitudinal Internet cohort study of heat-not-burn tobacco products, electronic cigarettes, and conventional tobacco products in Japan. Journal of Epidemiology. 29(11), 444-450. https://doi.org/10.2188/jea.JE20180116 宮島江里子, 角田正史, 押田小百合, 五十嵐敬子, 三枝陽一, 美原静香, 吉田宗紀, 野田吉和, 大井田正人（2017）. 質問紙票調査による喫煙労働者の禁煙無関心者の特徴や非喫煙者への配慮状況と非喫煙労働者の嫌煙意識. 総合健診, 44（2）, 378-386. 田淵貴大（2019）. 新型タバコの本当のリスク：アイコス, グロー, ブルーム・テックの科学. 117, 東京：内外出版社. 松澤幸範, 花岡正幸（2018）. 急速に普及する加熱式たばこ・電子たばこに対する職場の対応について. 信州公衆衛生雑誌, 13（1）, 1-7. 吉川麗子, 五十嵐中, 後藤 励, 諏訪清美（2017）. 飲食店での受動喫煙に関する意識と情報提供の影響：Web調査による喫煙者と非喫煙者の比較. 日本公衆衛生雑誌, 64（8）, 422-432. 厚生労働省（2019）. ニコチン依存症. ｅ-ヘルスネット. https://www.e-healthnet.mhlw.go.jp/information/dictionary/tobacco/yt-052.html （参照2021年１月１日） Bekki, K., Inaba, Y., Uchiyama, S., Kunugita, N. (2017). Comparison of chemicals in mainstream smoke in heat-not-burn tobacco and combustion cigarettes, Journal of UOEH, 39(3), 201-207. 秋山 理, 中村正和, 田淵貴大（2018）. 受動喫煙の他者危害性の認識と禁煙への関心. 日本公衆衛生雑誌, 65（11）, 655-665. 纐纈朋弥, 松田宣子（2010）. 出産後の女性の喫煙行動とその関連要因. 日本公衆衛生雑誌, 57（2）, 104-112. 藤岡奈美, 小林敏生（2015）. 「妊娠」を契機とした妊婦の喫煙行動変容に及ぼす社会的要因と喫煙環境. 母性衛生, 56（2）, 320-329. 川村晃右, 山田和子, 森岡郁晴（2018）. 紙巻タバコから加熱式タバコへの移行に伴う健康影響：ニコチン依存, ニコチン禁断症状と喫煙行動の変化について. 日本衛生学雑誌, 73（3）, 379-387. |
| References_xml | – reference: St.Helen, G., Jacob Iii, P., Nardone, N., Benowitz, N.L. (2018). IQOS: Examination of Philip Morris International's claim of reduced exposure. Tobacco Control, 27, s30-s36. https://doi.org/10.1136/tobaccocontrol-2018-054321 – reference: 川村晃右, 山田和子, 森岡郁晴（2018）. 紙巻タバコから加熱式タバコへの移行に伴う健康影響：ニコチン依存, ニコチン禁断症状と喫煙行動の変化について. 日本衛生学雑誌, 73（3）, 379-387. – reference: 加藤善士, 太田充彦, 八谷 寛（2020）. 安全衛生担当労働者における加熱式タバコの利用状況. 厚生の指標, 67（6）, 23-28. – reference: 吉川麗子, 五十嵐中, 後藤 励, 諏訪清美（2017）. 飲食店での受動喫煙に関する意識と情報提供の影響：Web調査による喫煙者と非喫煙者の比較. 日本公衆衛生雑誌, 64（8）, 422-432. – reference: 秋山 理, 中村正和, 田淵貴大（2018）. 受動喫煙の他者危害性の認識と禁煙への関心. 日本公衆衛生雑誌, 65（11）, 655-665. – reference: Hair, E.C., Bennett, M., Sheen, E., Cantrell, J., Briggs, J., Fenn, Z., Willett, J.G., Vallone, D. (2018). Examining perceptions about IQOS heated tobacco product: Consumer studies in Japan and Switzerland. Tobacco Control, 27, s70-s73. https://doi.org/10.1136/tobaccocontrol-2018-054322 – reference: 松澤幸範, 花岡正幸（2018）. 急速に普及する加熱式たばこ・電子たばこに対する職場の対応について. 信州公衆衛生雑誌, 13（1）, 1-7. – reference: Tabuchi, T., Silvano, G., Shinozaki, T., Kunugita, N., & Colwell, B. (2018). Heat-not-burn tobacco product use in Japan: Its prevalence, predictors and perceived symptoms from exposure to secondhand heat-not-burn tobacco aerosol. Tobacco Control, 27, e25-e33. https://doi.org/10.1136/tobaccocontrol-2017-053947 – reference: 木下康仁（2003）. グラウンデッド・セオリー・アプローチの実践：質的研究への誘い. 89-91, 131, 138, 東京：弘文堂. – reference: 藤岡奈美, 小林敏生（2015）. 「妊娠」を契機とした妊婦の喫煙行動変容に及ぼす社会的要因と喫煙環境. 母性衛生, 56（2）, 320-329. – reference: 桝本妙子, 小笹晃太郎, 福井和代, 森 雅彦, 福本 恵, 堀井節子, 三橋美和, 渡邊能行（2005）. 禁煙の関心度を規定する要因：行動科学的検討. 日本公衆衛生雑誌, 52（5）, 375-386. – reference: Becker, M.H., Drachman, R.H., Kirscht, J.P. (1974). A new approach to explaining sick-role behavior in low-income populations. American Journal of Public Health, 64(3), 205-216. – reference: 厚生労働省（2019）. ニコチン依存症. ｅ-ヘルスネット. https://www.e-healthnet.mhlw.go.jp/information/dictionary/tobacco/yt-052.html （参照2021年１月１日） – reference: 厚生労働省（2020b）. 令和元年国民健康・栄養調査報告. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/eiyou/r1-houkoku_00002.html （参照2021年３月８日） – reference: 小野奈津子, 星野明子, 桂 敏樹（2010）. 若年女性の喫煙が習慣化するプロセスと非喫煙が継続するプロセス. 日本看護研究学会雑誌, 33（5）, 121-130. – reference: Prochaska, J.O., Velicer, W.F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12(1), 38-48. – reference: 田淵貴大（2019）. 新型タバコの本当のリスク：アイコス, グロー, ブルーム・テックの科学. 117, 東京：内外出版社. – reference: Heatherton, T.F., KozlowskiL.T., FreckerR.C., Fagerström, K.O. (1991). The Fagerström Test for Nicotine Dependence: A revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 86(9), 1119-1127. – reference: 纐纈朋弥, 松田宣子（2010）. 出産後の女性の喫煙行動とその関連要因. 日本公衆衛生雑誌, 57（2）, 104-112. – reference: Bekki, K., Inaba, Y., Uchiyama, S., Kunugita, N. (2017). Comparison of chemicals in mainstream smoke in heat-not-burn tobacco and combustion cigarettes, Journal of UOEH, 39(3), 201-207. – reference: 厚生労働省（2020a）. 平成30年「国民健康・栄養調査」の結果. https://www.mhlw.go.jp/stf/newpage_08789.html （参照2020年12月５日） – reference: 宮島江里子, 角田正史, 押田小百合, 五十嵐敬子, 三枝陽一, 美原静香, 吉田宗紀, 野田吉和, 大井田正人（2017）. 質問紙票調査による喫煙労働者の禁煙無関心者の特徴や非喫煙者への配慮状況と非喫煙労働者の嫌煙意識. 総合健診, 44（2）, 378-386. – reference: Tabuchi, T., Shinozaki, T., Kunugita, N., Nakamura, M., Tsuji, I. (2019). Study profile: The Japan "Society and New Tobacco" Internet Survey (JASTIS): A longitudinal Internet cohort study of heat-not-burn tobacco products, electronic cigarettes, and conventional tobacco products in Japan. Journal of Epidemiology. 29(11), 444-450. https://doi.org/10.2188/jea.JE20180116 – reference: 依田明子, 佐藤由美（2018）. 禁煙外来受診者が禁煙を開始し継続する心理的プロセス. 日本地域看護学会誌, 21（3）, 15-23. |
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| SubjectTerms | Heat-not-burn tobacco M-GTA Modified Grounded Theory Approach No smoking smoking 加熱式タバコ 喫煙 禁煙 |
| Title | Process of Using Heated Tobacco Products for Smokers to Continue Smoking |
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