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Article

Exposure to Secondhand Heated-Tobacco-Product Aerosol May Cause Similar Incidence of Asthma Attack and Chest Pain to Secondhand Cigarette Exposure: The JASTIS 2019 Study

1
School of Medicine, Osaka University, Osaka 565-0871, Japan
2
Osaka International Cancer Institute, Osaka 541-8567, Japan
*
Author to whom correspondence should be addressed.
Academic Editors: Vaughan W. Rees and David Ashley
Int. J. Environ. Res. Public Health 2021, 18(4), 1766; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041766
Received: 16 January 2021 / Revised: 5 February 2021 / Accepted: 9 February 2021 / Published: 11 February 2021
Although secondhand cigarette smoke is known to cause various health consequences, even the short-term effects of exposure to secondhand heated-tobacco-product (HTP) aerosol are unknown. The purpose of this study was to examine short-term symptoms related to secondhand HTP aerosol exposure. An internet-based self-reported questionnaire survey was conducted in 2019 as a part of the Japan Society and New Tobacco Internet Survey (JASTIS) study. In total, 8784 eligible respondents aged 15–73 years were analyzed. We examined the frequency (%) of secondhand combustible cigarette smoke and HTP aerosol exposure, and the exposure-related subjective symptoms (sore throat, cough, asthma attack, chest pain, eye pain, nausea, headache, and other symptoms). Overall, 56.8% of those exposed to secondhand cigarette smoke had any subjective symptoms, compared to 39.5% of those exposed to HTP aerosol. Asthma attack and chest pain were reported more frequently when associated with secondhand HTP exposure (10.9 and 11.8%, respectively) than with secondhand cigarette smoke exposure (8.4 and 9.9%, respectively). Sore throat, cough, eye pain, nausea, and headache were also more frequently reported when associated with secondhand cigarette smoke than with secondhand HTP exposure. This is the first study to examine severe subjective symptoms such as asthma attacks and chest pains, and to suggest that respiratory and cardiovascular abnormalities could be related to secondhand heated-tobacco-product aerosol exposure. Further careful investigations are necessary. View Full-Text
Keywords: heated tobacco product; secondhand smoke; asthma attack; chest pain heated tobacco product; secondhand smoke; asthma attack; chest pain
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MDPI and ACS Style

Imura, Y.; Tabuchi, T. Exposure to Secondhand Heated-Tobacco-Product Aerosol May Cause Similar Incidence of Asthma Attack and Chest Pain to Secondhand Cigarette Exposure: The JASTIS 2019 Study. Int. J. Environ. Res. Public Health 2021, 18, 1766. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041766

AMA Style

Imura Y, Tabuchi T. Exposure to Secondhand Heated-Tobacco-Product Aerosol May Cause Similar Incidence of Asthma Attack and Chest Pain to Secondhand Cigarette Exposure: The JASTIS 2019 Study. International Journal of Environmental Research and Public Health. 2021; 18(4):1766. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041766

Chicago/Turabian Style

Imura, Yuki, and Takahiro Tabuchi. 2021. "Exposure to Secondhand Heated-Tobacco-Product Aerosol May Cause Similar Incidence of Asthma Attack and Chest Pain to Secondhand Cigarette Exposure: The JASTIS 2019 Study" International Journal of Environmental Research and Public Health 18, no. 4: 1766. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041766

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