Introduction
Heated tobacco products, also referred to as heat-not-burn tobacco, are among the
latest products introduced to the market by the tobacco industry. However, data on
heated tobacco product awareness and use from population-based probability surveys
are limited. This study examines heated tobacco product awareness and ever use among
U.S. adults.
Methods
This study used data (n=42,477) from the 2019 Tobacco Use Supplement to the Current
Population Survey, analyzed in 2020. Descriptive statistics, including a weighted
prevalence of heated tobacco product awareness and ever use, were estimated. The awareness
and ever use of heated tobacco products were also estimated by age, sex, cigarette
smoking status, E-cigarette use status, and other tobacco product use status. Multivariable
logistic regression examined the individual characteristics associated with the awareness
and ever use of heated tobacco products.
Results
Overall, approximately 8.6% of U.S. adults were aware of heated tobacco products.
Awareness was higher among participants who were younger, male, cigarette smokers,
E-cigarette users, and other tobacco product users. Ever use of heated tobacco products
was uncommon among U.S. adults (0.51%) but more prevalent among E-cigarette users
and cigarette smokers. In the general adult populations, the odds of ever use of heated
tobacco products were significantly higher among cigarette smokers (AOR=2.19, 95%
CI=1.63, 2.94), E-cigarette smokers (AOR=2.70, 95% CI=1.71, 4.25), and other tobacco
product users (AOR=1.69, 95% CI=1.30, 2.20).
Conclusions
Although the ever use of heated tobacco products is uncommon among U.S. adults, recent
regulatory approval of the marketing of IQOS as modified risk tobacco products may
increase use. Therefore, ongoing monitoring of heated tobacco products use and their
long-term health consequences are important for informing future decision making.
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Article info
Publication history
Published online: January 28, 2021
Identification
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© 2021 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
