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Horizonte sanitario

versão On-line ISSN 2007-7459versão impressa ISSN 1665-3262


SEGURA, Omar. Products of heated tobacco. Conceptions and Implications for Public Health. Horiz. sanitario [online]. 2019, vol.18, n.2, pp.119-125. ISSN 2007-7459.


To explore knowledge gaps and possible future research line on Heat-not-burn tobacco products (HBT) from the published scientific literature and internet sources available to the population.


Mixed methods qualitative/quantitative study under typology of literature reviews by Grant & Booth and Pinto, and mapping review study design by Cooper. Database search and check-in of titles/abstracts in 4 languages from 2016-12-01 to 2017-12-31. Texts saved in MHT and PDF formats, located in Dropbox and managed with Endnote X8. Category definitions grouped in 4 dimensions. Information analyzed with Microsoft® Excel 2016 and Epi-INFO® 7.2.2


46 webpages and 63 papers located, 99% in English; 2 manuscripts had withdrawal notes. In D1 (summary): product advertisement vs toxicological or evaluative aspects of the HBT. 48 papers (76,2%) in digital or printed (2017); by country, USA: webpages 23 (50%), 20 papers (32%); Switzertland: 22 papers (35%), 3 webpages (7%). D2 (commercial): financing by Phillip Morris International (PMI, 22, 33%) or universities with own or government funds (19, 30%); on webpages PMI (60%), British American Tobacco and Japan Tobacco International (40%); relation with PMI absent in 41 papers (65%) and 36 webpages (80%). D3 (methodological): evidence level “experimental”, laboratory (26; 41,2%) or humans (4, 6,3%); independent research in 36 (57%). D4 (interpretative): main question on webpages was whether HBT products were harmful or not; on papers, the effects of HBT micro/nanoparticles at medium/long term.


It is required from scientific community to finish their respective toxicity and harm reduction studies on HBT and to guide and solve questions related to HBT safety in medium/long term alongside population and authorities.

Palavras-chave : Public Health, Epidemiology, Tobacco, Smoking; Consumption of Tobbaco-Derived Products.

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