My wife and I have been sleeping on Japanese style futon (shikibuton) for the last year, it was difficult at first getting used to the new mattress but our backs feel much better now. Also like some of the other comments, mattresses hold a lot of dead skin and moisture so it is important to take the futon outside on sunny days and beat it to get rid of all the dust.
Also when not using it it folds up nicely and gives you more area in your bedroom.
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