Communicating tobacco health risks: How effective are the warning labels on tobacco products?

Chopra, Amandeep; Rao, Nanak Chand; Gupta, Nidhi; Vashisth, Shelja

doi:10.4103/0300-1652.140383

Cited by 14 publications

(12 citation statements)

References 10 publications

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“…Most waterpipe smokers believed that waterpipe smoking is less harmful, less addictive, and contains less nicotine than cigarettes, providing further evidence of the need to adopt specific regulations that increase awareness about the harms of waterpipe smoking and motive smokers to quit. There is extensive evidence that health-warning labels on cigarette packs raise awareness of health consequences from smoking (Chopra et al 2014; Hammond et al 2006), which supports the need for health warnings for waterpipe tobacco. However, due to the unique of the waterpipe device, regulation of waterpipe-specific health warnings has to take into consideration this uniqueness.…”

Section: Discussionmentioning

confidence: 98%

Effectiveness of health warnings for waterpipe tobacco smoking among college students

Islam

Salloum

Nakkash

et al. 2016

Int J Public Health

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Objectives Youth have the misperception that waterpipe smoking is less harmful than cigarettes despite the evidence that it is associated with nicotine dependence and many of the diseases caused by cigarettes. There is a pressing need to identify effective health warnings that increase awareness about the harmful effects of waterpipe smoking. Our objective was to test the effectiveness of various health warning messages and their location on waterpipe devices. Methods Adult waterpipe smokers from a large U.S. university (N=367) completed an internet-based survey that tested the effect of text-only and pictorial health warning labels and their location on different parts of waterpipe smoking devices. Results Text-only messages and pictorial labels warning about harm to children were the most effective in motivating waterpipe smokers to think about quitting. In terms of warning label location, the base, mouthpiece and stem are all equally noticeable locations. Conclusion This is the first study to test waterpipe-specific warning labels and location on the waterpipe device. Placing waterpipe-specific labels on waterpipe devices may be an effective policy tool to curb waterpipe smoking.

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Section: Discussionmentioning

confidence: 98%

Effectiveness of health warnings for waterpipe tobacco smoking among college students

Islam

Salloum

Nakkash

et al. 2016

Int J Public Health

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“…Previous research has shown people preferring text messages in the local language. [ 18 ] This is an important reason for preference of PHWs especially by those not knowing English or Hindi.…”

Section: Discussionmentioning

confidence: 99%

“…[ 16 ] It has been felt earlier by the people that stronger and scarier PHWs are needed to make these more effective. [ 18 21 ]…”

Section: Discussionmentioning

confidence: 99%

Awareness of health warnings and factors predicting awareness and perceived effectiveness of pictorial health warnings on tobacco products among adults in rural Puducherry, India

Majumdar

Kumar

Selvaraj

2017

J Edu Health Promot

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BACKGROUND:Limited information exists in India about the awareness and perception of the people regarding pictorial health warnings (PHWs) and text warnings on tobacco products, more so from rural areas. Objectives were to report the awareness of these warnings, factors predicting awareness and perceived effectiveness of PHWs, and understanding of their content in a rural population.MATERIALS AND METHODS:A community-based cross-sectional study was conducted in two villages (chosen randomly out of total four) in the rural field practice area of a tertiary care teaching hospital in Puducherry. Households were selected by systematic random sampling. All persons ≥18 years and residing in the area for at least 6 months were included. Data regarding awareness and perception of participants was collected through a semi-structured interview schedule.RESULTS:A total of 428 participants were recruited; 197 (46%) were male, and 231 (54%) were female. The mean age of the participants was 38.9 (standard deviation 15.0) years. Awareness of PHWs and text warnings was 39.5% (169/428) and 21% (90/428), respectively. Only 11.2% participants perceived PHWs as effective. Most (45%) of the participants had a vague understanding of the content of PHWs. On multivariate logistic regression, male gender, current tobacco use, and better education emerged as predictors of greater awareness of PHWs. Extended family predicted greater perceived effectiveness of PHWs, whereas, high socioeconomic class and middle school completion predicted lower perceived effectiveness of PHWs.CONCLUSION:Awareness and perceived effectiveness of adults in rural Puducherry regarding PHWs were low. There is a need to create awareness through education and using meaningful, larger pictures.

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“… 57 In many LMICs and MUIC, research and policy energy has been directed towards other simple and effective tobacco control interventions, such as increasing taxes 58 or pictorial health warnings such as in Asia 59 and Nigeria. 60 However, for LMIC, it may take many years, and much supporting research of various kinds, such as in Australia, to introduce plain packaging. Given the dearth of papers from LMICs, and the time it takes to generate high-level research, research needs to be started now.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and impact of plain packaging of tobacco products in low and middle income countries, middle to upper income countries and low-income settings in high-income countries: a systematic review of the literature

2016

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ObjectiveTo review the current literature around the potential impact, effectiveness and perceptions of plain packaging in low income settings.MethodA systematic review of the literature.Data sources9 databases (PubMed, Global Health, Social Policy and Practice, Applied Social Sciences Index and Abstracts (ASSIA), CINAHL, PsycINFO, British Library for Development Studies (BLDS), Global Health Library and Scopus) were searched. The terms used for searching combined terms for smoking and tobacco use with terms for plain packaging.Study selectionStudies investigating the impact of plain packaging on the determinants of tobacco use, such as smoking behaviour, appeal, prominence, effectiveness of health warnings, response to plain packs, attitudes towards quitting or likelihood of smoking in low-income settings, were identified. Studies must have been published in English and be original research of any level of rigour.Data extractionTwo independent reviewers assessed studies for inclusion and extracted data.Data synthesisThe results were synthesised qualitatively, with themes grouped under four key headings: appeal and attractiveness; salience of health warnings and perceptions of harm; enjoyment and perceived taste ratings; and perceptions of the impact on tobacco usage behaviour.ResultsThis review has identified four articles that met the inclusion criteria. Studies identified that tobacco products in plain packaging had less appeal than in branded packaging in low-income settings.ConclusionsThis review indicates that plain packaging appears to be successful in reducing appeal of smoking and packets, and supports the call for plain packaging to be widely implemented in conjunction with other tobacco control policies. However, there are considerable gaps in the amount of research conducted outside high-income countries.

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Communicating tobacco health risks: How effective are the warning labels on tobacco products?

Cited by 14 publications

References 10 publications

Effectiveness of health warnings for waterpipe tobacco smoking among college students

Effectiveness of health warnings for waterpipe tobacco smoking among college students

Awareness of health warnings and factors predicting awareness and perceived effectiveness of pictorial health warnings on tobacco products among adults in rural Puducherry, India

Perceptions and impact of plain packaging of tobacco products in low and middle income countries, middle to upper income countries and low-income settings in high-income countries: a systematic review of the literature

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