Waterpipe tobacco package warning exposure’s impact on risk perceptions and use among young adults in the USA: a longitudinal analysis of the population assessment of tobacco and health study

King, J. Stanton; Reboussin, Beth A.; Ross, Jennifer Cornacchione; Sutfin, Erin L.

doi:10.1136/tobaccocontrol-2018-054562

Cited by 16 publications

(12 citation statements)

References 46 publications

(47 reference statements)

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“…A study conducted a year prior found that only 5.7% of adult participants reported noticing warnings on vaping devices (McDermott et al, 2019). In another study with youth in the US, 35.5% of current users reported exposure to warnings on shisha products prior to warning standardization (King et al, 2018), similar to rates among current e-cigarette users in this study. By comparison, studies that assessed noticing warnings on regulated products with mandated warnings revealed higher rates of exposure.…”

Section: Discussionsupporting

confidence: 83%

Baseline assessment of noticing e-cigarette health warnings among youth and young adults in the United States, Canada and England, and associations with harm perceptions, nicotine awareness and warning recall

Sontag

Wackowski

Hammond

2019

Preventive Medicine Reports

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Health warnings on tobacco products can inform users of potential risks. However, little is known about young people's exposure to health warnings on e-cigarette products. This baseline assessment of young people's noticing e-cigarette warnings uses nationally representative data from three countries. Data were collected under Wave 1 of the ITC Youth Tobacco and E-cigarette Survey, conducted in Canada, England, and the US. Online surveys were completed by 16–19-year-olds in July/August 2017 ( n = 12,064), when warnings were either newly required (England) or voluntarily carried by some manufacturers (US, Canada). Analyses examined prevalence and correlates of noticing warnings and associations between noticing warnings and product perceptions, adjusting for country, sex, age, race/ethnicity, and cigarette/e-cigarette use status. About 12% reported noticing warnings on e-cigarette packaging in the past 30 days. Noticing warnings was significantly more likely among youth in England (AOR = 1.3, p < .01) and the US (AOR = 1.3, p < .01) versus Canada, and was most likely among dual e-cigarette/cigarette users (AOR = 4.69, p < .001) versus nonusers. Unaided recall of the keyword “nicotine” was low among those who noticed warnings (7.5%). However, ever e-cigarette users who noticed warnings had higher odds of knowing whether e-cigarettes contained nicotine (AOR = 2.26, p < .001). Noticing warnings was significantly associated with higher odds of believing e-cigarettes cause at least some harm to users (AOR = 1.19), are as harmful as cigarettes (AOR = 1.45), and can be addictive (AOR = 1.43). Baseline assessment reveals that youth's noticing of e-cigarette warnings and recall of nicotine-addiction messages was low. Research should track exposure over time as warning requirements are implemented across different countries.

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Section: Discussionsupporting

confidence: 83%

Baseline assessment of noticing e-cigarette health warnings among youth and young adults in the United States, Canada and England, and associations with harm perceptions, nicotine awareness and warning recall

Sontag

Wackowski

Hammond

2019

Preventive Medicine Reports

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“…The findings indicate that targeting beliefs on the harmfulness and addictiveness may influence the willingness to quit among users and desire to try among nonusers. Mandated waterpipe tobacco package warning may result an increase of awareness of the health effects of WTS (King et al, 2019), and thus increase in the level of risk perception (Salloum et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Changes in Attitude to Waterpipe Tobacco Smoking among Youngsters in Eastern Province, Saudi Arabia: A Cross-Sectional Study

Joseph

Alshayban

2021

Asian Pac J Cancer Prev

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Background: A growing number of epidemiological evidence suggests a significant increase in waterpipe tobacco smoking, and its potential to become a major public health concern in most Arabic countries, including Saudi Arabia. Methods: A cross-sectional study was carried out to assess the prevalence of intention to quit among ever users of waterpipe and intention to start among the never users. The study also investigated the barriers that may prevent users from quitting or trigger the nonusers to start waterpipe smoking. The study consisted of 464 university students from Eastern Province, Saudi Arabia. Results: One hundred and sixty-eight (36.2%) participants were responded that they had WTS at least one time in the past. Among the ever users of WTS, 120 (71.4%) participants had made an attempt or more to quit WTS in the past, 64 (38.1%) had made more than one attempt, and nearly two-third expressed the intention to quit WTS in the future. Forty (13.5%) out of 296 never-users expressed their intention to start WTS in the future. The study further showed that peer influence, social acceptance, and risk perception were significant predictors of intention to start or stop WTS among students. Conclusion: It is promising that substantial users have the intention to discontinue WTS, though a fraction of never users wish to try WTS in the future.

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“…While, historically, most research on health warnings has focused on cigarettes, there is a growing need for evidence to support health warning implementation and content on non-cigarette tobacco products. King et al 6 examine the data from the first two waves of the Population Assessment of Tobacco and Health (PATH) study in the USA for self-reported exposure to manufacturer-implemented warnings on waterpipe tobacco products, prior to the August 2018 requirement to place a nicotine warning on waterpipe tobacco. About one-third of users reported seeing some type of warning, and this was associated with having regular brand and purchasing for self.…”

Section: Richard O'connormentioning

confidence: 99%

Warnings and packaging

O’Connor

2019

Tob Control

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Waterpipe tobacco package warning exposure’s impact on risk perceptions and use among young adults in the USA: a longitudinal analysis of the population assessment of tobacco and health study

Cited by 16 publications

References 46 publications

Baseline assessment of noticing e-cigarette health warnings among youth and young adults in the United States, Canada and England, and associations with harm perceptions, nicotine awareness and warning recall

Baseline assessment of noticing e-cigarette health warnings among youth and young adults in the United States, Canada and England, and associations with harm perceptions, nicotine awareness and warning recall

Changes in Attitude to Waterpipe Tobacco Smoking among Youngsters in Eastern Province, Saudi Arabia: A Cross-Sectional Study

Warnings and packaging

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