Effective package warning label systems for communicating relative risks of cigarettes, heated tobacco products, and e-cigarettes: An experimental study with Korean adults

2022 ◽  
Vol 99 ◽  
pp. 103468
Author(s):  
Yoo Jin Cho ◽  
James F. Thrasher ◽  
Rachel Davis ◽  
Sei-hill Kim ◽  
James Hardin ◽  
...  
Keyword(s):  
Experimental Study ◽  
Warning Label ◽  
Tobacco Products ◽  
Korean Adults ◽  
Relative Risks

scholarly journals Beliefs about the Harmfulness of Heated Tobacco Products Compared with Combustible Cigarettes and Their Effectiveness for Smoking Cessation among Korean Adults

2020 ◽  
Vol 17 (15) ◽  
pp. 5591
Author(s):  
Seung Hee Kim ◽  
Seo Young Kang ◽  
Hong-Jun Cho
Keyword(s):  
Higher Education ◽  
Smoking Cessation ◽  
Logistic Regression ◽  
Online Survey ◽  
Electronic Cigarettes ◽  
Regression Analyses ◽  
Tobacco Products ◽  
Korean Adults ◽  
Multivariable Logistic Regression ◽  
Negative Perceptions

Heated tobacco products (HTPs) have been widely used in Korea since their introduction in 2017. In this study, we investigated the perceptions of their relative harmfulness and smoking cessation effects. We performed an online survey in 7000 Koreans in 2018 (2300 males and 4700 females aged 20–69 years) by matching their age, sex, and provincial distribution. To investigate the factors causing HTPs to be perceived as less harmful than combustible cigarettes (CCs) and helpful for smoking cessation, we used multivariable logistic regression analyses. HTPs were less harmful than CCs in 16.8% of participants, particularly among HTP-only users and dual and triple users of HTPs, electronic cigarettes (ECs), or CCs than among CC-only users, those who were aged ≤ 34 years, males, and those with higher incomes. HTPs were reportedly helpful for smoking cessation in 11.2% of participants. Similar perceptions were more likely among HTP-only users, as well as dual and triple users than among CC-only users and adults with higher education/incomes. Although Korean adults generally had negative perceptions of the harmfulness and smoking cessation effects of HTPs compared with CCs, dual and triple users were more likely to have positive perceptions. Monitoring the use of multiple tobacco products and HTPs is a new challenge for Korean policymakers.

scholarly journals Contribution and Influence of the Civil Society for the New Health Warning Label of Tobacco Products in Brazil

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 134s-134s
Author(s):  
M. Coutinho Marques de Pinho ◽  
C. Abreu Perez ◽  
C. Galhardo Ferreira Vianna
Keyword(s):  
Civil Society ◽  
Tobacco Control ◽  
Public Consultation ◽  
World Health ◽  
Warning Label ◽  
Health Warnings ◽  
National Agency ◽  
Tobacco Products ◽  
Health Warning ◽  
The World

Background and context: In April 2017, National Agency for Health Surveillance (Anvisa) launched a public consultation for the revision of Resolution Number 335/2003, on health warning labels. Aim: A group of representatives from civil society and tobacco control advocates in Brazil met in person and virtually to make contributions to the Anvisa´s proposal for new health warning label for tobacco products packages, considering the civil rights for participation and collaboration to Brazilian policies provided by public consultation. Strategy/Tactics: The advocates and researches consulted the Framework Convention on Tobacco Control of the World Health Organization and its Guideline for Article 11 (Packaging and Labeling of Tobacco Products) implementation adopted in 2008 based on scientific studies and successful experiences in other countries. In addition, international researchers and representatives of international institutions were also consulted to collect successful examples of health warnings in the world. Program/Policy process: In October 2017, the Anvisa Board of Directors at a public ordinary meeting approved the new health warnings and in December of the same year, published the new resolution about it. Outcomes: In a comparative analysis, even if all the recommendations made in the CP have not been complied with, the influence of the contributions of the group of tobacco control advocates to the final version of the warnings is evident. The main contributions considered by Anvisa were: 1) to increase the effectiveness of the health warnings using colored images instead of black and white images, 2) the use of yellow in the upper and lower tiers was also one of the points suggested by the group, and 3) the concept proposed by the group for side warnings was fully complied. What was learned: Civil society participation for the agency´s public policy implementation process is essential and has been possible through the regulatory agenda, public consultations and regular public meetings. However, as is expected, the regulated sector has been quite active. The group recognizes the importance of the Anvisa measure in proposing new health warnings, however, significant recommendations have not been adopted and it may interfere with the goals of the measure. Anvisa´s strategy of allowing the social participation is essential, in accordance with Universal Health System principles and must be maintained. Regarding to the next health warnings and messages on packages of tobacco products, it would be greater to consider higher frequency of updating the images and recover the scientific process of development of the 3rd round of health warnings labels coordinated by the National Institute of Cancer in 2007/2008.

scholarly journals Effectiveness of tobacco warning labels before and after implementation of the European Tobacco Products Directive—findings from the longitudinal EUREST-PLUS ITC Europe surveys

2020 ◽  
Vol 30 (Supplement_3) ◽  
pp. iii84-iii90
Author(s):  
Sarah Kahnert ◽  
Pete Driezen ◽  
James Balmford ◽  
Christina N Kyriakos ◽  
Sarah Aleyan ◽  
...  
Keyword(s):  
Tobacco Product ◽  
The European Union ◽  
Warning Label ◽  
Warning Labels ◽  
Health Warnings ◽  
Tobacco Products ◽  
Product Packaging ◽  
Highly Educated ◽  
Before And After ◽  
The Impact

Abstract Background Tobacco product packaging is a key part of marketing efforts to make tobacco use appealing. In contrast, large, prominent health warnings are intended to inform individuals about the risks of smoking. In the European Union, since May 2016, the Tobacco Products Directive 2014/40/EU (TPD2) requires tobacco product packages to carry combined health warnings consisting of a picture, a text warning and information on stop smoking services, covering 65% of the front and back of the packages. Methods Key measures of warning label effectiveness (salience, cognitive reactions and behavioural reaction) before and after implementation of the TPD2, determinants of warning labels’ effectiveness and country differences were examined in a longitudinal sample of 6011 adult smokers from Germany, Greece, Hungary, Poland, Romania and Spain (EUREST-PLUS Project) using longitudinal Generalized Estimating Equations (GEE) models. Results In the pooled sample, the warning labels’ effectiveness increased significantly over time in terms of salience (adjusted OR = 1.18; 95% CI: 1.03–1.35), while cognitive and behavioural reactions did not show clear increases. Generally, among women, more highly educated smokers and less addicted smokers, the effectiveness of warning labels tended to be higher. Conclusion We found an increase in salience, but no clear increases for cognitive and behavioural reactions to the new warning labels as required by the TPD2. While it is likely that our study underestimated the impact of the new pictorial warning labels, it provides evidence that health messages on tobacco packaging are more salient when supported by large pictures.

scholarly journals PhenX: Agent measures for tobacco regulatory research

2020 ◽  
Vol 29 (Suppl 1) ◽  
pp. s20-s26
Author(s):  
Richard O'Connor ◽  
Clifford H Watson ◽  
Gary E Swan ◽  
Destiney S Nettles ◽  
Rebecca C Geisler ◽  
...  
Keyword(s):  
Smokeless Tobacco ◽  
Research Priorities ◽  
Tobacco Product ◽  
Warning Label ◽  
Consensus Process ◽  
Tobacco Products ◽  
Specialty Area ◽  
Reliable Assessment ◽  
History Of ◽  
Further Development

The current paper describes the PhenX (Phenotypes and eXposures) Toolkit Tobacco Regulatory Research Agent specialty area and the Agent Working Group’s (WG’s) 6-month consensus process to identify high-priority, scientifically supported measures for cross-study comparison and analysis. Eleven measures were selected for inclusion in the Toolkit. Eight of these are interviewer-administered or self-administered protocols: history of switching to lower tar and nicotine cigarettes, passive exposures to tobacco products, tobacco brand and variety (covering cigars, cigarettes and smokeless tobacco separately), tobacco product adulteration (vent-blocking or filter-blocking) and tobacco warning label exposure and recall. The remaining three protocols are either laboratory-based or visual inspection-based: measurement of nicotine content in smoked or smokeless tobacco products and the physical properties of these two classes of products. Supplemental protocols include a biomarker of exposure and smoking topography. The WG identified the lack of standard measurement protocols to assess subjective ratings of tobacco product flavours and their appeal to consumers as a major gap. As the characteristics of tobacco products that influence perception and use are tobacco regulatory research priorities, the reliable assessment of flavours remains an area requiring further development.

scholarly journals Awareness, experience and prevalence of heated tobacco product, IQOS, among young Korean adults

2018 ◽  
Vol 27 (Suppl 1) ◽  
pp. s74-s77 ◽  
Author(s):  
Jinyoung Kim ◽  
Hyunjae Yu ◽  
Sungkyu Lee ◽  
Yu-Jin Paek
Keyword(s):  
Online Survey ◽  
Electronic Cigarettes ◽  
Tobacco Product ◽  
Health Claims ◽  
Cigarette Smokers ◽  
Tobacco Products ◽  
Korean Adults ◽  
Philip Morris ◽  
The Government ◽  
Korean Market

IntroductionPhilip Morris International introduced ‘IQOS’ to the Korean market in June 2017. To monitor the use of IQOS among young Korean adults, we identified their awareness, experience and current use of IQOS.MethodsThree months after the introduction of IQOS in Korea, we conducted an online survey with 228 general young adults, aged 19–24 years.Results87 participants (38.1%) were aware of IQOS, 13 (5.7%) were IQOS ever users and 8 (3.5%) were current IQOS users. All the current IQOS users were triple users of conventional cigarettes and electronic cigarettes (e-cigarettes). There were no IQOS-only users and one IQOS ever user was a non-cigarette smoker. Among the eight current IQOS users who smoked 9.1 conventional cigarettes a day on average, four smoked 10–20 HEETS sticks a day. The current IQOS users decided to use IQOS because they believed it was less harmful or to stop smoking. The current conventional cigarette smokers were much more likely to be aware of IQOS (OR 4.496; 95% CI 2.185 to 9.250) and to be IQOS ever users (OR 11.649; 95% CI 1.024 to 132.564).ConclusionAwareness, experience and use of IQOS among young Korean adults were relatively higher than among their Japanese counterparts. Current IQOS users were more likely to smoke conventional cigarettes and/or e-cigarettes, which contradicts the tobacco industry’s claims that conventional cigarette smokers will switch to heated tobacco products. Until obtaining robust evidence concerning heated tobacco products, the government should regulate the tobacco industry’s marketing tactics and health claims.

scholarly journals Health Warning Label Compliance for Smokeless Tobacco Products and Bidis in Five Indian States

2021 ◽  
Vol 22 (S2) ◽  
pp. 59-64
Author(s):  
Sejal Saraf ◽  
Kevin Welding ◽  
Michael Iacobelli ◽  
Joanna Cohen ◽  
Prakash C Gupta ◽  
...  
Keyword(s):  
Smokeless Tobacco ◽  
Warning Label ◽  
Indian States ◽  
Tobacco Products ◽  
Health Warning ◽  
Smokeless Tobacco Products

Experimental study on the restoration from a tilt-azimuth series for improvement in resolution

1995 ◽  
Vol 53 ◽  
pp. 636-637
Author(s):  
Norio Baba ◽  
Norihiko Ichise ◽  
Syunya Watanabe
Keyword(s):  
Experimental Study ◽  
Spherical Aberration ◽  
Incident Beam ◽  
Optical Parameters ◽  
Beam Tilting ◽  
Illumination Method ◽  
Restoration Method ◽  
Illumination Mode

The tilted beam illumination method is used to improve the resolution comparing with the axial illumination mode. Using this advantage, a restoration method of several tilted beam images covering the full azimuthal range was proposed by Saxton, and experimentally examined. To make this technique more reliable it seems that some practical problems still remain. In this report the restoration was attempted and the problems were considered. In our study, four problems were pointed out for the experiment of the restoration. (1) Accurate beam tilt adjustment to fit the incident beam to the coma-free axis for the symmetrical beam tilting over the full azimuthal range. (2) Accurate measurements of the optical parameters which are necessary to design the restoration filter. Even if the spherical aberration coefficient Cs is known with accuracy and the axial astigmatism is sufficiently compensated, at least the defocus value must be measured. (3) Accurate alignment of the tilt-azimuth series images.

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