Supplemental Material for Mediational Pathways of the Impact of Cigarette Warning Labels on Quit Attempts

2014 ◽  
Vol 33 (11) ◽  
pp. 1410-1420 ◽  
Author(s):  
Hua-Hie Yong ◽  
Ron Borland ◽  
James F. Thrasher ◽  
Mary E. Thompson ◽  
Gera E. Nagelhout ◽  
...  

2021 ◽  
Author(s):  
Mercedes Mora-Plazas ◽  
Isabella Higgins ◽  
Luis Fernando Gomez ◽  
Marissa G. Hall ◽  
Maria Fernanda Parra ◽  
...  

Abstract BackgroundFront-of-package nutrient warning labels are one promising policy to inform healthier food choices and purchasing decisions. This study aimed to identify the impact of nutrient warning labels on product selection and the ability to correctly identify products with an excess of critical nutrients, among other outcomes in Colombia.MethodsWe conducted an online randomized experiment among 8,061 Colombian adults in October 2020. Participants were randomly assigned to a front-of-package label condition: nutrient warning, guideline daily amounts (GDA), Nutri-Score, or a no-label condition. First, they viewed a fruit drink with added sugar that was labeled per their assigned condition and one without added sugar, which was only labeled in the GDA and Nutri-Score conditions, and completed selection tasks. The primary outcomes were 1) selection of the fruit drink with added sugar as the fruit drink they would rather buy and 2) correctly identifying which fruit drink was higher in sugar. Next, they viewed four food products (cookies, yogurt, sliced bread, and breakfast cereal) with their assigned condition and answered a series of questions. Finally, they selected which of the three label types would most discourage them from consuming a specified ultra-processed food.ResultsFewer participants in the nutrient warning condition (20%) selected the added sugar fruit drink as the product they would rather buy compared to 24% in the GDA condition (p<.01), 29% in the no-label condition, and 33% in the Nutri-Score condition (both, p<.001). More participants in the nutrient warning condition (88%) correctly identified the fruit drink higher in sugar compared to the no-label condition (68%) and the Nutri-Score condition (65%) (both, p<.001). More participants in the GDA condition (91%) correctly identified the fruit drink higher in sugar compared to the nutrient warning condition (p<.01). Most participants (72%) selected the nutrient warning label as most discouraging, while only 20% selected the GDA label and 9% selected the Nutri-Score label.ConclusionsNutrient warning labels are a promising policy strategy to prevent obesity and diet-related non-communicable diseases in Colombia. Future research is needed to understand the impact of nutrient warning labels on actual ultra-processed food purchases in Colombia. Trial Registration: NCT04567004


2019 ◽  
pp. tobaccocontrol-2018-054879 ◽  
Author(s):  
Fujian Song ◽  
Tim Elwell-Sutton ◽  
Felix Naughton

BackgroundThe English National Health Service NHS Stop Smoking Services (SSS), established in 2001, were the first such services in the world. An appropriate evaluation of the SSS has national and international significance. This modelling study sought to evaluate the impact of the SSS on changes in smoking prevalence in England.MethodsA discrete time state-transition model was developed to simulate changes in smoking status among the adult population in England during 2001–2016. Input parameters were based on data from national statistics, population representative surveys and published literature. The main outcome was the percentage point reduction in smoking prevalence attributable to the SSS.ResultsSmoking prevalence was reduced by 10.8 % in absolute terms during 2001–2016 in England, and 15.3 % of the reduction could be attributable to the SSS. The percentage point reduction in smoking prevalence each year was on average 0.72%, and 0.11 % could be attributable to the SSS. The proportion of SSS supported quit attempts increased from 5.5 % in 2001, to as high as 18.9 % in 2011, and then reduced to 8.2 % in 2016. Quit attempts with SSS support had a higher success rate than those without SSS support (15.1% vs 11.3%). Smoking prevalence in England continued to decline after the SSS was much reduced from 2013 onwards.ConclusionsApproximately 15% of the percentage point reduction in smoking prevalence during 2001–2016 in England may be attributable to the NHS SSS, although uncertainty remains regarding the actual impact of the formal smoking cessation services.


2018 ◽  
Vol 54 (2) ◽  
pp. 197-204 ◽  
Author(s):  
Bruce Y. Lee ◽  
Marie C. Ferguson ◽  
Daniel L. Hertenstein ◽  
Atif Adam ◽  
Eli Zenkov ◽  
...  

2010 ◽  
Vol 26 (2) ◽  
pp. 179-191 ◽  
Author(s):  
F.-c. Chang ◽  
C.-h. Chung ◽  
P.-t. Yu ◽  
K.-y. Chao

2017 ◽  
Vol 19 (10) ◽  
pp. 1172-1177 ◽  
Author(s):  
Elizabeth G Klein ◽  
Amanda J Quisenberry ◽  
Abigail B Shoben ◽  
Sarah Cooper ◽  
Amy K Ferketich ◽  
...  

2018 ◽  
pp. tobaccocontrol-2018-054586 ◽  
Author(s):  
Fujian Song ◽  
Tim Elwell-Sutton ◽  
Felix Naughton

BackgroundThe English National Health Service (NHS) Stop Smoking Services (SSS), established in 2001, were the first such services in the world. An appropriate evaluation of the SSS has national and international significance. This modelling study sought to evaluate the impact of the SSS on changes in smoking prevalence in England.MethodsA discrete time state-transition model was developed to simulate changes in smoking status among the adult population in England during 2001–2016. Input parameters were based on data from national statistics, population representative surveys and published literature. The main outcome was the percentage point reduction in smoking prevalence attributable to the SSS.ResultsSmoking prevalence was reduced by 10.8% in absolute terms during 2001–2016 in England, and 15.1% of the reduction could be attributable to the SSS. The percentage point reduction in smoking prevalence each year was on average 0.72%, and 0.11% could be attributable to the SSS. The proportion of SSS supported quit attempts increased from 5.6% in 2001, to as high as 19.3% in 2011, and then reduced to 8.4% in 2016. Quit attempts with SSS support had a higher success rate than those without SSS support (15.1%vs11.7%). Smoking prevalence in England continued to decline after the SSS was much reduced from 2013 onwards.ConclusionsApproximately 15% of the percentage point reduction in smoking prevalence during 2001–2016 in England may be attributable to the NHS SSS, although uncertainty remains regarding the actual impact of the formal smoking cessation services.


2021 ◽  
Author(s):  
Mercedes Mora-Plazas ◽  
Isabella Higgins ◽  
Luis Fernando Gomez ◽  
Marissa G. Hall ◽  
Maria Fernanda Parra ◽  
...  

Abstract ObjectiveThis study assessed the impact of nutrient warning labels on product selection and ability to correctly identify less healthy products, among other outcomes, in Colombia. MethodsWe conducted an online randomized experiment among 8,061 Colombians in October 2020. Participants were assigned to a condition: nutrient warning, guideline daily amounts (GDA), Nutri-Score, or no-label. First, participants viewed two fruit drinks labeled according to their assigned condition, one with added sugar and one without, and indicated which they would prefer to buy and which was higher in sugar. Next, they viewed four food products with their assigned condition and answered questions. Finally, they selected which label type would most discourage them from consuming a specified ultra-processed food. ResultsFewer participants in the nutrient warning condition (20%) preferred to buy the added sugar fruit drink compared to 24% in the GDA condition (p<.01), 29% in the no-label condition, and 33% in the Nutri-Score condition (both, p<.001). More participants who saw the nutrient warning (88%) correctly identified the fruit drink higher in sugar compared to those who saw no-label (68%) or Nutri-Score (65%) (both, p<.001). In the GDA condition, 91% correctly identified the fruit drink higher in sugar compared to the nutrient warning condition (p<.01). Most participants (72%) selected the nutrient warning label as most discouraging. ConclusionsNutrient warning labels are a promising policy strategy to prevent obesity and diet-related non-communicable diseases in Colombia. Future research should assess nutrient warning labels’ impact on actual food purchases in Colombia. Trial Registration: NCT04567004


2020 ◽  
Author(s):  
Natasha Clarke ◽  
Anna Katherine Mary Blackwell ◽  
Katie De-loyde ◽  
Emily Pechey ◽  
Alice Hobson ◽  
...  

Background and aims Health warning labels (HWLs) on tobacco products reduce smoking. There is an absence of evidence concerning the impact of alcohol HWLs on selection or purchasing in naturalistic settings. Using a commercial-standard naturalistic shopping laboratory, this study aimed to estimate the impact on selection of alcoholic drinks of HWLs describing adverse health consequences of excessive alcohol consumption.DesignA between-subjects randomised experiment with three groups: Group 1: image-and-text HWL; Group 2: text-only HWL; Group 3: no HWL.SettingA commercial-standard naturalistic shopping laboratory. Participants Adults (n=399) over the age of 18, who purchased beer or wine weekly to drink at home. InterventionsParticipants were randomised to one of three groups varying in the HWL displayed on the packaging of the alcoholic drinks: i. image-and-text HWL; ii. text-only HWL; iii. no HWL. Participants completed a shopping task, selecting items from a range of alcoholic and non-alcoholic drinks, and snacks. MeasurementThe primary outcome was the proportion of alcoholic drinks selected. Secondary outcomes included HWL ratings on negative emotional arousal and label acceptability.FindingsThere was no clear evidence of a difference in the HWL groups for the percentage of drinks selected that were alcoholic compared to no HWL (44%): image-and-text HWL: 46% (OR=1.08, 95%CI=0.82,1.42); text-only HWL: 41% (OR=0.87, 95%CI=0.67,1.14). Concordant with there being no difference between groups, there was extreme evidence in favour of the null hypothesis (Bayes factor [BF] &lt; 0.01). Negative emotional arousal was higher (p&lt; 0.001) and acceptability lower (p&lt; 0.001) in the image-and-text HWL group, compared to the text-only HWL group. ConclusionsIn a naturalistic shopping laboratory, health warning labels describing the adverse health consequences of excessive alcohol consumption did not change selection behaviour.


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