scholarly journals The estimated effect of graphic warning labels on smoker’s intention to quit in Shanghai, China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ruiping Wang ◽  
Yan Qiang ◽  
Yan Zhu ◽  
Xiangjin Gao ◽  
Qiong Yang ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Logistic Regression ◽  
Control Measures ◽  
Intention To Quit ◽  
Lower Percentage ◽  
Warning Labels ◽  
Cross Sectional ◽  
Smoking Intensity ◽  
Graphic Warning ◽  
Cigarette Packs

Abstract Background Tobacco consumption is the leading cause of death worldwide. Overwhelming studies demonstrate graphic warning labels (GWLs) on cigarette packs are effective in eliciting negative response to tobacco smoking, modifying beliefs about tobacco dangers, and increasing reported intention to quit, but the estimated effect of GWLs on smoking cessation intention among smokers is still limited in China. In this study, we aim to understand the smoking intensity, smoking duration and smoking cessation intention among current smokers, and to explore how their smoking cessation intention would be influenced by the GWLs in Shanghai. Methods From January to June 2021, we totally recruited 1104 current smokers in Songjiang district and Fengxian district of Shanghai by multistage sampling design. We used Android pad assisted electronic questionnaire for data collection, and then implemented logistic regression for odds ratio (OR) and 95% confidence interval (CI) calculation to explore how smoking cessation intention would be influenced by the GWLs among current smokers. Results One thousand one hundred four current smokers included 914 males (82.79%), with an average age of 43.61 years. 58.06% of current smokers reported smoking cessation intention due to GWLs. Logistic regression indicated a higher percentage of smoking cessation intention due to GWLs was among female smokers [OR = 2.41, 95% CI (1.61–3.59)], smokers with smoking intensity < 20 cigarette/day [OR = 1.92, 95% CI (1.44–2.55)], smokers with tobacco burden < 20% [OR = 1.94, 95% CI (1.35–2.79)], and among smokers had plan to quit in a year [OR = 6.58, 95% CI (4.71–9.18). Smokers with higher individual monthly income had lower percentage of smoking cessation intention (OR were 0.35, 0.46 and 0.41). Meanwhile, among 642 current smokers without plan to quit in a year, approximately 40% of them reported smoking cessation intention due to GWLs. Conclusions Smoking cessation intention due to the assumed GWLs on cigarette packs is high among current smokers in Shanghai, especially in female smokers, smokers with light tobacco burden and mild nicotine dependence. Incorporating smoking intensity as well as smoking burden into the implementation of GWLs as tobacco control measures would discourage smoking in China.

scholarly journals Emotional Impact and Perceived Effectiveness of Text-Only versus Graphic Health Warning Tobacco Labels on Adolescents

2019 ◽  
Vol 22 ◽  
Author(s):  
Pedro Margalhos ◽  
Francisco Esteves ◽  
Jaime Vila ◽  
Patrícia Arriaga
Keyword(s):  
Smoking Status ◽  
Cross Sectional Study ◽  
Emotional Impact ◽  
Negative Consequences ◽  
Perceived Effectiveness ◽  
Warning Labels ◽  
Health Warnings ◽  
Cross Sectional ◽  
Graphic Warning ◽  
Valence And Arousal

AbstractThe study of smoking in adolescence is of major importance as nicotine dependence often begins in younger groups. Tobacco health warnings have been introduced to inform people of the negative consequences of smoking. This study assessed the emotions and perceived effectiveness of two formats of tobacco warnings on adolescents: Text-only versus graphic warning labels. In addition, we analyzed how emotions predicted their perceived effectiveness. In a cross-sectional study, 413 adolescents (131 smokers, 282 non-smokers) between 13–20 years of age rated their emotions (valence and arousal) and perceived effectiveness towards a set of tobacco warnings. Results showed that graphic warnings evoked higher arousal than text-only warning labels (p = .038). Most of the warning labels also evoked unpleasantness with smokers reporting higher unpleasantness regarding text-only warnings compared to non-smokers (p = .002). In contrast, perceived effectiveness of the warnings was lower in smokers than in non-smokers (p = .029). Finally, high arousal and being a non-smoker explained 14% of the variance of perceiving the warnings more effective. Given the role that warnings may play in increasing health awareness, these findings highlight how smoking status and emotions are important predictors of the way adolescents consider tobacco health labels to be effective.

scholarly journals Prevalence and predictors of intention to quit tobacco smoking in smokers of rural area of North India (Haryana)

2018 ◽  
Vol 5 (4) ◽  
pp. 1617 ◽  
Author(s):  
Zahid A. Khan ◽  
Ridhima Goel ◽  
Anup K. Mukherjee ◽  
Tazeen Khan
Keyword(s):  
Smoking Cessation ◽  
Logistic Regression ◽  
Rural Area ◽  
Tobacco Smoking ◽  
Binary Logistic Regression ◽  
Developed Countries ◽  
North India ◽  
Intention To Quit ◽  
Smoking History ◽  
Quit Smoking

Background: Intention to quit is a strong predictor of quitting tobacco smoking. Knowledge about factors determining intention to quit smoking is essential for the development of smoking cessation strategies. The objective of this study was to determine the predictors of tobacco smoking cessation among smokers of a rural area of Haryana.Methods: A cross-sectional study was conducted among 945 current tobacco smokers of a rural area of district Ambala of Haryana, India through an interviewer-administered questionnaire. The survey included questions pertaining to socio-demographic factors, smoking history, smoking practices, knowledge about smoking-related damage, perceived health status and intention to quit. Binary logistic regression was used to determine the predictors of intention to quit smoking among the study participants.Results: The intention to quit smoking was present in 52.4% smokers out of whom 41.4% had attempted to quit smoking during the past 1 year. Binary logistic regression analysis revealed educational status, the presence of trigger feelings (stress/frustration/loneliness) for smoking, more money spent on smoking, the presence of any health problem, health professional advice received and awareness of harmful effects of smoking as predictors of intention to quit smoking.Conclusions:The prevalence of intention to quit smoking among study participants is high but lower in comparison to developed countries. The predictors of quitting intention in the current study should be considered during designing of tobacco control programs and policies.  

Tobacco control strategies in psychiatric services in catalonia (Spain)

2011 ◽  
Vol 26 (S2) ◽  
pp. 45-45 ◽  
Author(s):  
M. Ballbè ◽  
G. Nieva ◽  
S. Mondon ◽  
C. Pinet ◽  
E. Bruguera ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Tobacco Control ◽  
Health Care Services ◽  
Control Strategies ◽  
Psychiatric Inpatient ◽  
Mental Illnesses ◽  
Psychiatric Services ◽  
Control Measures ◽  
Cross Sectional ◽  
Mortality And Morbidity

IntroductionMortality and morbidity due to smoking in people with mental illnesses are higher than in the general population. However, smoking continues to be allowed in psychiatric premises of many countries despite being prohibited in workplaces including health care services.ObjectiveTo describe tobacco control strategies undertaken in psychiatric inpatient services and day centers in Catalonia.AimsTo study tobacco control strategies in psychiatric services in order to identify unmet needs.MethodsA cross-sectional study including all psychiatric services offering public service in Catalonia (n = 192). The managers answered an on-line questionnaire with 24 items grouped in four dimensions: staff's training & commitment, clinical intervention, management of smoking areas, and communication of smoke-free policies.Results186 of the managers (96.9%) responded to the questionnaire. Results showed low levels of implementation of tobacco control strategies, especially in the training and intervention dimensions. 41.0% of the services usually intervened in their patients’ tobacco use but an overall 65.9% didn’t have pharmacotherapy for smoking cessation available. 47.3% of the managers stated that their staff had not enough knowledge on smoking cessation interventions. 38.9% of the services had smoking indoor areas. Day Centers showed the lowest implementation of tobacco control measures while services belonging to the Network of Smoke-free Hospitals showed the highest implementation.ConclusionsCurrent Spanish partial law has failed to promote a desirable tobacco control in psychiatric services. There is a need to extend tobacco control policies, specifically in terms of smoking intervention and training, together with a higher availability of resources.

scholarly journals Addiction Treatment Clients’ Reactions to Graphic Warning Labels on Cigarette Packs

2017 ◽  
Vol 47 (3) ◽  
pp. 433-447 ◽  
Author(s):  
Anna Pagano ◽  
Noah Gubner ◽  
Barbara Tajima ◽  
Deborah Yip ◽  
Catherine Henderson ◽  
...  
Keyword(s):  
Addiction Treatment ◽  
Treatment Programs ◽  
Emotional Impact ◽  
Warning Labels ◽  
Graphic Warning ◽  
Group Interviews ◽  
Readiness To Quit ◽  
Specific Reactions ◽  
Diverse Groups ◽  
Cigarette Packs

Graphic warning labels (GWLs) on cigarette packs have been tested among diverse groups at high risk for tobacco use. However, little is known about the effectiveness of GWL interventions for persons with substance use disorders, whose smoking prevalence is 3 to 4 times that of the general population. After a experimental study which exposed clients in residential addiction treatment to GWLs for 30 days, we conducted five focus groups with trial participants ( N = 33) to explore how exposure to the labels may have impacted their readiness to quit smoking. Focus group interviews were analyzed thematically. Interviewees reported that GWLs were more effective than text-based warnings for increasing quit intentions due to greater cognitive and emotional impact. Male and female interviewees expressed gender-specific reactions to the labels. Addiction treatment programs are a strategic site for GWL and other tobacco interventions due to the tobacco-vulnerable populations they serve.

Do cigarette graphic warnings encourage smokers to attend a smoking cessation programme: a quasi-experimental study

2016 ◽  
Vol 27 (1) ◽  
pp. 43-49
Author(s):  
Joseph Guydish ◽  
Barbara Tajima ◽  
Thao Le ◽  
Catherine Henderson ◽  
Deborah Yip ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Primary Outcome ◽  
Group Differences ◽  
Smoking Cessation Programme ◽  
Cigarette Pack ◽  
Quasi Experimental ◽  
Graphic Warning ◽  
Intent To Treat ◽  
Treat Analysis ◽  
Cigarette Packs

ObjectiveThis study assessed whether exposure to cigarette graphic warning labels (GWLs) increased attendance to a smoking cessation programme.MethodFrom 2014 to 2016, alternating cohorts of smokers in 3 residential drug treatment programmes received either GWLs (experimental) or transparent (control) labels placed on their cigarette packs for 30 days. The primary outcome was the proportion of participants who chose to attend a smoking cessation group after the labelling period.ResultsThe sample (N=601) was 72.6% male, with a mean age of 41.9 (SD=11.16) and included African-American (37%), White (29.4%) and Hispanic (19.6%) participants. While similar on most measures, controls were more likely to be married, had been in the treatment programme longer and registered higher on expired carbon monoxide (CO). After labelling, the proportion attending at least one cessation group was 26% in the experimental condition and 18.8% among controls. In an intent-to-treat analysis adjusting for group differences at baseline, and for 2 levels of nesting, those who received GWLs were more likely than controls to attend the smoking cessation group (OR=1.58, 95% CI 1.02 to 2.44).ConclusionsSmokers who received GWLs on their cigarette packs were more likely to attend a cessation programme. Thus, this study is one of the first to document a change in a directly observed behavioural outcome as a function of month-long exposure to cigarette pack GWLs.

scholarly journals Smoking cessation support for regular smokers in Hungarian primary care: a nationwide representative cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018932
Author(s):  
Valéria Sipos ◽  
Anita Pálinkás ◽  
Nóra Kovács ◽  
Karola Orsolya Csenteri ◽  
Ferenc Vincze ◽  
...  
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Nicotine Dependence ◽  
Brief Intervention ◽  
Cross Sectional Study ◽  
Intention To Quit ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quit Smoking ◽  
To Receive

ObjectivesOur study aimed to evaluate the effectiveness of general practitioners’ (GPs’) smoking cessation support (SCS).Study designWe carried out a cross-sectional study between February and April 2016.Setting and participantA sample of 2904 regular smokers aged 18 years or older was selected randomly from 18 general medical practices involved in a national representative, general medical practice-based morbidity monitoring system. The GPs surveyed the selected adults and identified 708 regular smokers.Main outcome measuresMultivariate logistic regression models have been applied to evaluate the determinants (age, gender, education, smoking-related comorbidity, smoking intensity, intention to quit smoking and nicotine dependence) of provision of GP-mediated SCS such as brief intervention, pharmacological and non-pharmacological programmatic support.ResultsAccording to the survey, 24.4% of the adults were regular smokers, 30% of them showed high nicotine dependence and 38.2% willing to quit smoking. Most of the smokers were not participated in SCS by GPs: brief intervention, programmatic non-pharmacological support and pharmacotherapy were provided for 25%, 7% and 2% of smokers, respectively. Low-nicotine-dependence individuals were less (OR 0.30, 95% CI 0.12 to 0.75), patients with intention to quit were more (OR 1.49, 95% CI 1.00 to 2.22) likely to receive a brief intervention. Vocational (OR 1.71, 95% CI 1.13 to 2.59) and high school education (OR 2.08, 95% CI 1.31 to 3.31), chronic obstructive pulmonary disease and cardiovascular diseases (OR 3.34, 95% CI 1.04 to 10.68; OR 3.91, 95% CI 2.33 to 6.54) increased the probability to receive support by GP.ConclusionsAlthough there are differences among smokers’ subgroups, the SCS in Hungarian primary care is generally insufficient, compared with guidelines. Practically, the pharmacological support is not included in Hungarian GPs’ practice. GPs should increase substantially the working time devoted to SCS, and the organisation of primary healthcare should support GPs in improving SCS services.

scholarly journals Smoking Cessation Intention and Its Association with Advice to Quit from Significant Others and Medical Professionals

2021 ◽  
Vol 18 (6) ◽  
pp. 2899
Author(s):  
Jun Hyun Hwang ◽  
Soon-Woo Park
Keyword(s):  
Smoking Cessation ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Multiple Logistic Regression Analysis ◽  
Significant Others ◽  
Intention To Quit ◽  
Medical Professionals ◽  
Multiple Logistic Regression ◽  
Quit Smoking

Few studies have simultaneously considered the effects of significant others and medical professionals’ advice to quit smoking on smoking cessation intention. The present study involved 3841 current adult Korean smokers, divided into four groups with an intention to quit within 1 month, within 6 months, someday, and without intention to quit. Multinomial multiple logistic regression analysis was conducted according to smoking cessation intention level, adjusted for potential confounders, including past smoking cessation attempts. Smokers who had been advised to quit smoking by both significant others and medical professionals, significant others only, and medical professionals only were 2.63 (95% confidence interval (CI): 1.62–4.29), 1.84 (95% CI: 1.17–2.89), and 1.44 (95% CI: 0.70–2.94) times more likely to intend to quit within 1 month, respectively, than those who were not advised to quit. The odds ratios of an intention to quit within 6 months were 2.91 (95% CI: 1.87–4.54), 2.49 (95% CI: 1.69–3.68), and 0.94 (95% CI: 0.44–2.05), respectively. To promote smokers’ intention to quit, the role of significant others should be considered. Medical professionals’ advice to quit smoking remains important, increasing the effects of significant others’ advice.

scholarly journals Reactions to FDA-Proposed Graphic Warning Labels Affixed to U.S. Smokers’ Cigarette Packs

2015 ◽  
Vol 17 (7) ◽  
pp. 784-795 ◽  
Author(s):  
Amy McQueen ◽  
Matthew W. Kreuter ◽  
Sonia Boyum ◽  
Vetta S. Thompson ◽  
Charlene A. Caburnay ◽  
...  
Keyword(s):  
Warning Labels ◽  
Graphic Warning ◽  
Cigarette Packs

scholarly journals Knowledge, attitudes, and practices related to COVID-19 pandemic among adult population in Sidama Regional State, Southern Ethiopia: A community based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0246283
Author(s):  
Amanuel Yoseph ◽  
Alemu Tamiso ◽  
Amanuel Ejeso
Keyword(s):  
Logistic Regression ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Control Measures ◽  
Southern Ethiopia ◽  
Community Based ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Regional State ◽  
Study Participants

Introduction COVID-19 incidence is increasing and different measures have been adopted to control the spread of the pandemic in Ethiopia. Among these measures, enhancing the knowledge, positive attitudes, and proper practices of prevention measures about the disease is a basic strategy to control it. However, community compliance to control measures is largely dependent on their knowledge, attitudes, and practices (KAP) towards COVID-19. Objective To assess the current level of KAP towards COVID-19 pandemic and predictors among the rural dwellers in Sidama regional state, Southern Ethiopia; 2020. Methods This community-based prospective cross-sectional study was carried out from May 1–30, 2020 on a sample of 1,278 adult populations in Sidama regional state, Southern Ethiopia. A multi-stage sampling technique was used to choice the study participants. The data were collected using a structured interviewer-administered questionnaire. We have entered data using Epi data version 3.1 and all analyses were done using SPSS version 25. KAPs scores of study participants based on their independent variables were compared using Chi-square test, t-test or one-way analysis of variance (ANOVA) as required. Bi-variable and multivariable logistic regression analyses were used to identify factors associated with KAP. The important assumptions of the logistic regression model were checked to be satisfied. Adjusted odds ratios (AOR) with a 95% confidence interval (CI) were calculated to assess the existence and strength of associations. Results From a total of 1,214 study participants, the overall attained knowledge, attitude and practice score about COVID-19 were 90%, 82.4% and 65%, respectively. Among these, 43.9%, 37.5%, and 24.4% of the study participants had demonstrated good knowledge, high attitude and proper practice, respectively. The mean knowledge scores were significantly different between sex, categories of marital status, educational levels, main occupation, and the monthly income quintiles of the study participants (p<0.05). Similarly, the mean attitude scores significantly varied across educational levels, main occupations and marital status (p<0.05). Based on multivariable logistic regression analysis, main occupation of the government employees, education level of diploma and above, highest and second highest wealth rank were positively associated with COVID-19 prevention and control practice. Conclusions The majority of study participants had showed good knowledge and optimistic attitude toward COVID-19. But, the level of practice lower than that expected to maximize effective control measures. Further public education interventions and community sensitization campaigns are required for rural adult population in the Sidama regional state, Ethiopia.

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