scholarly journals Perceived Effectiveness of Pictorial Health Warning Labels of Tobacco Products and Associated Factors among Smokers and Quitters in Kaski District, Nepal

2019 ◽  
Vol 9 (2) ◽  
pp. 29-37
Author(s):  
Kamal Bahadur Budha ◽  
Chiranjivi Adhikari ◽  
Nand Ram Gahatraj
Keyword(s):  
Behavioral Response ◽  
Urban Areas ◽  
Associated Factors ◽  
Smoking Status ◽  
Perceived Effectiveness ◽  
Warning Labels ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Psychological Response ◽  
Health Warning

Introduction: Globally, tobacco kills more than seven million people per year. In Nepal, more than fifty different types of tobacco products, both in smoke and smokeless forms, are available. Pictorial health warning labels (PHWLs) on tobacco products provide an effective way to aware both literates and illiterates about the health effects of tobacco use. This study aimed to assess the perceived effectiveness of pictorial health warning labels of tobacco products and associated factors among smokers and quitters. Methods: The study design was community-based cross-sectional analytical with the quantitative method. We interviewed 389 adults (111 Quitters and 278 Smokers) of Kaski district. The sample was taken from both rural and urban areas based on existing household proportion. Ethical approval was taken from NHRC. We entered data in EpiData and analyzed in SPSS softwares. The perceived effectiveness scores of PHWLs were calculated (alpha ranges from 0.91 to 0.96) and compared among different groups using the Wilcoxon rank-sum test and Kruskal-Wallis test with the Dunn’s multiple comparisons. The perceived effectiveness score of PHWLs were correlated with discrete covariates using Spearman rank correlation. Results: Nearly one-third of the participants (32.7%) had bought a single piece of tobacco product, which is not allowed in Nepal. Nearly sixteen percentage of the participants were moderate to high level of nicotine dependent. Only twelve percent of participants wanted to quit or already quitted as s/he saw the PHWLs. Scores of Premature birth was statistically significant (p=0.031) on smoking status. Martial status, ethnicity, any family member use tobacco, age at first exposure psychological response, behavioral response and message credibility were statistically significant for the perceived effectiveness of PHWLs among smokers. Whereas place of resident, education status, age, psychological response, behavioral response, self efficacy and message credibility were statistically significant at p<0.05 for the perceived effectiveness of PHWLs among quitters. Conclusions: This study concluded that premature type of PHWL was more effective than other type of PHWLs. The interventional program along with social and behavior change communication should be focused on the psychological, behavioral related and geographical setting. Further research is suggested to carryout the interventional study addressing behavioral and psychological factors.

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 Factors Affecting the Perceived Effectiveness of Pictorial Health Warnings on Cigarette Packages in Gulf Countries: A Cross-sectional Study

2017 ◽  
Vol 10 ◽  
pp. 1179173X1769846 ◽  
Author(s):  
Ameerah Y Mansour ◽  
Zuhair Bakhsh
Keyword(s):  
Smoking Status ◽  
Cross Sectional Study ◽  
Perceived Effectiveness ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Factors Affecting ◽  
Health Warning ◽  
Former Smokers ◽  
Graphic Images

Objectives: To explore the perceived effectiveness of pictorial health warning (PHW) labels required by the Gulf Cooperation Council, to compare them with the Food and Drug Administration–approved PHW labels, and to determine factors affecting their perceived effectiveness. Methods: A cross-sectional study using a convenience sample of adult smokers and nonsmokers was conducted. The data were collected through a self-administered online questionnaire. The perceived effectiveness scores of PHW labels were calculated and compared among different subgroups using the Kruskal-Wallis test and the Dunn multiple comparison test at a .05 significance level. Results: Of the 90 people invited to participate in the survey, 77 (86%) completed it, with 39 (50%) nonsmokers, 22 (29%) smokers, and 16 (21%) former smokers. Overall, labels having graphic images of illness or pathology are perceived to be most effective. Smokers generally perceived labels significantly less effective compared with former smokers and nonsmokers. Also, 55 respondents (71%) suggested that the presence of a telephone quit-line would be effective. Conclusions: Smoking status and image type had the most effect on the perceived effectiveness of the PHW labels on cigarette packs. Pictorial health warning labels with graphic images of pathology and a telephone quit-line are perceived to be most effective.

scholarly journals Novel Insights into Young Adults’ Perceived Effectiveness of Waterpipe Tobacco-Specific Pictorial Health Warning Labels in Lebanon: Implications for Tobacco Control Policy

2021 ◽  
Vol 18 (13) ◽  
pp. 7189
Author(s):  
Rima Nakkash ◽  
Malak Tleis ◽  
Sara Chehab ◽  
Wu Wensong ◽  
Michael Schmidt ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Smoking Status ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Control Policy ◽  
Tobacco Control Policy ◽  
Perceived Effectiveness ◽  
Warning Labels ◽  
Group Discussions ◽  
Health Warning

This study aims to explore the perceived effectiveness of waterpipe (WP) tobacco specific health warning labels (HWLs) among young adult WP smokers and nonsmokers in Lebanon. Before participating in focus group discussions, participants (n = 66; WP smokers n = 30; nonsmokers n = 36; age 18–33) completed a brief survey to rate the effectiveness of 12 HWLs’ and rank them according to four risk themes (WP health effects, WP harm to others, WP-specific harm, and WP harm compared to cigarettes). Differences in HWLs ratings by WP smoking status were examined and the top-ranked HWL in each theme were identified. HWLs depicting mouth cancer and harm to babies were rated as the most effective by both WP smokers and non-smokers. WP smokers rated HWLs which depicted harm to children and infants as more effective than non-smokers. The top-ranked HWLs for perceived overall effectiveness were those depicting “oral cancer”, “harm to babies”, “orally transmitted diseases” and “mouth cancer”. HWLs depicting oral lesions and harm to babies were rated as most effective, while HWLs showing the harmful effects of WP secondhand smoke on infants and children were rated as less effective by nonsmokers compared to smokers. Our study provides evidence on the potential effectiveness of HWLs for further evaluation in Lebanon and the Eastern Mediterranean region. The results will inform and guide the development and implementation of tobacco control policy.

scholarly journals Country Participation in the WHO Framework Convention on Tobacco Control Health Warnings Database

2021 ◽  
Vol 14 ◽  
pp. 1179173X2110642
Author(s):  
Christopher M. Seitz ◽  
Kenneth D. Ward ◽  
Zubair Kabir
Keyword(s):  
Tobacco Control ◽  
World Health ◽  
Warning Labels ◽  
Health Warnings ◽  
Tobacco Products ◽  
Health Warning ◽  
Pictorial Warnings ◽  
The World ◽  
Alternative Tobacco Products ◽  
Tobacco Packaging

Background The World Health Organization’s (WHO) Framework Convention on Tobacco Control (FCTC) Health Warnings Database is an online, publicly available resource created for countries to upload and share pictorial health warnings for tobacco packaging. The purpose of this study was to evaluate the extent to which the database is used by countries for the sharing of pictorial warnings. Methods The study’s sample included parties to the FCTC who required graphic health warning labels on cigarette packaging from. Those countries were categorized as having a low, middle, and high Socio-Demographic Index (SDI). The Health Warnings Database was then analyzed for those countries’ unique pictorial images, as well as the number of pictorials that were shared between countries. Results Of the 110 countries that required pictorial warnings on cigarette packaging, only 53 (48%) voluntarily contributed pictorials to the database, with most of those (53%) being high SDI-level countries. There were 342 unique pictorials on the database, with 62 images posted by seven countries that were used by 13 other countries. Conclusion While sharing was evident from the database, there remains a need for more countries to upload the pictorials to the database. There is also a need to expand the database to include alternative tobacco products, such as waterpipe tobacco and e-cigarettes.

scholarly journals Dhaka city drivers’ community knowledge, attitude and practice on water, sanitation and hygiene and associated factors: a descriptive cross-sectional study

2021 ◽  
Vol 9 (1) ◽  
pp. 33
Author(s):  
Yahya F. S. M. ◽  
Islam M. Shamsal
Keyword(s):  
Urban Areas ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Sanitation And Hygiene ◽  
Life Years ◽  
Radio Programs ◽  
Knowledge Attitude And Practice

Background: Water, sanitation and hygiene (WASH) is to consider the first step to improving the public health of urban people. Primary health-related risk factors are largely induced by urban people's daily WASH practice and this is the leading cause of mortality and disability-adjusted life-years (DALYs) globally. About 28% of Bangladeshi people are living in urban areas and the megacity Dhaka accounts for around 40% of the urban population. In this explanatory research, we explored the knowledge, attitude and practice on WASH and associated factors of drivers’ communities in Dhaka, Bangladesh.Methods: The study was an observational descriptive cross-sectional study and both quantitative and qualitative data were collected. The study was conducted between 03 September 2020, and 28 February 2021. A total of 109 drivers, 8 focus group discussions (FGDs) and 8 key informant interviews (KIIs) were also conducted.Results: The vast majority of drivers were middle age and a few were younger. The vast majority of drivers were experienced and the current job duration was about 7.94±8.33 years. The majority of drivers usually passed leisure time by playing ludo, chess, carrom, cards, chatting online on Facebook (FB), watching the drama on YouTube, watching television (TV), hearing radio programs and gossiping with colleagues. Two-third of the drivers disposing of food waste in the dustbin, and one-third kept inside the vehicle aiming to dispose of it dustbin although some of them throw it into the street.Conclusions: Study findings suggested that there is a need to create WASH facilities and intensive campaigns on hygiene and sanitation to create awareness among aged drivers to practice health and hygiene during duty hours. 

scholarly journals Socio-economic differences in the uptake of HIV testing and associated factors in South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sean Jooste ◽  
Musawenkosi Mabaso ◽  
Myra Taylor ◽  
Alicia North ◽  
Yolande Shean ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Testing ◽  
Urban Areas ◽  
Associated Factors ◽  
Economic Status ◽  
Household Survey ◽  
Population Based ◽  
Low Ses ◽  
Cross Sectional ◽  
Testing Uptake

Abstract Background Improved understanding of barriers to HIV testing is important for reaching the first of the UNAIDS 90–90-90 targets, which states that 90% of HIV positive individuals ought to know their HIV status. This study examined socio-economic status (SES) differences in HIV testing uptake and associated factors among youth and adults 15 years and older in South Africa. Methods This study used data from a national cross-sectional, population-based household survey conducted in 2017 using a multi-stage sampling design. A composite SES score was created using multiple correspondence analyses of household assets; households were classified into wealth quintiles and dichotomised into low SES/poorest (lowest 3 quintiles) and high SES/less-poor (highest 2 quintiles). Bivariate and multivariate logistic regression models were used to examine factors associated with the uptake of HIV testing in low and high SES households. Results HIV testing uptake was 73.8 and 76.7% among low and high SES households, respectively, both of which were below the first 90 targets. Among both low and high SES households, increased HIV testing uptake was significantly associated with females than males. The decreased likelihood was significantly associated with residing in rural formal areas than urban areas, those with no education or low levels of educational attainment and alcohol drinkers among low SES households. Whites and Indians/Asians had a decreased likelihood than Black Africans in high SES households. Conclusions HIV testing interventions should target males, residents in rural formal areas, those with no or low education and those that consume alcohol in low SES households, including Whites and Indians/Asians from high SES households in order to bridge socio-economic disparities in the uptake of HIV testing. This should entail expanding HIV testing beyond traditional centres for voluntary counselling and testing through outreach efforts, including mobile testing and home-based testing.

scholarly journals Chronic bronchitis in Aboriginal people—prevalence and associated factors

2013 ◽  
Vol 33 (4) ◽  
pp. 218-225 ◽  
Author(s):  
S Konrad ◽  
A Hossain ◽  
A Senthilselvan ◽  
JA Dosman ◽  
MD Pahwa
Keyword(s):  
Risk Factors ◽  
First Nations ◽  
Chronic Bronchitis ◽  
Rural Areas ◽  
Associated Factors ◽  
Aboriginal People ◽  
Smoking Status ◽  
Aboriginal Peoples ◽  
Cross Sectional ◽  
Factors Associated

Introduction Knowledge about chronic bronchitis (CB) among Aboriginal people in Canada is limited. The aim of this study was to determine the prevalence of CB and its associated factors among Aboriginal people aged 15 years plus. Methods Logistic regression analysis was used on data from the cross-sectional 2006 Aboriginal Peoples Survey to determine risk factors associated with CB. Results CB prevalence was 6.6% among First Nations, 6.2% among Métis and 2.4% among Inuit. Prevalence was higher among females than males (7.2% versus 5.0%). Individuals with CB were more likely to be older, living at a lower income, with a lower educational attainment and residing in rural areas. Smoking status and body mass index were also significantly associated with CB, but their effect differed by sex. Obesity was particularly significantly associated with CB among females compared with males, and current smoking and non-smoking status was significantly associated with CB among females but not males. Conclusion These findings identify factors associated with CB among Aboriginal people. As such, they may represent potentially preventable risk factors that can inform health promotion and disease prevention practices.

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