scholarly journals Awareness of health warnings and factors predicting awareness and perceived effectiveness of pictorial health warnings on tobacco products among adults in rural Puducherry, India

2017 ◽  
Vol 6 (1) ◽  
pp. 23 ◽  
Author(s):  
Anindo Majumdar ◽  
SGanesh Kumar ◽  
Ramya Selvaraj
Keyword(s):  
Perceived Effectiveness ◽  
Health Warnings ◽  
Tobacco Products

Effects of IQOS health warnings and modified risk claims among young adult cigarette smokers and non-smokers

2021 ◽  
pp. tobaccocontrol-2021-056810
Author(s):  
Darren Mays ◽  
Andrea C Johnson ◽  
Allison Glasser ◽  
Melissa Mercincavage ◽  
Andrew A Strasser
Keyword(s):  
Young Adult ◽  
Drug Administration ◽  
Efficacy Beliefs ◽  
Perceived Effectiveness ◽  
Health Warnings ◽  
Cigarette Smokers ◽  
Tobacco Products ◽  
Toxicant Exposure ◽  
Perceived Credibility ◽  
The Usa

IntroductionHeated tobacco products, including Marlboro IQOS, are available globally. In the USA, IQOS was authorised to be advertised with claims about reduced toxicant exposure relative to cigarettes. The effects of such modified risk claims and health warnings have not been studied among young adult cigarette smokers and non-smokers.MethodsIn 2020, US young adult (18–30 years, n=1328) cigarette smokers and non-smokers viewed an IQOS ad in a 4 (modified risk claim variations or none) by 3 (warning variations or none) between-subjects experiment. Outcome measures assessed perceived credibility and effectiveness of the health or risk message for discouraging IQOS use, perceived harms, efficacy beliefs, and IQOS use intentions.ResultsSmokers reported significantly higher (p<0.05) perceived credibility, lower perceived effectiveness, higher efficacy beliefs about switching to IQOS and higher intentions to use IQOS than non-smokers. Among smokers, health warnings increased perceived credibility (p<0.001) and effectiveness (p<0.05), but claims did not affect outcomes examined. Among non-smokers, warnings and claims increased perceived credibility, and warnings increased perceived effectiveness (p<0.003). The reduced exposure claim increased non-smokers’ intentions to use IQOS (b=0.40, 95% CI 0.07 to 0.73).ConclusionsAmong young adult smokers, health warnings increased perceived effectiveness at discouraging IQOS use and perceived credibility. Among non-smokers, warnings and claims increased perceived credibility and warnings increased perceived effectiveness, but the Food and Drug Administration-authorised reduced exposure claim increased intentions to use IQOS. Research is warranted to understand how the content of modified risk claims and health warnings for IQOS affects IQOS use in this population.

Exploring Stakeholder and Parent Perspectives of a County Response to Adolescent Vaping and E-Cigarette Use

2021 ◽  
pp. 002204262199349
Author(s):  
Natasha Kurji ◽  
Thomas Koza ◽  
Amanda Sharp ◽  
Kathleen Moore
Keyword(s):  
United States ◽  
Substance Use ◽  
The United States ◽  
Classroom Observations ◽  
School Age ◽  
Parent Perspectives ◽  
Cigarette Use ◽  
Perceived Effectiveness ◽  
Tobacco Products ◽  
Hillsborough County

In the United States, regular cigarette use has steadily declined over the years; however, it has been met with an increase in vaping and e-cigarette use. In Tampa, Florida, this trend has been found especially prevalent among school-aged youth. To combat issues of substance use among youth and prevent criminalization for nonviolent crimes, school-age youth cited for use and possession of tobacco products in Hillsborough County were mandated to attend the Youth Tobacco Awareness Course (YTAC). The aim of this study was to investigate YTAC for its perceived effectiveness and usefulness in mitigating adolescent e-cigarette use. Classroom observations, parent focus groups, and program stakeholder interviews were conducted to comprehensively evaluate this program. Findings from this evaluation led to a deeper understanding of the barriers and facilitators to an effective course, the needs and perceptions of program stakeholders, as well as recommendations for improved future interventions.

scholarly journals Analysis of the tobacco industry’s interference in the enforcement of health warnings on tobacco products in Brazil

2017 ◽  
Vol 33 (suppl 3) ◽  
Author(s):  
Cristina de Abreu Perez ◽  
Vera Luiza da Costa e Silva ◽  
Stella Aguinaga Bialous
Keyword(s):  
Interest Groups ◽  
Tobacco Control ◽  
Tobacco Industry ◽  
Strong Impact ◽  
Health Warnings ◽  
Tobacco Products ◽  
Tobacco Control Policies ◽  
The Relationship ◽  
Original Information ◽  
Regulatory Measure

Abstract: This article aims to analyze the relationship between the Brazilian government’s adoption of a regulatory measure with a strong impact on the population and the opposition by invested interest groups. The methodology involves the analysis of official documents on the enforcement of health warnings on tobacco products sold in Brazil. In parallel, a search was conducted for publicly available tobacco industry documents resulting from lawsuits, with the aim of identifying the industry’s reactions to this process. The findings suggest that various government acts were affected by direct interference from the tobacco industry. In some cases the interventions were explicit and in others they were indirect or difficult to identify. In light of the study’s theoretical framework, the article provides original information on the Brazilian process that can be useful for government policymakers in the strategic identification of tobacco control policies.

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 Awareness about cigarettes and other tobacco products act and impact of health warnings on smokers in a North Indian city

2019 ◽  
Vol 7 (11) ◽  
pp. 4356
Author(s):  
Riya Gupta ◽  
Mudasir Majeed ◽  
Bhavna Langer ◽  
Rashmi Kumari ◽  
Rajiv Kumar Gupta ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Tertiary Care ◽  
Care Hospital ◽  
Health Warnings ◽  
Outpatient Services ◽  
Tobacco Products ◽  
Medical College ◽  
Pictorial Warnings ◽  
Increasing Trend ◽  
Indian City

Background: Tobacco use is a major preventable cause of morbidity as well as mortality worldwide. To combat the increasing trend of this problem, Government of India formulated the COTPA (Cigarettes and Other Tobacco Products Act) in 2003. The study aimed to assess the awareness about COTPA and impact of pictorial warnings among smokers attending outpatient services in a tertiary care hospital in Jammu.Method: The present study was conducted among 320 patients attending the outpatient department of Internal Medicine, Government Medical College, Jammu who happened to be cigarette smokers. The questionnaire was developed by authors with the help of literature review and pilot tested before its final use. Information was elicited about demographic details, awareness about COTPA and impact of pictorial warnings on quitting of smoking.Results: More than half of the respondents were in 30-50-year age group and were urban residents. Awareness about COTPA was good on some parameters but was relatively low on other parameters. Despite all, the respondents noticing pictorial warnings on tobacco packages, only 69.37% of them were contemplating to quit. About half of them were of the view that warning statements preferably be written in local languages.Conclusion: Health and pictorial warnings on tobacco packages remain an important pillar in filling the gap of knowledge and communicating the health risks of tobacco use to the consumers. Only 69.3% of the respondents were planning to quit and awareness levels about COTPA were mixed. 

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 The story against smoking: An exploratory study into the processing and perceived effectiveness of narrative visual smoking warnings

2019 ◽  
Vol 79 (2) ◽  
pp. 166-179 ◽  
Author(s):  
Joëlle A Ooms ◽  
Carel JM Jansen ◽  
John CJ Hoeks
Keyword(s):  
Exploratory Study ◽  
Body Parts ◽  
Perceived Effectiveness ◽  
Health Warnings ◽  
Health Warning ◽  
Path Analyses ◽  
The Relationship

Objectives: This study compared the effects of two types of health warnings on cigarette packages: ‘narrative visual warnings’, showing an image portraying people plus a corresponding slogan that could evoke a story-like interpretation, and ‘non-narrative visual warnings’ with non-narrative content (i.e. body parts). Moreover, the mechanisms underlying the effects of these health warnings were explored. Design: A within-participants experiment was conducted comparing narrative and non-narrative visual warnings. Path analyses were performed to investigate the relationship between the narrative concepts transportation and identification, the emotions evoked by the health warning and the perceived effectiveness of the message. Method: Participants ( N = 200) were presented with one narrative warning and one non-narrative warning. After each warning, they answered questions on narrative perception, transportation, identification, emotions and perceived effectiveness. Results: The narrative warnings were seen as more story-like than the non-narrative warnings. There was a statistical trend for narrative warnings to be perceived as more effective than the non-narratives. The narrative warnings caused more transportation, fear, sadness, compassion and anger; the non-narrative warnings evoked more disgust and surprise. For the narrative warnings, both narrative concepts of transportation and identification were directly related to perceived effectiveness, and also indirectly via sadness. For the non-narrative warnings, transportation was related to perceived effectiveness, both directly and indirectly via disgust. Conclusion: Seeing a story in a still picture with a slogan helps to increase the effectiveness of the antismoking message. Both narrative and non-narrative visual warnings may persuade receivers directly, but also by the evoking of emotions, although the specific emotions responsible for the persuasive effects may differ.

scholarly journals The Chilling Effect: Investor-State Dispute Settlement, Graphic Health Warnings, the Plain Packaging of Tobacco Products, and the Trans-Pacific Partnership

2018 ◽  
Author(s):  
Matthew Rimmer
Keyword(s):  
Public Health ◽  
Tobacco Control ◽  
Dispute Settlement ◽  
Trade Agreement ◽  
Control Measures ◽  
The European Union ◽  
Health Warnings ◽  
Tobacco Products ◽  
Plain Packaging ◽  
Philip Morris

Investor-State Dispute Settlement (ISDS) poses significant challenges in respect of tobacco control, public health, human rights, and sustainable development. Two landmark ISDS rulings provide procedural and substantive guidance on the interaction between ISDS and tobacco control. The ISDS action by Philip Morris against Uruguay in respect to graphic health warnings raised important procedural and substantive issues. The ISDS matter between Philip Morris and Australia over the plain packaging of tobacco products highlighted matters in respect of abuse of process. In the Trans-Pacific Partnership (TPP), there was a special exclusion for tobacco control measures in respect of ISDS. There was also a larger discussion about the role of general public health exceptions. In the Comprehensive Economic and Trade Agreement (CETA), there was a debate about the application of ISDS to intellectual property rights. In the European Union, there has been discussion of the creation of an international investment court. In the renegotiation of the North American Free Trade Agreement (NAFTA), there has even been calls to abolish ISDS clauses altogether from both Republicans and Democrats. This article concludes there is a need to protect tobacco control measures implementing the WHO Framework Convention on Tobacco Control 2003 from further investor and trade challenges.

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