Noticing cigarette health warnings and support for new health warnings among non-smokers in China: findings from the International Tobacco Control project (ITC) China survey.
Noticing cigarette health warnings and support for new health warnings among non-smokers in China: findings from the International Tobacco Control project (ITC) China survey.
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DOI：
10.1186/s12889-017-4397-2
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发表时间：
2017-05-19
影响因子：
4.5
通讯作者：
Hitchman SC
中科院分区：
文献类型：
--
作者：
Li Z;Elton-Marshall T;Fong GT;Quah ACK;Feng G;Jiang Y;Hitchman SC
健康警告标签(HWL)有可能有效地向吸烟者和非吸烟者传达吸烟的健康风险，并鼓励吸烟者戒烟。这项研究试图检查中国的非吸烟者是否注意到目前的纯文本HWL，以及他们是否支持在HWL上添加更多健康信息和图片。成年非吸烟者(n=1,324)来自国际控烟协会(ITC)中国调查的第4波(2011年9月至2012年11月)。检查了注意到HWL并支持在HWL中添加更多健康信息和图片的非吸烟者的比例。此外，研究还考察了不吸烟者的人口统计特征之间的关系，包括他们是否有吸烟伴侣，他们吸烟的朋友数量，注意HWL以及对添加健康信息和图片的支持。由于HWL在调查期间(2012年4月)发生了变化，因此研究了在变化前后完成调查的非吸烟者之间的差异。12.2%的人表示，他们在过去一个月经常注意到HWL。调整人口学因素的多变量模型显示，有吸烟伴侣的受访者(OR=2.41，95%CI 1.42-4.13，P=0.001)更经常注意到HWL。64.8%的受访者同意HWL应该有更多的信息，80.2%的受访者支持包括图片。多变量模型显示，在HWL实施后完成调查的非吸烟者(OR=0.63，95%CI为0.40-0.99，P=0.04)不太可能支持添加更多的健康信息。多因素分析显示，吸烟伴与支持图片式HWL之间存在显著关系(OR=2.03，95%CI为1.24~3.33，P=0.005)。研究结果表明，少数非吸烟者注意到了中国的HWL，非吸烟者强烈支持用更多的健康信息和图片来加强中国的警告标签。此外，由于HWL更多地被配偶/伴侣吸烟的非吸烟者注意到，HWL可用于向非吸烟者传达吸烟和二手烟暴露的危险。
Health warnings labels (HWLs) have the potential to effectively communicate the health risks of smoking to smokers and non-smokers, and encourage smokers to quit. This study sought to examine whether non-smokers in China notice the current text-only HWLs and whether they support adding more health information and including pictures on HWLs. Adult non-smokers (n = 1324) were drawn from Wave 4 (September 2011–November 2012) of the International Tobacco Control (ITC) China Survey. The proportion of non-smokers who noticed the HWLs, and supported adding more health information and pictures to the HWLs was examined. Additionally, the relation between non-smokers’ demographic characteristics, including whether they had a smoking partner, their number of smoking friends, and noticing the HWLs and support for adding health information and pictures was examined. Because the HWLs changed during the survey period (April 2012), differences between non-smokers who completed the survey before and after the change were examined. 12.2% reported they noticed the HWLs often in the last month. The multivariate model, adjusting for demographics showed that respondents with a smoking partner (OR = 2.41, 95% CI 1.42–4.13, p = 0.001) noticed the HWLs more often. 64.8% of respondents agreed that the HWLs should have more information, and 80.2% supported including pictures. The multivariate model showed that non-smokers who completed the survey after the HWLs were implemented (OR = 0.63, 95% CI 0.40–0.99, p = 0.04) were less likely to support adding more health information. The multivariate model showed a significant relation between having a smoking partner and supporting pictorial HWLs (OR = 2.03, 95% CI 1.24–3.33, p = 0.005). The findings indicate that the Chinese HWLs are noticed by a minority of non-smokers and that non-smokers strongly support strengthening the Chinese warning labels with more health information and pictures. Additionally, because the HWLs are noticed more often by non-smokers with a smoking spouse/partner, HWLs could be used to communicate the dangers of smoking and secondhand smoke exposure to non-smokers.