Effectiveness of Text versus Pictorial Health Warning Labels and Predictors of Support for Plain Packaging of Tobacco Products within the European Union
Effectiveness of Text versus Pictorial Health Warning Labels and Predictors of Support for Plain Packaging of Tobacco Products within the European Union
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DOI：
10.1159/000366019
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发表时间：
2015-01-01
影响因子：
3.9
通讯作者：
Vardavas, Constantine I.
中科院分区：
文献类型：
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作者：
Agaku, Israel T.;Filippidis, Filippos T.;Vardavas, Constantine I.
背景：烟草产品警告标签是重要的健康传播媒介，平装包装被认为是烟草包装发展的下一步。我们评估了文字与图片健康警示的自我报告影响以及欧盟 (EU) 支持烟草产品平装的决定因素。方法：2012 年，欧洲晴雨表 385 特别调查对来自 27 个欧盟国家的 26,566 名成年人进行了分析。使用多元逻辑回归评估了自我报告的警告标签（文字或图片）的影响以及欧盟范围内支持无装饰包装的决定因素。结果：与仅采用文字警告标签的国家/地区的受访者相比，实施香烟图片警告国家的当前吸烟者报告健康警告标签对其吸烟行为（尝试戒烟或减少每天吸烟数量）有影响的可能性更高（调整后的比值比，aOR = 1.31；95%置信区间，95% CI：1.10-1.56）。在已经存在卷烟图片警示的国家，人们对烟草平装的支持度更高（aOR = 1.17；95% CI：1.07-1.28）。结论：这些研究结果表明，在欧盟层面实施图片警告可能会对吸烟者产生积极的行为影响，并为欧盟民众支持平装铺平道路。 (C) 2014 S. Karger AG，巴塞尔
Background: Tobacco product warning labels are a key health communication medium with plain packaging noted as the next step in the evolution of tobacco packaging. We assessed the self-reported impact of text versus pictorial health warnings and the determinants of support for plain packaging of tobacco products in the European Union (EU). Methods: The Special Eurobarometer 385 survey was analyzed for 26,566 adults from 27 EU countries in 2012. The self-reported impact of warning labels (text or pictorial) and determinants of EU-wide support for plain packaging were assessed using multivariate logistic regression. Results: Current smokers in countries where cigarette pictorial warnings were implemented had higher odds of reporting that health warning labels had any effect on their smoking behavior (making a quit attempt or reducing number of cigarettes smoked per day) compared to respondents in countries with text-only warning labels (adjusted odds ratio, aOR = 1.31; 95% confidence interval, 95% CI: 1.10-1.56). Population support for plain packaging of tobacco packs was higher in countries where cigarette pictorial warnings already existed (aOR = 1.17; 95% CI: 1.07-1.28). Conclusions: These findings indicate that the implementation of pictorial warnings at an EU level may have a positive behavioral impact among smokers and pave the way for population support for plain packaging in the EU. (C) 2014 S. Karger AG, Basel