Effectiveness of Text-Only Cigarette Health Warnings in Japan: Findings from the 2018 International Tobacco Control (ITC) Japan Survey
Effectiveness of Text-Only Cigarette Health Warnings in Japan: Findings from the 2018 International Tobacco Control (ITC) Japan Survey
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DOI：
10.3390/ijerph17030952
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发表时间：
2020-02-01
影响因子：
--
通讯作者：
Quah, Anne C. K.
中科院分区：
文献类型：
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作者：
Chung-Hall, Janet;Fong, Geoffrey T.;Quah, Anne C. K.
健康警示是宣传吸烟危害健康、鼓励戒烟和预防吸烟的有效策略。本研究探讨了现有的纯文字健康警告的有效性，确定了警告有效性的关键预测因素，并评估了日本对图片警告的支持。数据来自2018年国际烟草控制（ITC）日本调查，这是一项针对成年吸烟者（n = 3306）、卷烟和加热烟草制品双重使用者（n = 555）和非卷烟吸烟者（n = 823）的队列调查。加权多变量逻辑回归模型被用来评估预测警告的有效性和支持图片警告。总体而言，15.6%的受访者注意到警告，7.9%的人阅读或仔细阅读警告。总体而言，10.3%的吸烟者和双重使用者表示警告阻止他们吸烟，7.2%的人避免警告。总体而言，27.5%的受访者表示警告让他们考虑吸烟的健康风险，但只有2.7%的吸烟者和双重使用者表示警告让他们更有可能戒烟。总体而言，57.6%的受访者支持图片警告。日本的纯文字警告效果不佳，与其他国家的类似警告效果一致。在日本，大多数人支持图形警告，尽管支持程度低于其他国家。
Health warnings are an effective strategy for communicating the health harms of smoking, encouraging quitting, and preventing smoking initiation. This study examines the effectiveness of existing text-only health warnings, identifies key predictors of warning effectiveness, and assesses support for pictorial warnings in Japan. Data are from the 2018 International Tobacco Control (ITC) Japan Survey, a cohort survey of adult cigarette smokers (n = 3306), dual users of cigarettes and heated tobacco products (n = 555), and non-cigarette smokers (n = 823). Weighted multivariable logistic regression models were used to assess predictors of warning effectiveness and support for pictorial warnings. Overall, 15.6% of respondents noticed warnings, and 7.9% read or looked closely at warnings. Overall, 10.3% of smokers and dual users said the warnings stopped them from having a cigarette, and 7.2% avoided warnings. Overall, 27.5% of respondents said the warnings made them think about health risks of smoking, but only 2.7% of smokers and dual users said the warnings made them more likely to quit. Overall, 57.6% of respondents supported pictorial warnings. The weak effectiveness of Japan's text-only warnings is consistent with that in other countries with similar warnings. There is majority support for pictorial warnings in Japan, although the level of support is lower than in other countries.