Do graphic health warning labels have an impact on adolescents' smoking-related beliefs and behaviours?

Do graphic health warning labels have an impact on adolescents' smoking-related beliefs and behaviours?
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DOI:
10.1111/j.1360-0443.2008.02294.x
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发表时间:
2008-09-01
期刊:
影响因子:
6
通讯作者:
Wakefield, Melanie
Wakefield, Melanie
中科院分区:
医学1区
文献类型:
--
作者:
White, Victoria;Webster, Bernice;Wakefield, Melanie

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目的评估在香烟包装上引入图形健康警告标签对不同吸烟阶段青少年的影响。设计在引入图形健康警告之前(2005年)和之后(2006年)约6个月进行的校本调查。2006年的调查是在电视广告宣传两个新的健康警告后进行的。澳大利亚大都市墨尔本的中学。8-12年级学生:2005年有2 432名学生参加,2006年有2 050名学生参加。测量吸烟吸收阶段,吸烟意图,报告暴露于香烟包装,吸烟对健康影响的知识,警告标签的认知处理和香烟包装图像的感知。结果在基线,72%的学生在过去的6个月里看到了香烟盒,而在后续的77%看到了包装和88%的这些看到了新的警告标签。对警告标签的认知加工增加,学生在随访时更频繁地阅读、注意、思考和谈论警告标签。实验性和既定的吸烟者在随访时更多地考虑戒烟和放弃吸烟。在后续的吸烟意图是较低的那些学生谁谈到了警告标签,并放弃了香烟。结论香烟包装上的图形警告标签被大多数青少年注意到,增加青少年对这些信息的认知加工,并有可能降低吸烟意图。我们的研究结果表明,图形警告标签的引入可能有助于减少青少年吸烟。
Aims To assess the impact of the introduction of graphic health warning labels on cigarette packets on adolescents at different smoking uptake stages. Design School-based surveys conducted in the year prior to (2005) and approximately 6 months after (2006) the introduction of the graphic health warnings. The 2006 survey was conducted after a TV advertising campaign promoting two new health warnings. Setting Secondary schools in greater metropolitan Melbourne, Australia. Participants Students in year levels 8-12: 2432 students in 2005, and 2050 in 2006, participated. Measures Smoking uptake stage, intention to smoke, reported exposure to cigarette packs, knowledge of health effects of smoking, cognitive processing of warning labels and perceptions of cigarette pack image. Findings At baseline, 72% of students had seen cigarette packs in the previous 6 months, while at follow-up 77% had seen packs and 88% of these had seen the new warning labels. Cognitive processing of warning labels increased, with students more frequently reading, attending to, thinking and talking about warning labels at follow-up. Experimental and established smokers thought about quitting and forgoing cigarettes more at follow-up. At follow-up intention to smoke was lower among those students who had talked about the warning labels and had forgone cigarettes. Conclusions Graphic warning labels on cigarette packs are noticed by the majority of adolescents, increase adolescents' cognitive processing of these messages and have the potential to lower smoking intentions. Our findings suggest that the introduction of graphic warning labels may help to reduce smoking among adolescents.