Perceptions of tobacco health warnings in China compared with picture and text-only health warnings from other countries: an experimental study.

Perceptions of tobacco health warnings in China compared with picture and text-only health warnings from other countries: an experimental study.
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DOI:
10.1136/tc.2010.036483
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发表时间:
2010-10
期刊:
影响因子:
5.2
通讯作者:
ITC China Project Team
ITC China Project Team
中科院分区:
医学2区
文献类型:
--
作者:
Fong GT;Hammond D;Jiang Y;Li Q;Quah AC;Driezen P;Yan M;ITC China Project Team

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评估中国香烟健康警示的感知有效性,并与其他国家的纯图片和纯文字警示进行比较。来自中国四个城市(北京、上海、昆明和银川)的1169名个人(成年吸烟者、成年非吸烟者和青少年)观看了香烟包装上的10条健康警示,其中包括(A)目前的中文文字警告覆盖30%的烟盒正面/背面(2008年10月推出);(B)以前的中文文字警告位于烟盒侧面;(C)来自加拿大(肺癌)、新加坡(口腔疾病)、香港(坏疽)和欧盟(动脉阻塞)的4个图片警告;以及(D)相同的4个不带图片的警告。参与者对这10个警告进行了评级和排序,包括每个警告在激励吸烟者戒烟和说服年轻人不要开始吸烟方面的效果。中国的这两个警告一直被评为效果最差,新的中国警告的评级仅略高于旧的警告。图片警告始终被评为最有效或最有效的,纯文本版本居中。结果在受试者组、城市和性别之间是一致的。(1)图片警示比无图片警示更有效。(2)修订后的《中国》健康警示于2008年10月推出,其效果仅略高于之前的警示,甚至远低于其他国家的文字警示。这些结果,再加上基于人群的评估研究,表明图片警示将显著增加中国健康警示的影响。
To assess the perceived effectiveness of cigarette health warnings in China, compared with picture and text-only warnings from other countries. 1169 individuals (adult smokers, adult nonsmokers and youth) from four Chinese cities (Beijing, Shanghai, Kunming and Yinchuan) viewed 10 health warnings on cigarette packages, which included (a) the current Chinese text warnings covering 30% of the front/back of the pack (introduced October 2008); (b) the former Chinese text warning located on the side of the pack; (c) four picture warnings covering 50% of the front/back of the pack from Canada (lung cancer), Singapore (mouth disease), Hong Kong (gangrene) and European Union (clogged arteries); and (d) the same four warnings without the picture. Participants rated and ranked the 10 warnings on dimensions including how effective each would be in motivating smokers to quit and in convincing youth not to start smoking. Both Chinese warnings were consistently rated as least effective, with the new Chinese warning rated only slightly higher than the old warning. The picture warnings were consistently ranked or rated as most effective, with the text-only versions in the middle. Results were consistent across subject group, city and sex. (1) Picture warnings are rated as much more effective than the same warnings without pictures. (2) The revised health warnings in China, introduced in October 2008, are only marginally more effective than the previous warning and far less effective than even text warnings from other countries. These results, coupled with population-based evaluation studies, suggest that pictorial warnings would significantly increase the impact of health warnings in China.
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