Tobacco Packaging and Labeling Policies: Expanding the Evidence on Novel Policies

项目2的主要目标是在低收入、中等收入和高收入国家建立烟草包装和标签政策（《烟草控制框架公约》第11条）领域的证据基础。项目2将通过直接从烟草包装收集信息和在“高负担”贸易中心国家进行实验研究来补充项目1所述的调查数据。项目2包括4个子研究，每个子研究都有一个特定的目标。具体目标1是调查7个“高负担”ITC国家（中国、印度、孟加拉国、墨西哥、大韩民国、美国和德国）的年轻人和成年人对卷烟包装设计的看法。将在这7个国家中的每一个国家进行平行的实验研究，以检查品牌描述符（例如，轻盈、温和、光滑、纤细）和品牌形象（例如，颜色和设计）对风险认知和品牌吸引力的影响。总的来说，这项研究旨在识别香烟包装上可能存在的误导性信息，并评估“普通”包装规定的潜在影响。在具体目标2中，将在同样7个高负担的青年成人中进行平行实验研究

The primary goal of Project 2 is to build the evidence base in the area of tobacco packaging and labeling policies (Article 11 of the FCTC), in low, middle, and high income countries. Project 2 will complement the survey data described in Project 1 by collecting information directly from tobacco packages and by conducting experimental studies in "high-burden" ITC countries. Project 2 includes 4 sub-studies, each with a specific aim. Specific Aim 1 is to examine consumer perceptions of cigarette packaging design among youth and adults in 7 "high-burden" ITC countries: China, India, Bangladesh, Mexico, Republic of Korea, the United States, and Germany. Parallel experimental studies will be conducted in each of the 7 countries to examine the impact of brand descriptors (e.g., light, mild, smooth, slims) and brand imagery (e.g., colors and design) on perceptions of risk and brand appeal. Overall, the study seeks to identify potentially misleading information on cigarette packages and to evaluate the potential impact of "plain" packaging regulations. In Specific Aim 2, parallel experimental studies will be conducted with youth adults in the same 7 high-burden ITC countries to evaluate the impact of health warnings on tobacco packages. The study will examine the impact of three types of health warnings on health beliefs, message recall, and smoking susceptibility: text- only health warnings, pictorial warnings with graphic depictions of health effects, and pictorial warnings with personal testimonials. Specific Aim 3 will attempt to replicate the findings from the experimental studies in Aims 1 and 2 by integrating key measures from these studies into the population-based surveys in 7 low and middle-income ITC countries: Thailand, Malaysia, Uruguay, India, China, Mexico, and Bangladesh. Specific Aim 4 will document industry practices in cigarette packaging and their association with tobacco labeling policies. This study will systematically collect and analyze package design and descriptors from 50 leading cigarette brands in each of 20 countries, including all ITC countries. Each of the studies in Project 2 will focus upon potential similarities and differences between low,middle, and high income countries in industry practice and the effectiveness of labeling policiesa primary theme of this P01 application.