Distribution of new graphic warning labels: Are tobacco companies following regulations?

Objective To test the hypothesis that tobacco companies would not follow a regulation that required seven new graphic health warnings (GHWs) to be evenly distributed on cigarette packs and that they would distribute fewer packs featuring warnings regarded by smokers as being more disturbing. Method...

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Main Authors: Nick Wilson, Jo Peace, Judy Li, Richard Edwards, Janet Hoek, James Stanley, George Thomson
Format: Article
Language:English
Published: European Publishing 2009-08-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Distribution-of-new-graphic-warning-labels-Are-tobacco-companies-following-regulations-,65960,0,2.html
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author Nick Wilson
Jo Peace
Judy Li
Richard Edwards
Janet Hoek
James Stanley
George Thomson
author_facet Nick Wilson
Jo Peace
Judy Li
Richard Edwards
Janet Hoek
James Stanley
George Thomson
author_sort Nick Wilson
collection DOAJ
description Objective To test the hypothesis that tobacco companies would not follow a regulation that required seven new graphic health warnings (GHWs) to be evenly distributed on cigarette packs and that they would distribute fewer packs featuring warnings regarded by smokers as being more disturbing. Methods Cross-sectional survey of purchased packs (n = 168) and street-collected discarded packs (convenience sample of New Zealand cities and towns, n = 1208 packs) with statistical analysis of seven types of new GHWs. A priori warning impact was judged using three criteria, which were tested against data from depth interviews with retailers. Results The GHWs on the purchased packs and street-collected packs both showed a distribution pattern that was generally consistent with the hypothesis ie, there were disproportionately more packs featuring images judged as "least disturbing" and disproportionately fewer of those with warnings judged "more disturbing". The overall patterns were statistically significant, suggesting an unequal frequency of the different warnings for both purchased (p < 0.0001) and street-collected packs (p = 0.035). One of the least disturbing images (of a "corpse with toe-tag") dominated the distribution in both samples. Further analysis of the street-collected packs revealed that this image appeared disproportionately more frequently on manufactured cigarettes made by each of the three largest New Zealand tobacco companies. Although stock clustering could explain the purchase pack result, there were no obvious reasons why the same uneven warning distribution was also evident among the street-collected packs. Conclusions These results suggest that tobacco companies are not following the regulations, which requires even distribution of the seven different GHWs on cigarette packs; further monitoring is required to estimate the extent of this non-compliance. As an immediate measure, governments should strictly enforce all regulations applying to health warnings, particularly given that these are an effective tobacco control intervention that cost tax payers nothing.
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spelling doaj.art-1e62eb385bc14ff28337bc7f7f8514822022-12-21T23:34:09ZengEuropean PublishingTobacco Induced Diseases1617-96252009-08-015August10.1186/1617-9625-5-1465960Distribution of new graphic warning labels: Are tobacco companies following regulations?Nick Wilson0Jo Peace1Judy Li2Richard Edwards3Janet Hoek4James Stanley5George Thomson6Department of Public Health, University of Otago, Wellington, New ZealandDepartment of Public Health, University of Otago, Wellington, New ZealandDepartment of Public Health, University of Otago, Wellington, New ZealandDepartment of Public Health, University of Otago, Wellington, New ZealandDepartment of Marketing, University of Otago, DunedinDepartment of Public Health, University of Otago, Wellington, New ZealandDepartment of Public Health, University of Otago, Wellington, New ZealandObjective To test the hypothesis that tobacco companies would not follow a regulation that required seven new graphic health warnings (GHWs) to be evenly distributed on cigarette packs and that they would distribute fewer packs featuring warnings regarded by smokers as being more disturbing. Methods Cross-sectional survey of purchased packs (n = 168) and street-collected discarded packs (convenience sample of New Zealand cities and towns, n = 1208 packs) with statistical analysis of seven types of new GHWs. A priori warning impact was judged using three criteria, which were tested against data from depth interviews with retailers. Results The GHWs on the purchased packs and street-collected packs both showed a distribution pattern that was generally consistent with the hypothesis ie, there were disproportionately more packs featuring images judged as "least disturbing" and disproportionately fewer of those with warnings judged "more disturbing". The overall patterns were statistically significant, suggesting an unequal frequency of the different warnings for both purchased (p < 0.0001) and street-collected packs (p = 0.035). One of the least disturbing images (of a "corpse with toe-tag") dominated the distribution in both samples. Further analysis of the street-collected packs revealed that this image appeared disproportionately more frequently on manufactured cigarettes made by each of the three largest New Zealand tobacco companies. Although stock clustering could explain the purchase pack result, there were no obvious reasons why the same uneven warning distribution was also evident among the street-collected packs. Conclusions These results suggest that tobacco companies are not following the regulations, which requires even distribution of the seven different GHWs on cigarette packs; further monitoring is required to estimate the extent of this non-compliance. As an immediate measure, governments should strictly enforce all regulations applying to health warnings, particularly given that these are an effective tobacco control intervention that cost tax payers nothing.http://www.journalssystem.com/tid/Distribution-of-new-graphic-warning-labels-Are-tobacco-companies-following-regulations-,65960,0,2.htmltobacco industrytobacco companyhealth warningcigarette packgraphic warning
spellingShingle Nick Wilson
Jo Peace
Judy Li
Richard Edwards
Janet Hoek
James Stanley
George Thomson
Distribution of new graphic warning labels: Are tobacco companies following regulations?
Tobacco Induced Diseases
tobacco industry
tobacco company
health warning
cigarette pack
graphic warning
title Distribution of new graphic warning labels: Are tobacco companies following regulations?
title_full Distribution of new graphic warning labels: Are tobacco companies following regulations?
title_fullStr Distribution of new graphic warning labels: Are tobacco companies following regulations?
title_full_unstemmed Distribution of new graphic warning labels: Are tobacco companies following regulations?
title_short Distribution of new graphic warning labels: Are tobacco companies following regulations?
title_sort distribution of new graphic warning labels are tobacco companies following regulations
topic tobacco industry
tobacco company
health warning
cigarette pack
graphic warning
url http://www.journalssystem.com/tid/Distribution-of-new-graphic-warning-labels-Are-tobacco-companies-following-regulations-,65960,0,2.html
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