Support for pictorial health warning labels on cigarette packages in the United States among adults who currently smoke or quit smoking: Findings from the ITC US Smoking and Vaping Surveys
Introduction In March 2020, the US Food and Drug Administration (FDA) finalized new pictorial health warnings (PHWs), covering 50% of the front and back of the pack; however, legal challenges from cigarette manufacturers have prevented the new warnings from being implemented. About 70% of adults in...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2023-06-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.tobaccoinduceddiseases.org/Support-for-pictorial-health-warning-labels-on-cigarette-npackages-in-the-United,166001,0,2.html |
| _version_ | 1827906973375397888 |
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| author | Shannon Gravely Gang Meng David Hammond Pete Driezen James F. Thrasher Geoffrey T. Fong Lorraine V. Craig Janet Chung-Hall Anne C. K. Quah Janine Ouimet Maansi Bansal-Travers K. Michael Cummings |
| author_facet | Shannon Gravely Gang Meng David Hammond Pete Driezen James F. Thrasher Geoffrey T. Fong Lorraine V. Craig Janet Chung-Hall Anne C. K. Quah Janine Ouimet Maansi Bansal-Travers K. Michael Cummings |
| author_sort | Shannon Gravely |
| collection | DOAJ |
| description | Introduction
In March 2020, the US Food and Drug Administration (FDA) finalized
new pictorial health warnings (PHWs), covering 50% of the front and back of the
pack; however, legal challenges from cigarette manufacturers have prevented the
new warnings from being implemented. About 70% of adults in the general US
population support PHWs. This study assessed support for PHWs in 2016, 2018
and 2020 among US adults (aged ≥18 years) who currently smoke or formerly
smoked cigarettes. We also assessed factors related to support.
Methods
Respondents included adults who currently or formerly smoked cigarettes
and participated in at least one wave of the US ITC Smoking and Vaping Surveys:
Wave 1 (2016, n=2557); Wave 2 (2018, n=2685); and Wave 3 (2020, n=1112).
We assessed changes in support for PHWs between 2016 and 2020, and assessed
factors related to support (support vs oppose/don’t know). Analyses were
conducted on weighted data.
Results
Overall, 38.0% of respondents supported PHWs in 2016, with a significant
increase to 44.7% in 2018 (p<0.001), and leveling off to 45.0% in 2020 (2018 vs
2020, p=0.91). Support was highest among former smokers and lowest among
daily smokers in all three survey years. Support for PHWs at all survey years was
significantly higher among those who formerly smoked, were younger (aged
18–39 vs ≥40 years), those who identified as Black (vs White), and planned to
quit smoking (vs not planning to quit). There were no differences by income
level, education level, or sex.
Conclusions
Nearly half of US adults who smoke cigarettes or quit smoking
supported PHWs in 2020, with support being higher among younger adults,
ethnic minorities, and those who formerly smoked. Support increased between
2016 and 2018, but not between 2018 and 2020. Similar to other studies, fewer
current and former smokers supported PHWs compared to the US adult general
population. |
| first_indexed | 2024-03-13T01:04:58Z |
| format | Article |
| id | doaj.art-8b8c958a354c4c7391c6378e74da63b7 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-03-13T01:04:58Z |
| publishDate | 2023-06-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-8b8c958a354c4c7391c6378e74da63b72023-07-06T07:46:54ZengEuropean PublishingTobacco Induced Diseases1617-96252023-06-0121June1810.18332/tid/166001166001Support for pictorial health warning labels on cigarette packages in the United States among adults who currently smoke or quit smoking: Findings from the ITC US Smoking and Vaping SurveysShannon Gravely0Gang Meng1David Hammond2Pete Driezen3https://orcid.org/0000-0003-2320-0999James F. Thrasher4Geoffrey T. Fong5Lorraine V. Craig6Janet Chung-Hall7Anne C. K. Quah8Janine Ouimet9Maansi Bansal-Travers10K. Michael Cummings11Department of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaSchool of Public Health Sciences, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, United StatesDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, United StatesDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, United StatesIntroduction In March 2020, the US Food and Drug Administration (FDA) finalized new pictorial health warnings (PHWs), covering 50% of the front and back of the pack; however, legal challenges from cigarette manufacturers have prevented the new warnings from being implemented. About 70% of adults in the general US population support PHWs. This study assessed support for PHWs in 2016, 2018 and 2020 among US adults (aged ≥18 years) who currently smoke or formerly smoked cigarettes. We also assessed factors related to support. Methods Respondents included adults who currently or formerly smoked cigarettes and participated in at least one wave of the US ITC Smoking and Vaping Surveys: Wave 1 (2016, n=2557); Wave 2 (2018, n=2685); and Wave 3 (2020, n=1112). We assessed changes in support for PHWs between 2016 and 2020, and assessed factors related to support (support vs oppose/don’t know). Analyses were conducted on weighted data. Results Overall, 38.0% of respondents supported PHWs in 2016, with a significant increase to 44.7% in 2018 (p<0.001), and leveling off to 45.0% in 2020 (2018 vs 2020, p=0.91). Support was highest among former smokers and lowest among daily smokers in all three survey years. Support for PHWs at all survey years was significantly higher among those who formerly smoked, were younger (aged 18–39 vs ≥40 years), those who identified as Black (vs White), and planned to quit smoking (vs not planning to quit). There were no differences by income level, education level, or sex. Conclusions Nearly half of US adults who smoke cigarettes or quit smoking supported PHWs in 2020, with support being higher among younger adults, ethnic minorities, and those who formerly smoked. Support increased between 2016 and 2018, but not between 2018 and 2020. Similar to other studies, fewer current and former smokers supported PHWs compared to the US adult general population.http://www.tobaccoinduceddiseases.org/Support-for-pictorial-health-warning-labels-on-cigarette-npackages-in-the-United,166001,0,2.htmlcigarettestobaccohealth warning labelssupport |
| spellingShingle | Shannon Gravely Gang Meng David Hammond Pete Driezen James F. Thrasher Geoffrey T. Fong Lorraine V. Craig Janet Chung-Hall Anne C. K. Quah Janine Ouimet Maansi Bansal-Travers K. Michael Cummings Support for pictorial health warning labels on cigarette packages in the United States among adults who currently smoke or quit smoking: Findings from the ITC US Smoking and Vaping Surveys Tobacco Induced Diseases cigarettes tobacco health warning labels support |
| title | Support for pictorial health warning labels on cigarette
packages in the United States among adults who currently
smoke or quit smoking: Findings from the ITC US Smoking
and Vaping Surveys |
| title_full | Support for pictorial health warning labels on cigarette
packages in the United States among adults who currently
smoke or quit smoking: Findings from the ITC US Smoking
and Vaping Surveys |
| title_fullStr | Support for pictorial health warning labels on cigarette
packages in the United States among adults who currently
smoke or quit smoking: Findings from the ITC US Smoking
and Vaping Surveys |
| title_full_unstemmed | Support for pictorial health warning labels on cigarette
packages in the United States among adults who currently
smoke or quit smoking: Findings from the ITC US Smoking
and Vaping Surveys |
| title_short | Support for pictorial health warning labels on cigarette
packages in the United States among adults who currently
smoke or quit smoking: Findings from the ITC US Smoking
and Vaping Surveys |
| title_sort | support for pictorial health warning labels on cigarette packages in the united states among adults who currently smoke or quit smoking findings from the itc us smoking and vaping surveys |
| topic | cigarettes tobacco health warning labels support |
| url | http://www.tobaccoinduceddiseases.org/Support-for-pictorial-health-warning-labels-on-cigarette-npackages-in-the-United,166001,0,2.html |
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