Adolescent and adult perceptions of the effects of larger size graphic health warnings on conventional and plain tobacco packs in India: A community-based cross-sectional study
Introduction We studied adolescent and adult perceptions of the effects of larger size, 85% versus 40%, Graphic Health Warnings (GHWs) on conventional and plain tobacco packs, in India. Methods A cross-sectional survey was conducted with 2121 participants (aged ≥13 years), during the period 2015–16...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2019-10-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Perceptions-of-adolescents-and-adults-on-effects-of-increased-size-of-graphic-health,110677,0,2.html |
| _version_ | 1818357697188200448 |
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| author | Gaurang P. Nazar Monika Arora Vinay K. Gupta Tina Rawal Amit Yadav Nanda K. Kannuri Surbhi Shrivastava Nathan Grills Premila Webster |
| author_facet | Gaurang P. Nazar Monika Arora Vinay K. Gupta Tina Rawal Amit Yadav Nanda K. Kannuri Surbhi Shrivastava Nathan Grills Premila Webster |
| author_sort | Gaurang P. Nazar |
| collection | DOAJ |
| description | Introduction
We studied adolescent and adult perceptions of the effects of larger
size, 85% versus 40%, Graphic Health Warnings (GHWs) on conventional and
plain tobacco packs, in India.
Methods
A cross-sectional survey was conducted with 2121 participants (aged ≥13
years), during the period 2015–16, in Delhi and Telangana, India. Four categories
of GHWs on tobacco packs were shown: A – 40% existing (April 2013–April
2016), B – 40% new (April 2016–present), C – 85% new, and D – plain packs (85%
new). Regression models tested percentage differences in choice of categories
for eight outcomes, adjusted for gender, area of residence, socioeconomic status,
age, and tobacco use.
Results
Of the total 2121 participants, 1120 were from Delhi, 1001 from Telangana,
50% were males, 62% were urban residents, 12% were adolescents, and 72% had
never used tobacco. Among packs shown, the majority of participants perceived
the 85% size GHWs more effective than the 40% size GHWs across all outcomes.
The perceived increase in noticeability of GHWs was 45% for category C (p<0.05)
and 43.5% for category D (p<0.05) versus category B. In Delhi, participants
perceived plain packs to be most effective in motivating quitting, preventing
initiation and conveying the health message. In Telangana, adolescents believed
GHWs on plain packs were most noticeable, most effective for quitting and
preventing initiation.
Conclusions
The larger size 85% GHWs were perceived to be more effective in
increasing noticeability of warnings, motivating cessation, preventing initiation,
and conveying the intended health message. Support for plain packaging was
higher in Delhi and among adolescents in Telangana. |
| first_indexed | 2024-12-13T20:17:13Z |
| format | Article |
| id | doaj.art-df4912d745504649a74fce76d09554ba |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-13T20:17:13Z |
| publishDate | 2019-10-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-df4912d745504649a74fce76d09554ba2022-12-21T23:32:46ZengEuropean PublishingTobacco Induced Diseases1617-96252019-10-0117October10.18332/tid/110677110677Adolescent and adult perceptions of the effects of larger size graphic health warnings on conventional and plain tobacco packs in India: A community-based cross-sectional studyGaurang P. Nazar0Monika Arora1Vinay K. Gupta2Tina Rawal3Amit Yadav4Nanda K. Kannuri5Surbhi Shrivastava6Nathan Grills7Premila Webster8Health Promotion Division, Public Health Foundation of India, Gurugram, IndiaHealth Promotion Division, Public Health Foundation of India, Gurugram, IndiaHealth Promotion Division, Public Health Foundation of India, Gurugram, IndiaHealth Promotion Division, Public Health Foundation of India, Gurugram, IndiaCenter for Tobacco Control Research and Education, University of California, San Francisco, United StatesIndian Institute of Public Health, Hyderabad, IndiaHRIDAY, New Delhi, IndiaNossal Institute for Global Health, University of Melbourne, Melbourne, AustraliaNuffield Department of Population Health, University of Oxford, Oxford, United KingdomIntroduction We studied adolescent and adult perceptions of the effects of larger size, 85% versus 40%, Graphic Health Warnings (GHWs) on conventional and plain tobacco packs, in India. Methods A cross-sectional survey was conducted with 2121 participants (aged ≥13 years), during the period 2015–16, in Delhi and Telangana, India. Four categories of GHWs on tobacco packs were shown: A – 40% existing (April 2013–April 2016), B – 40% new (April 2016–present), C – 85% new, and D – plain packs (85% new). Regression models tested percentage differences in choice of categories for eight outcomes, adjusted for gender, area of residence, socioeconomic status, age, and tobacco use. Results Of the total 2121 participants, 1120 were from Delhi, 1001 from Telangana, 50% were males, 62% were urban residents, 12% were adolescents, and 72% had never used tobacco. Among packs shown, the majority of participants perceived the 85% size GHWs more effective than the 40% size GHWs across all outcomes. The perceived increase in noticeability of GHWs was 45% for category C (p<0.05) and 43.5% for category D (p<0.05) versus category B. In Delhi, participants perceived plain packs to be most effective in motivating quitting, preventing initiation and conveying the health message. In Telangana, adolescents believed GHWs on plain packs were most noticeable, most effective for quitting and preventing initiation. Conclusions The larger size 85% GHWs were perceived to be more effective in increasing noticeability of warnings, motivating cessation, preventing initiation, and conveying the intended health message. Support for plain packaging was higher in Delhi and among adolescents in Telangana.http://www.journalssystem.com/tid/Perceptions-of-adolescents-and-adults-on-effects-of-increased-size-of-graphic-health,110677,0,2.htmlperceptiontobaccoplain packaginggraphic health warningsindia |
| spellingShingle | Gaurang P. Nazar Monika Arora Vinay K. Gupta Tina Rawal Amit Yadav Nanda K. Kannuri Surbhi Shrivastava Nathan Grills Premila Webster Adolescent and adult perceptions of the effects of larger size graphic health warnings on conventional and plain tobacco packs in India: A community-based cross-sectional study Tobacco Induced Diseases perception tobacco plain packaging graphic health warnings india |
| title | Adolescent and adult perceptions of the effects of larger size
graphic health warnings on conventional and plain tobacco
packs in India: A community-based cross-sectional study |
| title_full | Adolescent and adult perceptions of the effects of larger size
graphic health warnings on conventional and plain tobacco
packs in India: A community-based cross-sectional study |
| title_fullStr | Adolescent and adult perceptions of the effects of larger size
graphic health warnings on conventional and plain tobacco
packs in India: A community-based cross-sectional study |
| title_full_unstemmed | Adolescent and adult perceptions of the effects of larger size
graphic health warnings on conventional and plain tobacco
packs in India: A community-based cross-sectional study |
| title_short | Adolescent and adult perceptions of the effects of larger size
graphic health warnings on conventional and plain tobacco
packs in India: A community-based cross-sectional study |
| title_sort | adolescent and adult perceptions of the effects of larger size graphic health warnings on conventional and plain tobacco packs in india a community based cross sectional study |
| topic | perception tobacco plain packaging graphic health warnings india |
| url | http://www.journalssystem.com/tid/Perceptions-of-adolescents-and-adults-on-effects-of-increased-size-of-graphic-health,110677,0,2.html |
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