INTRODUCTION This study aimed to determine associations between health warning label content and motivation to quit waterpipe smoking by gender and smoking location. METHODS Convenience samples of university students in three Eastern Mediterranean countries -Egypt (n=442), Jordan (n=535) and Palestine (n=487) -completed an online survey assessing health warning labels. Multinomial logit regression models were conducted to determine the association between different variables, particularly gender and smoking location, with motivation to quit. RESULTS In Palestine, female smokers were more motivated to quit waterpipe smoking when seeing textual warning labels related to children (T2) and pregnancy (T6) [T2: 1.8 (95% CI: 1.1-2.8), T6: 2.7 (95% CI: 1.6-4.3)] compared to males. Similar results were found in Jordan [T2: 1.6 (95% CI: 1.0-2.6), T6: 1.8 (95% CI: 1.1-3.0)]. As for the smoking location, home-only smokers in Palestine were more likely to quit in response to the following warnings: waterpipe smoking is addictive T1: 2.3 (95% CI: 1.4-3.7), harmful for children T2: 2.3 (95% CI: 1.4-4.1), harmful for the baby during pregnancy T6: 2.4 (95% CI: 1.3-4.3), and to believe that quitting reduces the health risks T9: 1.8 (95% CI: 1.0-3.1). These results were not found in Jordan nor Egypt. Smokers reported that the most noticeable location of a HWL on a waterpipe device is the mouthpiece. CONCLUSIONS A better understanding of motivation to quit and its association with various warnings and smoking location could guide countries on which warnings to require in legislation and where best to require them particularly in relation to location.
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Although the UNCRPD is the guarantor for the rights of persons with disabilities, it is critiqued for conceptualizations of individualized rights, in stable contexts where rights are state-protected.We investigate how disability rights can be advanced in unstable and crisis-affected contexts in the Global South. We use the case of Lebanon, which has experienced multilayered crises, has not ratified the UNCRPD, and has outdated policies based on charity-medical models of disability.We argue that, in a disablist and unstable state, any progress made is threatened by the absence of institutionalization of rights, and interrogate the limitations of the UNCRPD. Through a critical policy review and interviews with self-advocates and disability activists, we suggest a new model of action for disability rights affirmation by strengthening community governance, initiatives, and networks; solidarity and joint actions between disability and wider civil society groups; international advocacy; and the political identity of the disability movement.
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