How effective is the plain packaging of tobacco policy on rates of intention to quit smoking and changing attitudes to smoking?

Lilic, Nikola; Stretton, Matthew; Prakash, Minesh

doi:10.1111/ans.14679

Cited by 15 publications

(8 citation statements)

References 16 publications

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“…However, this limitation closely mimicks real-world scenarios as plain packaging policy and enlarged graphic warnings were introduced simultaneously. 39 Moreover, the effects depend on the projections of smoking prevalence. The model relies on data provided by official institutions of the participating countries; therefore, potential inaccuracies and the lack of good-quality epidemiological and cost information in the region represent a threat.…”

Section: Discussionmentioning

confidence: 99%

Health and Economic Impact of Health Warnings and Plain Tobacco Packaging in Seven Latin American Countries: Results of a Simulation Model

Alcaráz

Hernández-Vasquéz

Palacios

et al. 2020

Nicotine &Amp; Tobacco Research

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Introduction The burden of disease attributable to tobacco use in Latin America is very high. Our objective was to evaluate the 10-year potential impact of current legislation related to cigarette packaging and warnings and expected effects of moving to a higher level of strategies implementing cigarette plain packaging on health and cost outcomes in Argentina, Bolivia, Brazil, Chile, Colombia, Mexico, and Peru, using a microsimulation model. Aims and Methods We used a probabilistic state-transition microsimulation model, considering natural history, costs, and quality of life losses associated with main tobacco-related diseases. We followed up individuals in hypothetical cohorts and calculated health outcomes annually to obtain aggregated long-term population health outcomes and costs. We performed a literature review to estimate effects and analyzed studies and information from ministries, relevant organizations, and national surveys. We calibrated the model comparing the predicted disease-specific mortality rates with local statistics. Results Current graphic warnings already in place in each country could avert, during 10 years, 69 369 deaths and 638 295 disease events, adding 1.2 million years of healthy life and saving USD 5.3 billion in the seven countries. If these countries implemented plain packaging strategies, additional 155 857 premature deaths and 4 133 858 events could be averted, adding 4.1 million healthy years of life and saving USD 13.6 billion in direct health care expenses of diseases attributable to smoking. Conclusions Latin American countries should not delay the implementation of this strategy that will alleviate part of the enormous health and financial burden that tobacco poses on their economies and health care systems. Implications Tobacco smoking is the single most preventable and premature mortality cause in the world. The Framework Convention on Tobacco Control, supported by the World Health Organization, introduced a package of evidence-based measures for tobacco control. This study adds evidence on the potential health effects and savings of implementing cigarette plain packaging in countries representing almost 80% of the Latin American population; findings are valuable resources for policy makers in the region.

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Section: Discussionmentioning

confidence: 99%

Health and Economic Impact of Health Warnings and Plain Tobacco Packaging in Seven Latin American Countries: Results of a Simulation Model

Alcaráz

Hernández-Vasquéz

Palacios

et al. 2020

Nicotine &Amp; Tobacco Research

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“…5–16 Most consider how consumers perceive standardized packaging, in terms of warning salience, appeal, harm and behavior, 5–11 , 15 , 16 although some focus on particular populations, such as adolescents, 14 or particular outcomes, such as cessation and initiation. 13 Some reviews cover the response of not only consumers but also the tobacco industry and retailers. 15 , 16 These reviews are important as they help policymakers, whether in countries that have implemented standardized packaging or which are considering doing so, understand the potential or actual impacts of the policy.…”

Section: Introductionmentioning

confidence: 99%

Consumer Response to Standardized Tobacco Packaging in the United Kingdom: A Synthesis of Evidence from Two Systematic Reviews

Moodie¹,

Angus²,

Stead³

2021

RMHP

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Standardized packaging of tobacco products has now been fully implemented in 15 countries. However, there is limited evidence, apart from in Australia, on how consumers have responded to the policy. Two systematic reviews explored consumer, tobacco industry and retailer response to standardized packaging in the United Kingdom (UK), which became mandatory for cigarettes (factory-made and hand-rolled) from May 2017, following a twelve-month transition period. In the first review, electronic databases were searched for published primary research from January 2016 to February 2019. The second review used the same methods, with searches conducted between February 2019 and September 2020. The current study conducted a narrative synthesis of the findings exploring consumer response from these two systematic reviews. Eleven studies met the inclusion criteria. Studies examined consumer response to on-pack warnings (n=7 studies), appeal of packs and smoking (n=4), perceptions of harm (n=5), and behavioral responses (n=8). There was consistent evidence that standardized packaging was associated with increased warning salience and effectiveness, and reduced appeal. Findings were mixed with respect to whether standardized packs were associated with increased perceptions of harm. Standardized packaging was generally thought to deter never or occasional smokers. Standardized packaging was associated with increased thoughts of quitting during the transition period, but no study directly explored cessation or relapse prevention. Some smokers switched to cheaper cigarettes. Standardized packaging in the UK seems to be reducing the appeal of packaging and smoking and making warnings more salient, but the behavioral impact is unclear. More consumer research is needed to assess longer-term behavioral response.

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“…There is considerable evidence that plain packaging has less appeal and a poorer image than the branded packs, in adolescents and adults among diverse populations [7][8][9][10][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] . Plain packs were perceived as being of low quality and associated with unfavorable personal attributes such as being 'older' and 'less fashionable' 7 .…”

Section: Discussionmentioning

confidence: 99%

Will plain packaging of cigarettes achieve the expected? Perceptions among medical students

Ay¹,

Yasin²,

Elbek³

et al. 2022

Tob. Induc. Dis.

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INTRODUCTION Plain packaging is one of the critical strategies in eliminating the promotion of tobacco products. Evidence indicates that plain packaging decreases the attractiveness of tobacco products and enhances the effectiveness of health warnings. This study aimed to explore the perceptions of undergraduate medical students of plain packaging and new pictorial warnings before they came into use in Turkey. METHODS This qualitative study was carried out among undergraduate students in a Medical School in Istanbul in 2019. Participants were recruited through purposive sampling, and data were collected through focus group discussions. The participants were asked to discuss their perceptions regarding one original branded pack and ten plain package models. All discussions were audiotaped and thematic content analysis was conducted. RESULTS A total of 72 students participated in the study. None of the students had seen plain packaging before. Most of the students perceived plain packaging as more favorable compared to the branded packs. The terms used to describe plain package were: 'appealing/desirable', 'attractive', 'beautiful', 'cool/eye-catching', 'charming', 'elegant', and 'special'. Some students indicated that they would have preferred plain packs over the branded ones if both types of products had been in the market and provided they were of the same brand. Pictorials had different impacts based on their content. At the same time, outer body deformities were perceived as 'real' and provoked unfavorable feelings; inner organ images were defined as 'imaginary' and had little to no impact. CONCLUSIONS Plain packaging was perceived as a more attractive alternative to the conventional branded packs among most participants. We must be aware of the unforeseen effects of plain packaging among different subgroups in the new generations. We suggest using outer body deformities in the pictorials more frequently due to their higher impact.

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How effective is the plain packaging of tobacco policy on rates of intention to quit smoking and changing attitudes to smoking?

Abstract: Although the evidence for plain packaging of tobacco is not strong, the evidence that is available indicates that it is an effective tobacco cessation policy.

Cited by 15 publications

References 16 publications

Health and Economic Impact of Health Warnings and Plain Tobacco Packaging in Seven Latin American Countries: Results of a Simulation Model

Health and Economic Impact of Health Warnings and Plain Tobacco Packaging in Seven Latin American Countries: Results of a Simulation Model

Consumer Response to Standardized Tobacco Packaging in the United Kingdom: A Synthesis of Evidence from Two Systematic Reviews

Will plain packaging of cigarettes achieve the expected? Perceptions among medical students

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