Plain packaging of tobacco products in the European Union: an EU success story?

Vardavas, Constantine; Filippidis, Filippos T; Ward, Brian; Faure, Marine; Jiménez-Ruíz, Carlos A.; Gratziou, Christina; Κatsaounou, Paraskevi; Lozano, F.; Behrakis, Panagiotis; Radu-Loghin, Cornel

doi:10.1183/13993003.01232-2017

Cited by 10 publications

(10 citation statements)

References 17 publications

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“…The UK Department of Health estimates that standardised packaging will have a net benefit to government of £25 billion ten years post-implementation (Department of Health, 2015). It is critical that countries robustly evaluate the impacts of this measure (Vardavas et al 2017) and do so over the longer term; a major limitation identified in a Cochrane review was the absence of research exploring the longer-term impacts of standardised packaging (McNeill et al 2017). While our findings provide support for standardised packaging during the transition period, research is needed to explore the intended and any unintended consequences of this policy in the UK (and elsewhere) after it has been fully implemented.…”

Section: Discussionmentioning

confidence: 87%

How did smokers respond to standardised cigarette packaging with new, larger health warnings in the United Kingdom during the transition period? A cross-sectional online survey

Moodie

Brose

Lee

et al. 2019

Addiction Research & Theory

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We assessed whether there was an association between using standardised packs and warning salience, thoughts about the risks of smoking, thoughts about quitting, and awareness and use of stop-smoking websites. Methods: We conducted a cross-sectional online survey with current smokers aged 16 and over (N ¼ 1865) recruited in two regions of England between February-April 2017, when both standardised and fully-branded packs were on the market. Participants were asked about use of standardised packs, warning salience (noticing, reading closely), and whether the packs they were using increased thoughts of the risks of smoking and quitting. They were also asked about awareness of stop-smoking websites, source of awareness (including warnings on packs), and whether they had visited a stop-smoking website. Results: Most participants reported currently using standardised packs (76.4%), 9.3% were not currently using them but had previously used them, and 14.3% had never used them. Compared with never users, current users were more likely to have noticed the warnings on packs often/very often (AOR (95%CI) ¼ 2.76 (2.10, 3.63)), read them closely often/very often (AOR(95%CI) ¼ 2.16 (1.51, 3.10)), thought somewhat/a lot about the health risks of smoking (AOR(95%CI) ¼ 1.92 (1.38, 2.68)), and thought somewhat/a lot about quitting (AOR(95%CI) ¼ 1.90 (1.30, 2.77)). They were also more likely to have noticed a stop-smoking website on packs. Conclusions: Consistent with the broad objectives of standardised packaging, we found that it was associated with increased warning salience and thoughts about risks and quitting. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 87%

How did smokers respond to standardised cigarette packaging with new, larger health warnings in the United Kingdom during the transition period? A cross-sectional online survey

Moodie

Brose

Lee

et al. 2019

Addiction Research & Theory

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“…In the EU, most of the measures transposed and implemented were not designed to undermine the relationship of smokers with their specific brand, which could act as a shield against tobacco cessation 9 . Meanwhile, measures such as plain packaging, that could lead to a direct change in brand loyalty, are not compulsory and were left in charge of each country by the TPD 33 . This may result in delays and interference of the tobacco industry in the process of adopting plain packaging 33 .…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, measures such as plain packaging, that could lead to a direct change in brand loyalty, are not compulsory and were left in charge of each country by the TPD 33 . This may result in delays and interference of the tobacco industry in the process of adopting plain packaging 33 .…”

Section: Discussionmentioning

confidence: 99%

Cigarette brand loyalty among smokers in six European countries: Findings from the EUREST-PLUS ITC Europe Surveys

et al. 2019

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INTRODUCTION This study aims to describe the degree of smokers’ loyalty to a specific brand of tobacco products and the variables related to choosing a specific brand among smokers in six European countries. METHODS A cross-sectional analysis was conducted for a representative sample of adult smokers from Germany, Greece, Hungary, Poland, Romania, and Spain (approximately 1000 smokers per country). The prevalence of smokers’ having a usual brand of cigarettes smoked (factory-made or roll-yourown cigarettes), the brand of choice, the factors for choosing a specific brand and the degree of loyalty to that brand (not at all, a little, somewhat and a lot) were assessed by country, sociodemographics and smoking-related variables. RESULTS In total, 86.6% of the smokers reported having a usual brand. In three out of the six countries, one brand holds the loyalty of between 17.8% and 24.5% of the smokers that reported having a usual brand for factory-made cigarettes. Most participants reported being loyal ‘a lot’ to their brand of choice (44.4%). The reasons most reported for choosing a cigarette brand were the taste (83.2%) and the price (51.7%). CONCLUSIONS Brand loyalty is high among factory-made and roll-your-own cigarette smokers in six European countries. Future research on longitudinal trends of brand loyalty to evaluate the effect of tobacco control policies in these European countries is warranted.

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“…48 In other words, plain packaging removes all marketing elements, including brand, colours and logos. 49 Malaysia is still in progress for implementation of plain packaging. Plain packaging is said to be effective to reduce smoking among smokers and prevent initiation of smoking among non-smokers.…”

Section: Suggestion To Overcome Early Initiation Of Smokingmentioning

confidence: 99%

Smoking in Malaysia: Main issues and ways to overcome

Nawi

Jetly

Ramli

2021

imjm

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Smoking is a public health problem worldwide and in Malaysia. According to serial Malaysian data, the age of initiation of smoking are at a younger age and the prevalence of smoking in Malaysia among adults and adolescents have not reduced much over the years. Smoking has a detrimental heath effect to smokers as well as those passively smoking. Younger age of smoking is linked to increased dependence of nicotine and many other high-risk behaviours. The two main issues which is addressed here is younger age of initiation of smoking and smoking bans in Malaysia. The factors which contribute to younger age of smoking initiation is tobacco factors, school factors, family factors and social factors. Challenges to smoking bans in Malaysia includes poor enforcement and innovation of tobacco products in Malaysia. A comprehensive approach including the mPOWER strategy should be carried out to address this problem towards achieving Tobacco Endgame.

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Plain packaging of tobacco products in the European Union: an EU success story?

Abstract: 10 For a list of the ERS Tobacco Control Committee members see the Acknowledgements section. 11 For a list of the ENSP Scientific Committee Members see the Acknowledgements section.

Cited by 10 publications

References 17 publications

How did smokers respond to standardised cigarette packaging with new, larger health warnings in the United Kingdom during the transition period? A cross-sectional online survey

How did smokers respond to standardised cigarette packaging with new, larger health warnings in the United Kingdom during the transition period? A cross-sectional online survey

Cigarette brand loyalty among smokers in six European countries: Findings from the EUREST-PLUS ITC Europe Surveys

Smoking in Malaysia: Main issues and ways to overcome

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