Abstract
OBJECTIVETo analyze the association between the pictorial graphic health warnings on cigarette packs and their impact on intention to quit smoking among women.METHODSPopulation-based cross-sectional study among 265 women daily smokers in the State of Paraná in 2010. The sample size was calculated using cluster sampling. Participants were asked whether they had seen any pictorial graphic health warnings in the past 30 days, whether these warnings made them think about quitting, and intensity of these thoughts. The data was analyzed using logistic regression and the independent variables included age, educational attainment, whether they had children, whether they had attempted to quit smoking in the past 12 months, age of smoking initiation, number of cigarettes smoked per day, their town of residence, and how soon after waking do they smoke their first cigarette.RESULTSParticipants (91.7%) reported seeing the pictorial graphic health warnings in the past 30 days. Women with elementary education or below and women with some/complete high school education were more likely to think about quitting smoking after seeing the pictorial graphic health warningsthan women with higher education (OR = 4.85; p = 0.0028 and OR = 2.91; p = 0.05), respectively). Women who attempted to quit smoking in the past 12 months were more likely to think about quitting than women who had not (OR = 2.49; p = 0.001). Quit attempts within the last 12 months were associated with intensity of these thoughts (OR = 2.2; p = 0.03).CONCLUSIONSResults show an association between pictorial graphic health warnings and intent to quit smoking among women with warnings having a greater impact among women with less education and who had attempted to quit smoking within the past year. Tobacco control strategies should be implemented across all groups of women regardless of their educational attainment.
Highlights
IntroductionThe implementation of tobacco product regulations based on rigorous research has been shown to be an effective and sustainable approach to tobacco control at the population level
Tobacco control strategies should be implemented across all groups of women regardless of their educational attainment
The implementation of tobacco product regulations based on rigorous research has been shown to be an effective and sustainable approach to tobacco control at the population level
Summary
The implementation of tobacco product regulations based on rigorous research has been shown to be an effective and sustainable approach to tobacco control at the population level. Brazil has been one of the leading examples on the impact of evidence-based regulatory policies, as its smoking prevalence decreased from 34.8% in 1989 to 18.2% in 2008.a The Brazilian government has implemented comprehensive tobacco control legislation since the establishment of the Agência Nacional de Vigilância Sanitária (ANVISA) (equivalent of the U.S Food and Drug Administration) in 1999. Rio de Janeiro; 2011 [cited 2012 Oct 9]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/inca/PET_ab_2011.pdf b Agência Nacional de Vigilância Sanitária (Anvisa). Cigarros com sabor deverão ser retirados do mercado brasileiro. Available from: http://portal.anvisa.gov.br/wps/portal/anvisa/anvisa/busca/!ut/p/c5/04_ SB8K8xLLM9MSSzPy8xBz9CP0os3jvQA9PdwMDI0v_EAsXA0-TkCAPS29nfzdDQ6B8pFm8AQ7gaADS7ezu6GFi7gPkmzk5G3i6m_ qZmQb6Gxj4Q3XjlDcixm48puPXHQ7yK37bQfJ4_ObnkZ-bql-QGxoaYZBlAgC5fbbW/?1dmy&urile=wcm%3apath%3a//Anvisa Portal/ Anvisa/Sala de Imprensa/Assunto de Interesse/Noticias/Cigarros com sabor deverao ser retirados do mercado brasileiro
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