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Impact of graphic cigarette pack warnings on adult smokers in Malaysia and Thailand: Findings from the ITC Southeast Asia Survey(2005-2014)

Impact of graphic cigarette pack warnings on adult smokers i...

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第17届全国控制吸烟学术研讨会

作者： Lin Li Ahmed I.Fathelrahman Ron Borland Maizurah Omar Geoffrey T.Fong Anne C.K.Quah buppha sirirassamee Hua-Hie Yong Nigel Gray Fellowship Group Cancer Council Victoria Melbourne Victoria 3004 Australia National Poison Center Universiti Sains Malaysia 11800 Minden Penang Malaysia College of Pharmac National Poison Center Universiti Sains Malaysia 11800 Minden Penang Malaysia Department of Psychology University of Waterloo Waterloo Ontario N2L 3G 1 Canada Ontario Instit Department of Psychology University of Waterloo Waterloo Ontario N2L 3G 1 Canada Institute for Population and Social Research Mahidol University Salaya Phutthamonthon Nakhon Path

Background and aimsCigarette pack warning labels, especially stronger ones, stimulate quitting-related activity. This study aimed to extend understanding of impact of pack warning changes in Malaysia and Thailand, focussing on the 2009 introduction of graphic warnings in Malaysia. In particular, we aimed to:(1) compare the differences in pack warning reactions of smokers within and between these two developing countries over time,(2) examine if warning reactions predict subsequent quitting activities, and(3) examine possible wear-out effects of pack warnings in these two countries. Methods Data came from 6 waves of the International Tobacco Control Southeast Asia(the ITC SEA) Survey, a prospective cohort survey conducted among adult smokers in Malaysia and Thailand between 2005 and 2013. Between 4706 and 4422 smokers were interviewed at each survey wave. Key measures included salience of cigarette pack warnings, cognitive responses, forgoing cigarettes and avoiding warnings. The outcome measure in predictive analysis was quit attempts between survey *** During the first three survey waves(2005-2008), reaction levels were significantly lower in Malaysia than in Thailand except for forgoing cigarettes at Wave 1. However, at Wave 4(shortly after the implementation of graphic warnings) the reaction levels among Malaysia smokers considerably increased from that of early waves;and for some measures the levels reached as high as that of Thailand. Compared to the early waves, the warning salience and cognitive reaction levels in Malaysia remained higher at Wave 5. But overall, in Malaysia wear-out of warnings was greater –by Wave 6, most of the reported reaction levels were no longer significantly higher than that of the baseline wave. In contrast, overall, the reaction levels of post-graphic warning waves were higher than those at the baseline wave in *** Thailand, Wave 3 warning reactions were predictive of subsequent quit attempts in bivariate analysis

关键词： Findings from the ITC Southeast Asia Survey Impact of graphic cigarette pack warnings on adult smokers in Malaysia and Thailand ITC

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