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The Effectiveness of Cigarette Pack Health Warning Labels with Religious Messages in an Urban Setting in Indonesia: A Cross-Sectional Study

Author

Listed:
  • Bekir Kaplan

    (Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA)

  • Jeffrey J. Hardesty

    (Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA)

  • Santi Martini

    (Faculty of Public Health, University of Airlangga, Jl. Mulyorejo, Surabaya 60115, Indonesia)

  • Hario Megatsari

    (Faculty of Public Health, University of Airlangga, Jl. Mulyorejo, Surabaya 60115, Indonesia)

  • Ryan D. Kennedy

    (Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA)

  • Joanna E. Cohen

    (Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA)

Abstract

This study sought to assess the effectiveness of religious cigarette health warning labels (HWLs) in Indonesia, a country with a high public health burden from tobacco use. The study tested different religious and nonreligious messages related to suicide, secondhand smoke (SHS) and gangrene. Participants were smokers and non-smokers from Surabaya, Indonesia ( n = 817). Participants rated each HWL for its effectiveness on a scale of 1 to 10 (1 = “not at all”, 10 = “extremely”) with respect to 10 items. Nonreligious HWLs were marginally superior for SHS and suicide while religious HWLs were marginally superior for gangrene. Given the close rating scores between religious and nonreligious HWLs, they were functionally equal in effectiveness. With proper assessment of potential unintended consequences, the implementation of religious HWLs could be considered for a proportion of HWLs.

Suggested Citation

  • Bekir Kaplan & Jeffrey J. Hardesty & Santi Martini & Hario Megatsari & Ryan D. Kennedy & Joanna E. Cohen, 2019. "The Effectiveness of Cigarette Pack Health Warning Labels with Religious Messages in an Urban Setting in Indonesia: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(21), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:21:p:4287-:d:283734
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    Cited by:

    1. Reny Yuliati & Billy Koernianti Sarwono & Abdillah Ahsan & I Gusti Lanang Agung Kharisma Wibhisono & Dian Kusuma, 2021. "Effect of Message Approach and Image Size on Pictorial Health Warning Effectiveness on Cigarette Pack in Indonesia: A Mixed Factorial Experiment," IJERPH, MDPI, vol. 18(13), pages 1-11, June.

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