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Reactions to Pictorial and Text Cigarette Pack Warning Labels among Chinese Smokers

Author

Listed:
  • Liu Wang

    (School of Journalism & Communication, Wuhan University, Wuhan 430072, China)

  • Xi Yao

    (School of Journalism & Communication, Wuhan University, Wuhan 430072, China)

  • Gang Wang

    (School of Journalism & Communication, Wuhan University, Wuhan 430072, China)

  • Kecheng Du

    (School of Journalism & Communication, Wuhan University, Wuhan 430072, China)

Abstract

Objectives . This study aims at examining the impact of graphic pictorial warning labels on inten-tion to quit smoking and perceived harms among Chinese working-age adults (n = 661). Methods . A randomized controlled trial is utilized as the research design by comparing three scenarios: Group 1 as baseline (n = 193) and presented with real market tobacco products with text-only la-bels, Group 2 as price group and with hypothetical scenarios of manipulated prices, and Group 3 as the imaging group and with hypothetical scenarios of graphic pictorial cigarette warning la-bels. Both bivariate and multivariate analyses are utilized to determine the effectiveness of warn-ing labels. Results . Graphic pictorial cigarette warning labels are associated with stronger inten-tion to quit smoking and greater perceived harms. Smokers have a greater number of attempts if they are less nicotine dependent and express greater smoking risk perceptions. Conclusions . This study adds to the evidence that graphic pictorial warning labels are more effective than text-only labels in increasing intention to quit smoking. As China strives to achieve a reduction in smoking to meet the goal of the Healthy China 2030 initiative, this work strengthens the evidence base for policy makers, practitioners, and researchers to design low-cost warning labels on cigarette packs to promote tobacco control.

Suggested Citation

  • Liu Wang & Xi Yao & Gang Wang & Kecheng Du, 2022. "Reactions to Pictorial and Text Cigarette Pack Warning Labels among Chinese Smokers," IJERPH, MDPI, vol. 19(18), pages 1-15, September.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11253-:d:909098
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    References listed on IDEAS

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    3. Teh-wei Hu & Xiulan Zhang, 2016. "Tobacco Control in China: From Policy Research to Practice and the Way Forward," World Scientific Book Chapters, in: Teh-wei Hu (ed.), Economics of Tobacco Control in China From Policy Research to Practice, chapter 15, pages 265-280, World Scientific Publishing Co. Pte. Ltd..
    4. Martin Gonzalez-Rozada & Giselle Montamat, 2019. "How Raising Tobacco Prices Affects the Decision to Start and Quit Smoking: Evidence from Argentina," IJERPH, MDPI, vol. 16(19), pages 1-11, September.
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