Noticing health warning labels and intentions to quit smokeless tobacco products: results from two Global Adult Tobacco Survey rounds, India.

IF 1.7 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Global Health Promotion Pub Date : 2024-09-19 DOI:10.1177/17579759241270914

Kirtan Rana, Madhur Verma, Pranay Lal

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Abstract

Introduction: Health warning labels (HWLs) are one of the key strategies for tobacco control. The current study assessed the individual characteristics affecting the noticeability of HWLs and the thought of quitting smokeless tobacco (SLT) on noticing HWLs. We further estimated the temporal changes in noticeability and thought of quitting after noticing HWLs over time in India.

Methods: Data from two rounds (2009-2010 and 2016-2017) of GATS (Global Adult Tobacco Survey) from India were analysed to understand the pattern of SLT usage and estimate the relative changes in the noticeability of HWLs and the thought of quitting SLT among those who noticed HWLs. Sampling weights were used during the analysis. Multivariate binary logistic regression was used to explore the determinants for the noticeability of HWLs and encourage the intention to quit SLT after noticing the HWLs.

Results: About 25.9% and 20.6% of participants consumed SLT daily or non-daily in two rounds of GATS. Overall, there was a 14% relative increase in noticing the HWLs and a 20% increase in the thought of quitting in GATS-2 compared with GATS-1. The adjusted odds ratio of observing HWLs among SLT users was 1.51 times (95% confidence interval (CI), 1.44-1.58) in round 2 compared with round 1, while the odds ratio concerning the thought of quitting SLT after noticing HWLs was 1.95 times (95% CI, 1.84-2.06) in round 2 compared with round 1.

Conclusions: We observe a consistent increase in the noticeability of HWLs and intentions to quit in SLT users, with significant variations across socio-demographic characteristics calling for concerted efforts. SLT being the major form of tobacco usage in India and Asian countries, HWLs alone cannot bring down the consumption rates, and it needs to be supported by strict implementation of SLT legislation for long-lasting impact.

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注意健康警示标签与戒除无烟烟草制品的意愿：印度两轮全球成人烟草调查的结果。

导言：健康警示（HWL）是烟草控制的主要策略之一。本研究评估了影响健康警示标签可注意性的个体特征以及注意到健康警示标签后的戒烟想法。我们进一步估算了印度人在注意到无烟烟草标识后的可注意性和戒烟想法的时间变化：我们对印度两轮（2009-2010 年和 2016-2017 年）GATS（全球成人烟草调查）的数据进行了分析，以了解 SLT 的使用模式，并估计注意到 HWL 的人群中注意到 HWL 的程度和戒烟想法的相对变化。分析过程中使用了抽样权重。我们使用多变量二元逻辑回归法来探讨是否注意到家庭妇女名单的决定因素，并鼓励注意到家庭妇女名单后戒烟的意向：在两轮 GATS 中，分别约有 25.9% 和 20.6% 的参与者每天或非每天饮用 SLT。总体而言，与 GATS-1 相比，GATS-2 中注意到 HWLs 的人数相对增加了 14%，想到戒烟的人数增加了 20%。与第一轮相比，在第二轮中观察到辅助治疗用户中存在 HWL 的调整后几率是第一轮的 1.51 倍（95% 置信区间 (CI)，1.44-1.58），而与第一轮相比，在第二轮中观察到 HWL 后想到退出辅助治疗的几率是第一轮的 1.95 倍（95% 置信区间 (CI)，1.84-2.06）：我们观察到，SLT 用户对 HWL 的注意程度和戒烟意愿持续上升，但不同社会人口特征之间存在显著差异，因此需要共同努力。在印度和亚洲国家，SLT 是主要的烟草使用形式，仅靠 HWL 无法降低烟草消费率，还需要严格执行 SLT 法规，才能产生持久的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Global Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.60

自引率

5.00%

发文量

期刊介绍： The journal aims to: ·publish academic content and commentaries of practical importance; ·provide an international and interdisciplinary forum for the dissemination and exchange of health promotion, health education and public health theory, research findings, practice and reviews; ·publish articles which ensure wide geographical coverage and are of general interest to an international readership; ·provide fair, supportive, efficient and high quality peer review and editorial handling of all submissions.