The effect of pictorial health warning labels on intention to not smoke among the upper secondary school students, Sakon Nakhon province

Authors

  • Powaree Ukkapin Faculty of Public Health, Mahidol University
  • Sarunya Benjakul Faculty of Public Health, Mahidol University
  • Jutatip Sillabutra Faculty of Public Health, Mahidol University

DOI:

https://doi.org/10.14456/dcj.2021.105

Keywords:

Pictorial health warning labels on cigarette packaging, Plain cigarette packaging, Branded cigarette packaging, Intention to not smoke

Abstract

This evaluation research aimed to study the effect of pictorial health warning labels on having no intention to smoke. The samples were consisted of 270 upper secondary school students (M 4 – M 6), academic year of 2008 in Sakon Nakhon Province. The two-stage cluster sampling was used to select the two groups of the sampled students, the group who have exposed to the 85% pictorial health warning labels placing on branded cigarette packaging and the group who exposed to the similar pictorial health warning labels placing on plain cigarette packaging, 135 sampled students in each group. Data collection was done by using self-administered questionnaire. Data analysis was done by computing descriptive statistics and inferential statistics. The results showed that 15.6% of samples had tried smoking, and 5.6% had smoked in the past 30 days. Pictures placing on the plain cigarette packaging had significantly higher emotional response than those viewed the 85% pictorial health warning labels placing on the branded cigarette packaging (p < 0.05). The non-smokers and former smokers who viewed the 85% pictorial health warning labels placing on the plain cigarette packaging had no difference of intention to not smoking compare to those who viewed the 85% pictorial health warning labels placing on the branded cigarette packaging (p > 0.05). Therefore, 85% pictorial health warning labels placing on the plain cigarette packaging is an effective measure to evoke negative emotional response in regard to fear, disgust, and anxiety, including increasing the visibility on the hazards of cigarette smoking clearly.

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References

Drope J, Schluger N, Cahn Z, Drope J, Hamill S, Islami F, et al. The Tobacco Atlas. Atlanta: American Cancer Society and Vital Strategies. Atlanta: The American Cancer Society, Inc; 2018.

Islami F, Torre LA., Jemal A. Global trends of lung cancer mortality and smoking prevalence. Transl Lung Cancer Res [Internet]. 2015 [cited 2018 Sep 21]; 4: 327-338. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4549470/

JhaP, Ramasundarahettige C, Landsman V, Rostron, B, Thun M, Anderson R N, McAfee T, Peto R. 21st-Century Hazards of Smoking and Benefits of Cessation in the United States. The New England Journal of Medicine [Internet]. 2013 [cited 2018 Sep 21]; 368,341-50. Available form: https://www.nejm.org/doi/full/10.1056/nejmsa1211128#article_citing_articles

Burden of Disease Thailand. International Health Policy Program Foundation. Thailand burden of disease attributable to risk factors 2014. Nonthaburi: Icon Printing LTD; 2018. (in Thai)

Action on Smoking and Health Foundation. Crucial number related to tobacco. 2015 [Internet]. Bangkok. Action on Smoking and Health Foundation; 2015 [cited 2018 Sep 21] Available from: http://www.smokefreezone.or.th/c o n t e n t . . . / a t t a c h / c e c 7 4 0 5 d f 4 5 b

Tobacco Control Research and Knowledge Management Center (TRC). Statistics Report of Tobacco Use 2018. 1st. Bangkok: CharoenDee-Munkong Printing; 2018. (in Thai)

World Health Organization. From Burden to “Best Buys”: Reducing the Economic Impact of Non-Communicable Diseases in Low-and Middle-Income Countries. Geneva: World Health Organization; 2011.

WHO Framework Convention on Tobacco Control (FCTC). Guidelines for implementation. (2013 edition). Geneva: WHO Framework Convention on Tobacco Control (FCTC); 2013.

Hammond D. Health warning messages on tobacco products: a review. Tob Control [Internet]. 2011 [cited 2019 Oct 19];20: 327-37. Available form: https://tobaccocontrol.bmj.com/content/tobaccocontrol/20/5/327.full.pdf

Benjakul S, Kengganpanich M, Kengganpanich T, Nakju S. Research report on Affecting of law enforcement related 85% pictorial health warnings on cigarette package: Perspective at retailed shop [Internet]. Bangkok. T o b a c c o Control Research and Knowledge Management Center (TRC). 2015 [cited 2019 Oct 19]. 76 p. Available form: https://www.trc.or.th/trcresearch/pdffiles/ART%2011/cat11%20(5).pdf. (in Thai)

Moodie C, Stead M, Bauld L, McNeill A, Angus K, Hinds K, et al. Plain Tobacco Packaging: A Systematic Review [Internet]. Stirling. University of Stirling; 2011 [2018 Oct 28]. 116 p. Available form: https://eppi.ioe.ac.uk/cms/Portals/0/PDF%20reviews%20and%20summaries/tobaccopacks_MoodiePHRC_R2012_web.pdf?ver=2012-05-09-161542-

Drovandi A, Teague PA, Glass B. Malau-Aduli B. A systematic review of the perceptions of adolescents on graphic health warnings and plain packaging of cigarettes. Systematic Reviews [Internet]. 2019 [cited 2018 Oct 28];8:1-15. https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-018-0933-0.pdf

Royal Thai Government Gazette. Notification of the Ministry of Public Health Subject: Criteria, methods and conditions on tobacco product and cigarette packaging B.E.2018. 2561; 135 [Internet]. 2019 [cited 2018 Oct 28] (special section 319ง): 11-19 Available form: https://www.tobaccocontrollaws.org/files/live/Thailand/Thailand%20-%20Notif.%20of%20P%26L%20Rules%202018.pdf

Office of the Basic Education Commission. School information The Secondary Education Service Area Office Sakon Nakhon [Internet]. Bangkok. Education Management Information System. [cite 20181 Oct 28] Available from: https://data.bopp-obec.info/emis/school.php?Area_CODE=101723. (in Thai)

Daniel WW. Biostatistics A Foundation for Analysis in the Health Sciences. 5th ed. New York: John Wiley & Sons; 2010.

Pengruksa C, Kengganpanich T, Kengganpanich M, Benjakul S. Effect of pictorial health warnings on intention not to smoke among secondary school students. Veridian E-Journal, Science and Technology Silpakorn University [Internet]. 2015 [cited 2021 Jun 29]; 2: 1-12. Available form: https://ph01.tcithaijo.org/index.php/VESTSU/article/view/35183 (in Thai)

McCarthy J. Extending the Silence Giving students several seconds to think after asking a questionand up to two minutes for some questionsimproves their learning [Internet]. [cited 2021 Jun 29]. Available from: https://www.edutopia.org/article/extending-silence

Sillapasuwan P, Viwatwongkasem C, Satitvipawee P, Sujirarat D, Sirichotiratana N, Sompopcharoen M, et al. Effectiveness of expanding health warning picture size (85%) on cigarette package and responding cigarette consumption behaviors of youth/adolescent in Bangkok. Bangkok: Aroonprinting; 2016. (in Thai)

Andrews, JC, Netemeyer RG, Burton S, Kees J. Effects of plain package branding and graphic health warnings on adolescent smokers in the USA, Spain and France. Tobacco Control [Internet]. 2016 [cited 2021 Jun 29]; 25: 120-126. Available form: http://dx.doi.org/10.1136/tobaccocontrol-2015-052583

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Published

2021-12-29

How to Cite

1.
Ukkapin P, Benjakul S, Sillabutra J. The effect of pictorial health warning labels on intention to not smoke among the upper secondary school students, Sakon Nakhon province. Dis Control J [Internet]. 2021 Dec. 29 [cited 2024 Dec. 19];47(Suppl 2):1215-27. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/246724