Literature DB >> 33115961

Changes in responses to nicotine vaping product warnings and leaflets in England compared with Canada, the US and Australia: findings from the 2016-2018 ITC Four Country Smoking and Vaping Surveys.

Eve Violet Taylor1, Katherine A East2,3, Ann McNeill2,4, Michael Cummings5,6, James Thrasher7,8, Geoffrey T Fong3,9,10, Anne C K Quah9, Máirtín McDermot2, Grace Li9, Ron Borland11,12, David Hammond3, Sarah Aleyan2,3, Sara C Hitchman2.   

Abstract

BACKGROUND AND AIMS: In May 2017, black-and-white text nicotine addiction warning labels ('warnings') and health and safety leaflets ('leaflets') became mandatory for nicotine vaping products (NVPs) in England, in accordance with the European Union's Tobacco Products Directive. We compared changes over time in noticing warnings and leaflets, recall of warnings about nicotine and concerns about using NVP due to noticing warnings in England, compared with Canada, the US and Australia, where no warnings and leaflets were mandated.
DESIGN: 19 005 adult (aged 18+) NVP users, smokers and quitters of cigarettes and NVP from the 2016 and 2018 International Tobacco Control Four Country Smoking and Vaping Surveys in England, Canada, the US and Australia, recruited via probability and non-probability sampling.
FINDINGS: Noticing warnings increased in England from 4.9% (2016) to 9.4% (2018) (adjusted OR/AOR=1.64, 95% CI=1.15-2.36); this change was larger than changes in Canada (AOR=2.51, 95% CI=1.71-3.69) and the US (AOR=2.22, 95% CI=1.45-3.39). Recall of a nicotine warning increased in England from 86% (2016) to 94.9% (2018) (AOR=5.50, 95% CI=1.57-19.27) but not significantly elsewhere. Noticing leaflets increased in England from 14.6% (2016) to 19.1% (2018) (AOR=1.42, 95% CI=1.15-1.74); this change was larger than in Canada (AOR=1.42, 95% CI=1.12-1.79), the US (AOR=1.55, 95% CI=1.17-2.06) and Australia (AOR=1.51, 95% CI=1.02-2.22). Among those noticing warnings, concern about NVP use did not change significantly between 2016 and 2018 (all countries p>0.081).
CONCLUSIONS: Introduction of mandatory NVP warnings and leaflets in England was associated with small increases in noticing them but not with changes in concerns about NVP use. © Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.

Entities:  

Keywords:  electronic nicotine delivery devices; packaging and labelling; public policy

Mesh:

Substances:

Year:  2020        PMID: 33115961      PMCID: PMC8079549          DOI: 10.1136/tobaccocontrol-2020-055739

Source DB:  PubMed          Journal:  Tob Control        ISSN: 0964-4563            Impact factor:   7.552


  8 in total

1.  What is included with your online e-cigarette order? An analysis of e-cigarette shipping, product and packaging features.

Authors:  Amanda Y Kong; Jason C Derrick; Anthony S Abrantes; Rebecca S Williams
Journal:  Tob Control       Date:  2016-06-29       Impact factor: 7.552

Review 2.  Health warning messages on tobacco products: a review.

Authors:  David Hammond
Journal:  Tob Control       Date:  2011-05-23       Impact factor: 7.552

3.  Warning Statements and Safety Practices Among Manufacturers and Distributors of Electronic Cigarette Liquids in the United States.

Authors:  Pebbles Fagan; Pallav Pokhrel; Thaddeus A Herzog; Mignonne C Guy; Kari-Lyn K Sakuma; Dennis R Trinidad; Kevin D Cassel; Dorothy Jorgensen; Tania Lynch; Jamie Q Felicitas-Perkins; Sherilyn Palafox; Faith D Hamamura; Sarah Maloney; Kaylah Degree; Kymberle Sterling; Eric T Moolchan; Mark S Clanton; Thomas E Eissenberg
Journal:  Nicotine Tob Res       Date:  2018-07-09       Impact factor: 4.244

4.  Exposure to and perceptions of health warning labels on nicotine vaping products: findings from the 2016 International Tobacco Control Four Country Smoking and Vaping Survey.

Authors:  Máirtín S McDermott; Grace Li; Ann McNeill; David Hammond; James F Thrasher; Richard J O'Connor; K Michael Cummings; Ron Borland; Geoffrey T Fong; Sara C Hitchman
Journal:  Addiction       Date:  2019-02-12       Impact factor: 6.526

5.  Methods of the ITC Four Country Smoking and Vaping Survey, wave 1 (2016).

Authors:  Mary E Thompson; Geoffrey T Fong; Christian Boudreau; Pete Driezen; Grace Li; Shannon Gravely; K Michael Cummings; Bryan W Heckman; Richard O'Connor; James F Thrasher; Georges Nahhas; Ron Borland; Hua-Hie Yong; Ann McNeill; Sara C Hitchman; Anne C K Quah
Journal:  Addiction       Date:  2019-01-24       Impact factor: 6.526

Review 6.  The impact of strengthening cigarette pack warnings: Systematic review of longitudinal observational studies.

Authors:  Seth M Noar; Diane B Francis; Christy Bridges; Jennah M Sontag; Kurt M Ribisl; Noel T Brewer
Journal:  Soc Sci Med       Date:  2016-07-13       Impact factor: 4.634

7.  Messages matter: The Tobacco Products Directive nicotine addiction health warning versus an alternative relative risk message on smokers' willingness to use and purchase an electronic cigarette.

Authors:  Sharon Cox; Daniel Frings; Reeda Ahmed; Lynne Dawkins
Journal:  Addict Behav Rep       Date:  2018-09-21

8.  Communicating the relative health risks of E-cigarettes: An online experimental study exploring the effects of a comparative health message versus the EU nicotine addiction warnings on smokers' and non-smokers' risk perceptions and behavioural intentions.

Authors:  Catherine Kimber; Daniel Frings; Sharon Cox; Ian P Albery; Lynne Dawkins
Journal:  Addict Behav       Date:  2019-11-04       Impact factor: 3.913

  8 in total
  1 in total

1.  Associations Between Noticing Nicotine Vaping Product Health Warning Labels, Harm Perceptions, and Use Among Adult Vapers, Current and Former Smokers. Findings From the 2018 ITC Four Country Smoking and Vaping Survey.

Authors:  Eve Taylor; Sarah Aleyan; Katherine East; K Michael Cummings; James F Thrasher; Geoffrey T Fong; Anne C K Quah; Grace Li; Ron Borland; David Hammond; Sara C Hitchman
Journal:  Nicotine Tob Res       Date:  2022-06-15       Impact factor: 5.825

  1 in total

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