TY - JOUR
T1 - Impact of standardised packaging in the UK on warning salience, appeal, harm perceptions and cessation-related behaviours
T2 - A longitudinal online survey
AU - Moodie, Crawford
AU - Best, Catherine
AU - Hitchman, Sara C.
AU - Critchlow, Nathan
AU - MacKintosh, Anne Marie
AU - McNeill, Ann
AU - Stead, Martine
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021
Y1 - 2021
N2 - Introduction: In the UK, since 20 May 2017, tobacco companies must sell cigarettes and rolling tobacco in standardised packs. Methods: Three waves of a longitudinal online survey with smokers (≥16) before standardised packaging (wave 1 (W1): April to May 2016) and after standardised packaging (wave 2 (W2): September to November 2017; wave 3 (W3): May to July 2019). Of the 6233 smokers at W1, 4293 responded at W2 and 3175 at W3. We explored smokers' response to warning salience, appeal (appeal, quality, value, satisfaction and taste compared with a year ago), harm (harmfulness compared with a year ago, harm compared with other brands and whether some brands have more harmful substances), and quit plans, attempts and quitting. Results: Compared with W1, the proportions noticing warnings first on packs, and rating cigarettes/rolling tobacco less appealing and worse value than a year ago, were higher at W2 and W3. Disagreeing that some brands contain more harmful substances was higher at W2. Interactions between social grade and survey wave for warning salience, and each appeal and harm outcome, were non-significant. Smokers switching from not noticing warnings first at W1 to noticing warnings first at W2, or who had a lower composite appeal score at W2, were more likely to plan to quit and to have made a quit attempt at W2. Smokers who switched to disagreeing that some brands contain more harmful substances at W2, after giving a different response at W1, were more likely to quit at W3. Conclusions: Standardised packaging appears to be having the intended impacts.
AB - Introduction: In the UK, since 20 May 2017, tobacco companies must sell cigarettes and rolling tobacco in standardised packs. Methods: Three waves of a longitudinal online survey with smokers (≥16) before standardised packaging (wave 1 (W1): April to May 2016) and after standardised packaging (wave 2 (W2): September to November 2017; wave 3 (W3): May to July 2019). Of the 6233 smokers at W1, 4293 responded at W2 and 3175 at W3. We explored smokers' response to warning salience, appeal (appeal, quality, value, satisfaction and taste compared with a year ago), harm (harmfulness compared with a year ago, harm compared with other brands and whether some brands have more harmful substances), and quit plans, attempts and quitting. Results: Compared with W1, the proportions noticing warnings first on packs, and rating cigarettes/rolling tobacco less appealing and worse value than a year ago, were higher at W2 and W3. Disagreeing that some brands contain more harmful substances was higher at W2. Interactions between social grade and survey wave for warning salience, and each appeal and harm outcome, were non-significant. Smokers switching from not noticing warnings first at W1 to noticing warnings first at W2, or who had a lower composite appeal score at W2, were more likely to plan to quit and to have made a quit attempt at W2. Smokers who switched to disagreeing that some brands contain more harmful substances at W2, after giving a different response at W1, were more likely to quit at W3. Conclusions: Standardised packaging appears to be having the intended impacts.
KW - packaging and labelling
KW - public policy
KW - surveillance and monitoring
UR - http://www.scopus.com/inward/record.url?scp=85110569493&partnerID=8YFLogxK
U2 - 10.1136/tobaccocontrol-2021-056634
DO - 10.1136/tobaccocontrol-2021-056634
M3 - Review article
AN - SCOPUS:85110569493
SN - 0964-4563
JO - Tobacco Control
JF - Tobacco Control
ER -
