Would placing pictorial health warnings on waterpipe devices reduce waterpipe tobacco smoking? A qualitative exploration of Egyptian waterpipe smokers' and non-smokers' responses.
Adult
Attitude to Health
Egypt
/ epidemiology
Female
Focus Groups
Health Promotion
/ methods
Humans
Male
Non-Smokers
/ psychology
Product Labeling
/ methods
Smokers
/ psychology
Smoking Cessation
/ methods
Smoking Prevention
/ methods
Social Perception
Tobacco, Waterpipe
Water Pipe Smoking
/ epidemiology
cessation
non-cigarette tobacco products
packaging and labelling
prevention
public policy
Journal
Tobacco control
ISSN: 1468-3318
Titre abrégé: Tob Control
Pays: England
ID NLM: 9209612
Informations de publication
Date de publication:
07 2019
07 2019
Historique:
received:
09
05
2018
revised:
31
05
2018
accepted:
11
06
2018
pubmed:
8
7
2018
medline:
21
8
2020
entrez:
8
7
2018
Statut:
ppublish
Résumé
Although Egypt places four generic pictorial health warnings (PHWs) on the front and back half of waterpipe tobacco packs (WTPs), waterpipe tobacco smoking (WTS) rates have continued to rise. It has been suggested that PHWs would be more salient if placed on the waterpipe device itself. This qualitative study explored how participants perceived the effects placing PHWs on waterpipe devices would have on warning salience and uptake or quitting of WTS. We conducted 10 focus groups and 10 in-depth interviews with 90 adult waterpipe smokers and non-smokers, men and women, who lived in rural, semi-urban and urban regions of Egypt. We presented participants with four novel PHWs of different sizes positioned randomly at four locations on a waterpipe device (the glass body, metal holder, mouthpiece or hose), one at a time. At each session, participants viewed a PHW on all four locations. Novel warnings were shown on plain labels with a dark uniform background and featured pictures, text and the quitline number. Transcripts were analysed using thematic analysis. Participants thought placing PHWs on waterpipe devices might increase salience, prevent WTS initiation or trigger quit attempts; they favoured placing PHWs on the glass body, mouthpiece or waterpipe hose. Both waterpipe smoker and non-smoker participants thought these potential effects would affect non-smokers or non-established smokers more than established waterpipe users. Our exploratory study suggests that PHWs featured prominently on waterpipe devices could potentially deter experimentation with waterpipe tobacco products and promote cessation, especially among non-established users.
Sections du résumé
BACKGROUND
Although Egypt places four generic pictorial health warnings (PHWs) on the front and back half of waterpipe tobacco packs (WTPs), waterpipe tobacco smoking (WTS) rates have continued to rise. It has been suggested that PHWs would be more salient if placed on the waterpipe device itself. This qualitative study explored how participants perceived the effects placing PHWs on waterpipe devices would have on warning salience and uptake or quitting of WTS.
METHODS
We conducted 10 focus groups and 10 in-depth interviews with 90 adult waterpipe smokers and non-smokers, men and women, who lived in rural, semi-urban and urban regions of Egypt. We presented participants with four novel PHWs of different sizes positioned randomly at four locations on a waterpipe device (the glass body, metal holder, mouthpiece or hose), one at a time. At each session, participants viewed a PHW on all four locations. Novel warnings were shown on plain labels with a dark uniform background and featured pictures, text and the quitline number. Transcripts were analysed using thematic analysis.
RESULTS
Participants thought placing PHWs on waterpipe devices might increase salience, prevent WTS initiation or trigger quit attempts; they favoured placing PHWs on the glass body, mouthpiece or waterpipe hose. Both waterpipe smoker and non-smoker participants thought these potential effects would affect non-smokers or non-established smokers more than established waterpipe users.
CONCLUSIONS
Our exploratory study suggests that PHWs featured prominently on waterpipe devices could potentially deter experimentation with waterpipe tobacco products and promote cessation, especially among non-established users.
Identifiants
pubmed: 29980654
pii: tobaccocontrol-2018-054494
doi: 10.1136/tobaccocontrol-2018-054494
pmc: PMC6589487
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
475-478Informations de copyright
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Am J Public Health. 2016 Oct;106(10):1773-7
pubmed: 27552262
Addiction. 2013 Nov;108(11):1873-84
pubmed: 23863044
Tob Control. 2015 Mar;24 Suppl 1:i60-i65
pubmed: 25550418
Tob Control. 2011 Sep;20(5):327-37
pubmed: 21606180
BMJ. 2000 Jan 8;320(7227):114-6
pubmed: 10625273
Tob Control. 2015 Mar;24 Suppl 1:i3-i12
pubmed: 25298368
Can J Cardiovasc Nurs. 2012 Spring;22(2):37-46
pubmed: 22803288
Addiction. 2011 Aug;106(8):1505-10
pubmed: 21401767
East Mediterr Health J. 2013 Aug;19(8):749-54
pubmed: 24975361
Nicotine Tob Res. 2014 Jul;16(7):931-8
pubmed: 24550183
Tob Prev Cessat. 2017 Jun 08;3:116
pubmed: 32432191
Int J Epidemiol. 2017 Feb 1;46(1):32-43
pubmed: 27075769
Int J Public Health. 2016 Jul;61(6):709-715
pubmed: 26971508
Am J Health Behav. 2010 May-Jun;34(3):275-85
pubmed: 20001185