The impact of pictorial health warnings on tobacco products in smokers behaviours and knowledge: the first quasi-experimental field trial after the implementation of the tobacco law in Italy.


Journal

Annali dell'Istituto superiore di sanita
ISSN: 2384-8553
Titre abrégé: Ann Ist Super Sanita
Pays: Italy
ID NLM: 7502520

Informations de publication

Date de publication:
Historique:
entrez: 3 7 2019
pubmed: 3 7 2019
medline: 23 1 2020
Statut: ppublish

Résumé

The aim of the study was to evaluate in the Italian smokers, the effects of implementation of the law about Pictorial Health Warnings (PHWs) on tobacco products. A quasi-experimental longitudinal design was conducted between 2016 and 2017. The data were collected before (pre-PHW/Wave 1) and after (post-PHW/Wave 2) the implementation of the law. The adopted questionnaire included impact of advertisement (Label Impact Index, LII), quitting behavior and knowledge of tobacco related diseases. 455 respondents completed both the Waves. 7.7% of smokers declared to have stopped smoking in Wave 2 and 29% of these declared the PHWs as one of the reasons to quit. The knowledge of tobacco related diseases was significantly (p <0.001) increased from Wave 1 to Wave 2 (58% versus 72%), similarly the LII (mean = 26.9, SD = 16.7 and mean = 40.4, SD = 16.2). Tobacco addiction is a problem that needs to be addressed from different angles. PHWs confirm their complementary role as a support for smokers along with other strategies such as text warnings and the tobacco quit line of the Istituto Superiore di Sanità (Italian National Institute of Health) reported on the packages. Nonetheless, over the years these measures have been not enough and policy makers should consider more strategies synergistically acting in the fight against tabagism.

Sections du résumé

BACKGROUND BACKGROUND
The aim of the study was to evaluate in the Italian smokers, the effects of implementation of the law about Pictorial Health Warnings (PHWs) on tobacco products.
METHODS METHODS
A quasi-experimental longitudinal design was conducted between 2016 and 2017. The data were collected before (pre-PHW/Wave 1) and after (post-PHW/Wave 2) the implementation of the law. The adopted questionnaire included impact of advertisement (Label Impact Index, LII), quitting behavior and knowledge of tobacco related diseases.
RESULTS RESULTS
455 respondents completed both the Waves. 7.7% of smokers declared to have stopped smoking in Wave 2 and 29% of these declared the PHWs as one of the reasons to quit. The knowledge of tobacco related diseases was significantly (p <0.001) increased from Wave 1 to Wave 2 (58% versus 72%), similarly the LII (mean = 26.9, SD = 16.7 and mean = 40.4, SD = 16.2).
CONCLUSION CONCLUSIONS
Tobacco addiction is a problem that needs to be addressed from different angles. PHWs confirm their complementary role as a support for smokers along with other strategies such as text warnings and the tobacco quit line of the Istituto Superiore di Sanità (Italian National Institute of Health) reported on the packages. Nonetheless, over the years these measures have been not enough and policy makers should consider more strategies synergistically acting in the fight against tabagism.

Identifiants

pubmed: 31264642
doi: 10.4415/ANN_19_02_11
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

186-194

Auteurs

Alice Mannocci (A)

Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Rome, Italy.

Daniele Mipatrini (D)

Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Rome, Italy.

Gianmarco Troiano (G)

Dipartimento di Medicina Molecolare e dello Sviluppo, Università degli Studi di Siena, Siena, Italy.

Federico Milazzo (F)

Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Rome, Italy.

Elisa Langiano (E)

Dipartimento di Scienze Umane Sociali e della Salute, Università degli Studi di Cassino e del Lazio Meridionale, Cassino, Italy.

Maria Ferrara (M)

Dipartimento di Scienze Umane Sociali e della Salute, Università degli Studi di Cassino e del Lazio Meridionale, Cassino, Italy.

Alberto Firenze (A)

Dipartimento di Scienze per la Promozione della Salute e Materno Infantile "G. D'Alessandro", Università degli Studi di Palermo, Palermo, Italy.

Sandro Provenzano (S)

Dipartimento di Scienze per la Promozione della Salute e Materno Infantile "G. D'Alessandro", Università degli Studi di Palermo, Palermo, Italy.

Maria Rosaria Gualano (MR)

Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, Turin, Italy.

Maria Fiore (M)

Dipartimento di Scienze Mediche, Chirurgiche e Tecnologie Avanzate "G.F. Ingrassia", Università degli Studi di Catania, Catania, Italy.

Giovanni Boccia (G)

Dipartimento di Medicina Chirurgia ed Odontoiatria, "Scuola Medica Salernitana", Università degli Studi di Salerno, Salerno, Italy.

Gabriele Messina (G)

Dipartimento di Medicina Molecolare e dello Sviluppo, Università degli Studi di Siena, Siena, Italy.

Elisabetta De Vito (E)

Dipartimento di Scienze Umane Sociali e della Salute, Università degli Studi di Cassino e del Lazio Meridionale, Cassino, Italy.

Roberta Siliquini (R)

Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, Turin, Italy.

Paolo Villari (P)

Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Rome, Italy.

Giuseppe La Torre (G)

Dipartimento di Medicina Molecolare e dello Sviluppo, Università degli Studi di Siena, Siena, Italy.

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Classifications MeSH