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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Stronger pack warnings predict quitting more than weaker ones: Finding from the ITC Malaysia and Thailand surveys
Tobacco Induced Diseases, Volume 11, No. 1, Article 20, Year 2013
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Description
Background: We examined the impact of cigarette pack warning labels on interest in quitting and subsequent quit attempts among adult smokers in Malaysia and Thailand. Methods. Two overlapping cohorts of adults who reported smoking factory- made cigarettes from Malaysia and Thailand were interviewed face-to-face (3189 were surveyed at baseline and 1781 re-contacted at Wave 2; 2361 current smokers were surveyed at Wave 2 and 1586 re-contacted at Wave 3). In Thailand at baseline, large text only warnings were assessed, while at Wave 2 new large graphic warnings were assessed. In Malaysia, during both waves small text only warnings were in effect. Reactions were used to predict interest in quitting, and to predict making quit attempts over the following inter-wave interval. Results: Multivariate predictors of "interest in quitting" were comparable across countries, but predictors of quit attempts varied. In both countries, cognitive reactions to warnings (adjusted ORs; 1.57 & 1.69 for Malaysia at wave 1 and wave 2 respectively and 1.29 & 1.19 for Thailand at wave 1 and wave 2 respectively), forgoing a cigarette (except Wave 2 in Malaysia) (adjusted ORs; 1.77 for Malaysia at wave 1 and 1.54 & 2.32 for Thailand at wave 1 and wave 2 respectively), and baseline knowledge (except wave 2 in both countries) (adjusted ORs; 1.71 & 1.51 for Malaysia and Thailand respectively) were positively associated with interest in quitting at that wave. In Thailand only, "cognitive reactions to warnings" (adjusted ORs; 1.12 & 1.23 at wave 1 and wave 2 respectively), "forgoing a cigarette" (adjusted OR = 1.55 at wave 2 only) and "an interest in quitting" (adjusted ORs; 1.61 & 2.85 at wave 1 and wave 2 respectively) were positively associated with quit attempts over the following inter-wave interval. Salience was negatively associated with subsequent quit attempts in both Malaysia and Thailand, but at Wave 2 only (adjusted ORs; 0.89 & 0.88 for Malaysia and Thailand respectively). Conclusion: Warnings appear to have common mechanisms for influencing quitting regardless of warning strength. The larger and more informative Thai warnings were associated with higher levels of reactions predictive of quitting and stronger associations with subsequent quitting, demonstrating their greater potency. © 2013 Fathelrahman et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Fathelrahman, Ahmed Ibrahim
Malaysia, Minden
Universiti Sains Malaysia
Saudi Arabia, Buraidah
Al Qassim University
Li, Lin
Australia, East Melbourne
Cancer Council Victoria
Borland, Ron M.
Australia, East Melbourne
Cancer Council Victoria
Yong, Hua Hie
Australia, East Melbourne
Cancer Council Victoria
Omar, Maizurah
Malaysia, Minden
Universiti Sains Malaysia
Awang, Rahmat
Malaysia, Minden
Universiti Sains Malaysia
Sirirassamee, B.
Thailand, Nakhon Pathom
Mahidol University
Fong, Geoffrey T.
Canada, Waterloo
University of Waterloo
Hammond, David G.
Canada, Waterloo
University of Waterloo
Statistics
Citations: 39
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1186/1617-9625-11-20
e-ISSN:
16179625
Research Areas
Substance Abuse
Study Design
Cross Sectional Study
Cohort Study