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KMID : 1231220180090010026
Journal of the Korean Society for Research on Nicotine and Tobacco
2018 Volume.9 No. 1 p.26 ~ p.33
Assessment of Tobacco Pictorial Health Warnings and Preference of Text Warnings
Hwang Ji-Eun

Yang Yu-Seon
Lee Seon-Yeong
Lee Joung-Eun
Oh Yu-Mi
Abstract
Background: Pictorial health warning (PHW) is a cost-effective tobacco control policy to convey health risks information caused by smoking. It should be developed to motivate smokers¡¯ to quit as well as to prevent smoking initiation of non-smokers. To provide preliminary data for developing effective tobacco health warnings, surveys were conducted to study attitude change toward smoking after being exposed to PHWs and to assess preference of text warnings by forms of description.

Methods: 61 male and female adults aged 19 and more were recruited based on their smoking history. Changes in knowledge on smoking, perception of smoking and smoking cravings after exposure to the PHWs were scored on a five-point scale such that the lower the score, the more negative the attitudes toward smoking. Participants were also asked to choose one text warning that conveys best the message of PHW among five types of text warnings.

Results: Participants scored that smoking has negative or very negative impacts on health, both before and after being exposed to PHWs. After exposure to the PHWs, more participants answered that smoking has very negative impacts on health. Perception of smoking also identified as negative before and after exposure to the PHWs, and the score was lowered after being exposed (pre-exposure: 2.11, post-exposure: 1.97). Smoking cravings score was lowered after exposure, from 2.18 to 1.90. Meanwhile, informational text warnings were most preferred, followed by emotional and negative text warnings. In terms of frequency, informational warnings were selected 11 times, and testimonial warnings and emotional warnings were selected 3 times each.

Conclusion: This study found that PHWs affect knowledge on smoking, perception of smoking and smoking cravings. It provided sound evidence on implementation of tobacco pictorial warnings in order to raise awareness on the consequences of smoking, promoting public support for tobacco control.
KEYWORD
Pictorial Health Warnings, Text Warnings, Smoking, Cessation
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