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Effectiveness of Text-Only Cigarette Health Warnings in Japan

Findings from the 2018 International Tobacco Control (ITC) Japan Survey

Bibliographic Data

ID15464231
AuthorsJanet Chung‐Hall (0000-0002-9139-8100, University of Waterloo, corresponding author), Geoffrey T Fong (0000-0001-9098-6472, Ontario Institute for Cancer Research), Gang Meng (0000-0002-7771-7881, University of Waterloo), Mi Yan (0000-0003-4730-3781, University of Waterloo), Takatoshi Tabuchi (0000-0002-1050-3125, Osaka International Cancer Institute), Itsuro Yoshimi (0000-0002-2941-0818, National Cancer Centre Japan), Yumiko Mochizuki (Japan Cancer Society), Lorraine Craig (0000-0001-5269-1817, University of Waterloo), Janine Ouimet (University of Waterloo), Anne C K Quah (0000-0002-5303-8884, University of Waterloo)
Year2020
Volume17
Issue3
Pages952-952
Publication date2020-02-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17030952
PMID32033056
OpenAlexW3005426596
LanguageEN
Citations received3
References cited20

Health warnings are an effective strategy for communicating the health harms of smoking, encouraging quitting, and preventing smoking initiation. This study examines the effectiveness of existing text-only health warnings, identifies key predictors of warning effectiveness, and assesses support for pictorial warnings in Japan. Data are from the 2018 International Tobacco Control (ITC) Japan Survey, a cohort survey of adult cigarette smokers (n = 3306), dual users of cigarettes and heated tobacco products (n = 555), and non-cigarette smokers (n = 823). Weighted multivariable logistic regression models were used to assess predictors of warning effectiveness and support for pictorial warnings. Overall, 15.6% of respondents noticed warnings, and 7.9% read or looked closely at warnings. Overall, 10.3% of smokers and dual users said the warnings stopped them from having a cigarette, and 7.2% avoided warnings. Overall, 27.5% of respondents said the warnings made them think about health risks of smoking, but only 2.7% of smokers and dual users said the warnings made them more likely to quit. Overall, 57.6% of respondents supported pictorial warnings. The weak effectiveness of Japan's text-only warnings is consistent with that in other countries with similar warnings. There is majority support for pictorial warnings in Japan, although the level of support is lower than in other countries

Advertising · Business · Cohort · Environmental health · Logistic regression · Public health · Smoking cessation · Tobacco control · Behavioral Health and Interventions · Consumer Attitudes and Food Labeling · Medicine · Nursing · Smoking Behavior and Cessation

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Unique citing works3
Citations per year0,6
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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