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Opportunities for plain packaging of tobacco products in the Philippines

Results of a nationwide online survey

Bibliographic Data

ID22084148
AuthorsJohn Rafael Y Arda, John Rafael Arda (0000-0001-5186-1028, Ateneo de Manila University, corresponding author), Gianna Gayle H Amul (0000-0002-4197-9601, Ateneo de Manila University), Eunice U Mallari (0000-0002-7777-9185, Ateneo de Manila University), Alen Josef A Santiago, Alen Josef Santiago (0000-0001-8313-2479, Ateneo de Manila University)
Year2024
Volume12
Pages1405062-1405062
Publication date2024-09-26
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1405062
PMID39391159
OpenAlexW4402894656
LanguageEN
Citations received4
References cited16

Objective: This study aimed to contribute to local research evidence to promote the implementation of plain packaging of tobacco products in the Philippines. The study aimed to assess Filipinos' perception of the effectiveness of plain packaging and their readiness by assessing the potential impact of plain packaging. Methods: We conducted a nationwide geographically representative online panel survey with a sample size of 2,000 Filipinos. The survey recruited respondents 18-65 years old and residing in the Philippines, with 500 respondents each from the National Capital Region, Luzon, Visayas, and Mindanao. We showed respondents six different mock-ups of cigarette packs in plain packaging, with two sizes of graphic health warnings (50 and 75%) and three plain packaging colors (black, white, and Pantone 448C). Using five-point Likert scales, participants rated their agreement with 18 items assessing readiness and rationales for plain packaging and 54 items related to pack design (9 items for 6 pack designs). Results: The study showed that Filipinos recognize the value of adopting plain packaging with larger graphic health warning labels on tobacco products in the Philippines. Both non-smokers and smokers agreed that plain packaging has the potential to reduce the attractiveness and appeal of packs, prevent advertisement and promotion of tobacco products, reduce the ability of tobacco products to mislead consumers, increase the noticeability and effectiveness of the pictorial health warnings, increase recall of the pictorial health warnings, affect consumer perceptions of the attractiveness of the tobacco products and their relative safety, reduce youth experimentation with the use of tobacco products, prevent the use of tobacco brand variants as a promotional tool, prevent branding targeted toward youth, promote quitting among current users, and to more clearly inform consumers about the harmful effects of tobacco use. Conclusion: We recommend that policymakers pursue plain packaging as legislation or as part of a reform of the Philippines' graphic health warnings law. The law should target tobacco products sold in the Philippines

Advertising · Attractiveness · Business · Environmental health · Packaging and labeling · Point of sale · Population · Smokeless tobacco · Tobacco use · Consumer Attitudes and Food Labeling · Consumer Packaging Perceptions and Trends · Medicine · Psychology · Smoking Behavior and Cessation · Marketing

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    Open Access•Samantha Ackary, Alen Josef Santiago et al.•Tobacco Control•2025

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    Open Access•Ting Fei, Dawei Yan et al.•Frontiers in Public Health•2026

  • Cigarette packaging as a commercial determinant of smoking

    Open Access•Gianna Gayle H Amul, Eunice U Mallari et al.•Social Science & Medicine•2025

  • Graphic health warnings and plain packaging in the Philippines

    Open Access•Gianna Gayle H Amul, Eunice U Mallari et al.•Frontiers in Public Health•2023

  • Tobacco industry marketing adaptations to Singapore plain packaging

    Yvette van der Eijk, Adonsia Yating Yang•Tobacco Control•2021

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    Crawford Moodie, Janet Hoek et al.•Tobacco Control•2022

  • The effectiveness of plain packaging in discouraging tobacco consumption in Australia

    Open Access•David Underwood, D G Underwood et al.•Nature Human Behaviour•2020

Citations per year4
Citation span2025 - 2026 (2)
Highly citedNo

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