Evaluating the impact of introducing standardized packaging with larger health-warning labels in England: findings from adult smokers within the EUREST-PLUS ITC Europe Surveys
Abstract Background The European (EU) Tobacco Product Directive (TPD) was implemented in May 2016 to regulate the design and labelling of cigarettes and roll-your-own tobacco. At the same time, the UK introduced standardized packaging measures, whereas Germany, Greece, Hungary, Poland, Romania and S...
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| Veröffentlicht in: | European journal of public health 2020-07, Vol.30 (Supplement_3), p.iii91-iii97 |
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| creator | Aleyan, Sarah Driezen, Pete McNeill, Ann McDermott, Máirtín Kahnert, Sarah Kyriakos, Christina N Mons, Ute Fernández, Esteve Trofor, Antigona C Zatoński, Mateusz Demjén, Tibor Katsaounou, Paraskevi A Przewoźniak, Krzysztof Balmford, James Filippidis, Filippos T Fong, Geoffrey T Vardavas, Constantine I Hitchman, Sara C |
| description | Abstract
Background
The European (EU) Tobacco Product Directive (TPD) was implemented in May 2016 to regulate the design and labelling of cigarettes and roll-your-own tobacco. At the same time, the UK introduced standardized packaging measures, whereas Germany, Greece, Hungary, Poland, Romania and Spain did not. This study examines the impact of introducing standardized packaging in England using a quasi-experimental design.
Methods
Data from adult smokers in Waves 1 (2016; N=9547) and 2 (2018; N=9724) from the International Tobacco Control Policy Evaluation surveys (England) and EUREST-PLUS surveys (Germany, Greece, Hungary, Poland, Romania and Spain) were used. Generalized estimating equations were used to estimate changes in pack/brand appeal, salience of health-warning labels (HWLs) and perceived relative harm of different brands in England (where larger HWLs and standardized packaging were implemented), vs. each EU country (where only larger HWLs were implemented).
Results
There was an increase in the percentage of respondents from Germany, Hungary and Poland reporting they did not like the look of the pack (4.7%, 9.6%, and 14.2%, respectively), but the largest increase was in England (41.0%). Moreover, there was a statistically significant increase in the salience of HWLs in Hungary, Poland and Romania (17.0%, 13.9%, and 15.3%, respectively), but the largest increase was in England (27.6%). Few differences were observed in cross-country comparisons of the perceived relative harm of different brands.
Conclusions
Findings suggest that standardized packaging reduces pack appeal and enhances the salience of HWLs over and above the effects of larger HWLs. Findings provide additional evidence and support for incorporating standardized packaging into the EU TPD. |
| doi_str_mv | 10.1093/eurpub/ckaa053 |
| format | Article |
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Background
The European (EU) Tobacco Product Directive (TPD) was implemented in May 2016 to regulate the design and labelling of cigarettes and roll-your-own tobacco. At the same time, the UK introduced standardized packaging measures, whereas Germany, Greece, Hungary, Poland, Romania and Spain did not. This study examines the impact of introducing standardized packaging in England using a quasi-experimental design.
Methods
Data from adult smokers in Waves 1 (2016; N=9547) and 2 (2018; N=9724) from the International Tobacco Control Policy Evaluation surveys (England) and EUREST-PLUS surveys (Germany, Greece, Hungary, Poland, Romania and Spain) were used. Generalized estimating equations were used to estimate changes in pack/brand appeal, salience of health-warning labels (HWLs) and perceived relative harm of different brands in England (where larger HWLs and standardized packaging were implemented), vs. each EU country (where only larger HWLs were implemented).
Results
There was an increase in the percentage of respondents from Germany, Hungary and Poland reporting they did not like the look of the pack (4.7%, 9.6%, and 14.2%, respectively), but the largest increase was in England (41.0%). Moreover, there was a statistically significant increase in the salience of HWLs in Hungary, Poland and Romania (17.0%, 13.9%, and 15.3%, respectively), but the largest increase was in England (27.6%). Few differences were observed in cross-country comparisons of the perceived relative harm of different brands.
Conclusions
Findings suggest that standardized packaging reduces pack appeal and enhances the salience of HWLs over and above the effects of larger HWLs. Findings provide additional evidence and support for incorporating standardized packaging into the EU TPD.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckaa053</identifier><identifier>PMID: 32918815</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Cigarettes ; Design of experiments ; Evaluation ; Experimental design ; Labeling ; Labels ; Packaging ; Policy analysis ; Polls & surveys ; Public health ; Quasi-experimental methods ; Respondents ; Salience ; Smoking ; Statistical analysis ; Supplement Papers ; Tobacco ; Warning labels</subject><ispartof>European journal of public health, 2020-07, Vol.30 (Supplement_3), p.iii91-iii97</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-e4ca95d8c3928ee01c113c2486d552ec353e4731191bca78a1f97fd0e7e52b1b3</citedby><cites>FETCH-LOGICAL-c452t-e4ca95d8c3928ee01c113c2486d552ec353e4731191bca78a1f97fd0e7e52b1b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526781/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526781/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1604,27866,27924,27925,53791,53793</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/eurpub/ckaa053$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32918815$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aleyan, Sarah</creatorcontrib><creatorcontrib>Driezen, Pete</creatorcontrib><creatorcontrib>McNeill, Ann</creatorcontrib><creatorcontrib>McDermott, Máirtín</creatorcontrib><creatorcontrib>Kahnert, Sarah</creatorcontrib><creatorcontrib>Kyriakos, Christina N</creatorcontrib><creatorcontrib>Mons, Ute</creatorcontrib><creatorcontrib>Fernández, Esteve</creatorcontrib><creatorcontrib>Trofor, Antigona C</creatorcontrib><creatorcontrib>Zatoński, Mateusz</creatorcontrib><creatorcontrib>Demjén, Tibor</creatorcontrib><creatorcontrib>Katsaounou, Paraskevi A</creatorcontrib><creatorcontrib>Przewoźniak, Krzysztof</creatorcontrib><creatorcontrib>Balmford, James</creatorcontrib><creatorcontrib>Filippidis, Filippos T</creatorcontrib><creatorcontrib>Fong, Geoffrey T</creatorcontrib><creatorcontrib>Vardavas, Constantine I</creatorcontrib><creatorcontrib>Hitchman, Sara C</creatorcontrib><creatorcontrib>EUREST-PLUS Consortium</creatorcontrib><creatorcontrib>the EUREST-PLUS Consortium</creatorcontrib><title>Evaluating the impact of introducing standardized packaging with larger health-warning labels in England: findings from adult smokers within the EUREST-PLUS ITC Europe Surveys</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Abstract
Background
The European (EU) Tobacco Product Directive (TPD) was implemented in May 2016 to regulate the design and labelling of cigarettes and roll-your-own tobacco. At the same time, the UK introduced standardized packaging measures, whereas Germany, Greece, Hungary, Poland, Romania and Spain did not. This study examines the impact of introducing standardized packaging in England using a quasi-experimental design.
Methods
Data from adult smokers in Waves 1 (2016; N=9547) and 2 (2018; N=9724) from the International Tobacco Control Policy Evaluation surveys (England) and EUREST-PLUS surveys (Germany, Greece, Hungary, Poland, Romania and Spain) were used. Generalized estimating equations were used to estimate changes in pack/brand appeal, salience of health-warning labels (HWLs) and perceived relative harm of different brands in England (where larger HWLs and standardized packaging were implemented), vs. each EU country (where only larger HWLs were implemented).
Results
There was an increase in the percentage of respondents from Germany, Hungary and Poland reporting they did not like the look of the pack (4.7%, 9.6%, and 14.2%, respectively), but the largest increase was in England (41.0%). Moreover, there was a statistically significant increase in the salience of HWLs in Hungary, Poland and Romania (17.0%, 13.9%, and 15.3%, respectively), but the largest increase was in England (27.6%). Few differences were observed in cross-country comparisons of the perceived relative harm of different brands.
Conclusions
Findings suggest that standardized packaging reduces pack appeal and enhances the salience of HWLs over and above the effects of larger HWLs. Findings provide additional evidence and support for incorporating standardized packaging into the EU TPD.</description><subject>Cigarettes</subject><subject>Design of experiments</subject><subject>Evaluation</subject><subject>Experimental design</subject><subject>Labeling</subject><subject>Labels</subject><subject>Packaging</subject><subject>Policy analysis</subject><subject>Polls & surveys</subject><subject>Public health</subject><subject>Quasi-experimental methods</subject><subject>Respondents</subject><subject>Salience</subject><subject>Smoking</subject><subject>Statistical analysis</subject><subject>Supplement Papers</subject><subject>Tobacco</subject><subject>Warning labels</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><recordid>eNqFkUtv1DAUhSMEoqWwZYkssWKR1o84DxZIaBSg0kggZkZiZznOzaOTxKkfU5U_xV_E6QwVrFjZ8vnu8dE9UfSa4EuCC3YF3sy-ulJ7KTFnT6JzkqRJzFL842m4E0xiQlN6Fr2w9gZjzLOcPo_OGC1InhN-Hv0qD3Lw0vVTi1wHqB9nqRzSDeonZ3Tt1aJYJ6damrr_CTUKwF62y_Nd7zo0SNOCQR3IwXXxnTTTIg2ygsEGE1RO7RCm36Omn-ogWdQYPSJZ-8EhO-o9GPvgFNglQbn7Xm628bf1boOutytUeqNnQBtvDnBvX0bPGjlYeHU6L6Ldp3K7-hKvv36-Xn1cxyrh1MWQKFnwOlesoDkAJooQpmiSpzXnFBTjDJKMEVKQSsksl6QpsqbGkAGnFanYRfTh6Bu2O0KtIGxDDmI2_SjNvdCyF_8qU9-JVh9Exmma5SQYvD0ZGH3rwTpxo72ZQmZBOS2KjKQP1OWRUkZba6B5_IFgsRQsjgWLU8Fh4M3fuR7xP40G4N0R0H7-n9lvQO22qA</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Aleyan, Sarah</creator><creator>Driezen, Pete</creator><creator>McNeill, Ann</creator><creator>McDermott, Máirtín</creator><creator>Kahnert, Sarah</creator><creator>Kyriakos, Christina N</creator><creator>Mons, Ute</creator><creator>Fernández, Esteve</creator><creator>Trofor, Antigona C</creator><creator>Zatoński, Mateusz</creator><creator>Demjén, Tibor</creator><creator>Katsaounou, Paraskevi A</creator><creator>Przewoźniak, Krzysztof</creator><creator>Balmford, James</creator><creator>Filippidis, Filippos T</creator><creator>Fong, Geoffrey T</creator><creator>Vardavas, Constantine I</creator><creator>Hitchman, Sara C</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>5PM</scope></search><sort><creationdate>20200701</creationdate><title>Evaluating the impact of introducing standardized packaging with larger health-warning labels in England: findings from adult smokers within the EUREST-PLUS ITC Europe Surveys</title><author>Aleyan, Sarah ; Driezen, Pete ; McNeill, Ann ; McDermott, Máirtín ; Kahnert, Sarah ; Kyriakos, Christina N ; Mons, Ute ; Fernández, Esteve ; Trofor, Antigona C ; Zatoński, Mateusz ; Demjén, Tibor ; Katsaounou, Paraskevi A ; Przewoźniak, Krzysztof ; Balmford, James ; Filippidis, Filippos T ; Fong, Geoffrey T ; Vardavas, Constantine I ; Hitchman, Sara C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-e4ca95d8c3928ee01c113c2486d552ec353e4731191bca78a1f97fd0e7e52b1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cigarettes</topic><topic>Design of experiments</topic><topic>Evaluation</topic><topic>Experimental design</topic><topic>Labeling</topic><topic>Labels</topic><topic>Packaging</topic><topic>Policy analysis</topic><topic>Polls & surveys</topic><topic>Public health</topic><topic>Quasi-experimental methods</topic><topic>Respondents</topic><topic>Salience</topic><topic>Smoking</topic><topic>Statistical analysis</topic><topic>Supplement Papers</topic><topic>Tobacco</topic><topic>Warning labels</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aleyan, Sarah</creatorcontrib><creatorcontrib>Driezen, Pete</creatorcontrib><creatorcontrib>McNeill, Ann</creatorcontrib><creatorcontrib>McDermott, Máirtín</creatorcontrib><creatorcontrib>Kahnert, Sarah</creatorcontrib><creatorcontrib>Kyriakos, Christina N</creatorcontrib><creatorcontrib>Mons, Ute</creatorcontrib><creatorcontrib>Fernández, Esteve</creatorcontrib><creatorcontrib>Trofor, Antigona C</creatorcontrib><creatorcontrib>Zatoński, Mateusz</creatorcontrib><creatorcontrib>Demjén, Tibor</creatorcontrib><creatorcontrib>Katsaounou, Paraskevi A</creatorcontrib><creatorcontrib>Przewoźniak, Krzysztof</creatorcontrib><creatorcontrib>Balmford, James</creatorcontrib><creatorcontrib>Filippidis, Filippos T</creatorcontrib><creatorcontrib>Fong, Geoffrey T</creatorcontrib><creatorcontrib>Vardavas, Constantine I</creatorcontrib><creatorcontrib>Hitchman, Sara C</creatorcontrib><creatorcontrib>EUREST-PLUS Consortium</creatorcontrib><creatorcontrib>the EUREST-PLUS Consortium</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Aleyan, Sarah</au><au>Driezen, Pete</au><au>McNeill, Ann</au><au>McDermott, Máirtín</au><au>Kahnert, Sarah</au><au>Kyriakos, Christina N</au><au>Mons, Ute</au><au>Fernández, Esteve</au><au>Trofor, Antigona C</au><au>Zatoński, Mateusz</au><au>Demjén, Tibor</au><au>Katsaounou, Paraskevi A</au><au>Przewoźniak, Krzysztof</au><au>Balmford, James</au><au>Filippidis, Filippos T</au><au>Fong, Geoffrey T</au><au>Vardavas, Constantine I</au><au>Hitchman, Sara C</au><aucorp>EUREST-PLUS Consortium</aucorp><aucorp>the EUREST-PLUS Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating the impact of introducing standardized packaging with larger health-warning labels in England: findings from adult smokers within the EUREST-PLUS ITC Europe Surveys</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>30</volume><issue>Supplement_3</issue><spage>iii91</spage><epage>iii97</epage><pages>iii91-iii97</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Abstract
Background
The European (EU) Tobacco Product Directive (TPD) was implemented in May 2016 to regulate the design and labelling of cigarettes and roll-your-own tobacco. At the same time, the UK introduced standardized packaging measures, whereas Germany, Greece, Hungary, Poland, Romania and Spain did not. This study examines the impact of introducing standardized packaging in England using a quasi-experimental design.
Methods
Data from adult smokers in Waves 1 (2016; N=9547) and 2 (2018; N=9724) from the International Tobacco Control Policy Evaluation surveys (England) and EUREST-PLUS surveys (Germany, Greece, Hungary, Poland, Romania and Spain) were used. Generalized estimating equations were used to estimate changes in pack/brand appeal, salience of health-warning labels (HWLs) and perceived relative harm of different brands in England (where larger HWLs and standardized packaging were implemented), vs. each EU country (where only larger HWLs were implemented).
Results
There was an increase in the percentage of respondents from Germany, Hungary and Poland reporting they did not like the look of the pack (4.7%, 9.6%, and 14.2%, respectively), but the largest increase was in England (41.0%). Moreover, there was a statistically significant increase in the salience of HWLs in Hungary, Poland and Romania (17.0%, 13.9%, and 15.3%, respectively), but the largest increase was in England (27.6%). Few differences were observed in cross-country comparisons of the perceived relative harm of different brands.
Conclusions
Findings suggest that standardized packaging reduces pack appeal and enhances the salience of HWLs over and above the effects of larger HWLs. Findings provide additional evidence and support for incorporating standardized packaging into the EU TPD.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>32918815</pmid><doi>10.1093/eurpub/ckaa053</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of public health, 2020-07, Vol.30 (Supplement_3), p.iii91-iii97 |
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| source | Oxford Journals Open Access Collection |
| subjects | Cigarettes Design of experiments Evaluation Experimental design Labeling Labels Packaging Policy analysis Polls & surveys Public health Quasi-experimental methods Respondents Salience Smoking Statistical analysis Supplement Papers Tobacco Warning labels |
| title | Evaluating the impact of introducing standardized packaging with larger health-warning labels in England: findings from adult smokers within the EUREST-PLUS ITC Europe Surveys |
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