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Evaluation of strategies to communicate harmful and potentially harmful constituent (HPHC) information through cigarette package inserts: a discrete choice experiment.
Salloum, Ramzi G; Louviere, Jordan J; Getz, Kayla R; Islam, Farahnaz; Anshari, Dien; Cho, Yoojin; O'Connor, Richard J; Hammond, David; Thrasher, James F.
Affiliation
  • Salloum RG; Department of Health Outcomes and Policy and Institute for Child Health Policy, College of Medicine, University of Florida, Gainesville, Florida, USA.
  • Louviere JJ; Institute for Choice and School of Marketing, University of South Australia, Adelaide, South Australia, Australia.
  • Getz KR; Department of Health Outcomes and Policy and Institute for Child Health Policy, College of Medicine, University of Florida, Gainesville, Florida, USA.
  • Islam F; Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
  • Anshari D; Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
  • Cho Y; Department of Health Education and Behavioral Sciences, Faculty of Public Health, Universitas Indonesia, Depok, Jawa Barat, Indonesia.
  • O'Connor RJ; Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
  • Hammond D; Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York, USA.
  • Thrasher JF; School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Tob Control ; 27(6): 677-683, 2018 11.
Article in En | MEDLINE | ID: mdl-28705893
BACKGROUND: The US Food and Drug Administration (FDA) has regulatory authority to use inserts to communicate with consumers about harmful and potentially harmful constituents (HPHCs) in tobacco products; however, little is known about the most effective manner for presenting HPHC information. METHODS: In a discrete choice experiment, participants evaluated eight choice sets, each of which showed two cigarette packages from four different brands and tar levels (high vs low), accompanied by an insert that included between-subject manipulations (ie, listing of HPHCs vs grouping by disease outcome and numeric values ascribed to HPHCs vs no numbers) and within-subject manipulations (ie, 1 of 4 warning topics; statement linking an HPHC with disease vs statement with no HPHC link). For each choice set, participants were asked: (1) which package is more harmful and (2) which motivates them to not smoke; each with a 'no difference' option. Alternative-specific logit models regressed choice on attribute levels. RESULTS: 1212 participants were recruited from an online consumer panel (725 18-29-year-old smokers and susceptible non-smokers and 487 30-64-year-old smokers). Participants were more likely to endorse high-tar products as more harmful than low-tar products, with a greater effect when numeric HPHC information was present. Compared with a simple warning statement, the statement linking HPHCs with disease encouraged quit motivation. CONCLUSIONS: Numeric HPHC information on inserts appears to produce misunderstandings that some cigarettes are less harmful than others. Furthermore, brief narratives that link HPHCs to smoking-related disease may promote cessation versus communications that do not explicitly link HPHCs to disease.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Product Labeling / Health Knowledge, Attitudes, Practice / Health Education / Tobacco Products / Smokers Type of study: Evaluation_studies Limits: Adolescent / Adult / Female / Humans / Male / Middle aged Language: En Journal: Tob Control Journal subject: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Year: 2018 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Product Labeling / Health Knowledge, Attitudes, Practice / Health Education / Tobacco Products / Smokers Type of study: Evaluation_studies Limits: Adolescent / Adult / Female / Humans / Male / Middle aged Language: En Journal: Tob Control Journal subject: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Year: 2018 Document type: Article Affiliation country: Country of publication: