Awareness about pictorial warnings on tobacco products and its impact on tobacco consumers in coastal Karnataka
DOI:
https://doi.org/10.47203/IJCH.2022.v34i03.011Keywords:
Tobacco Product, Cigarette, Awareness, Bidi, GutkaAbstract
Background: Tobacco use is a major risk factor for many chronic diseases, including cancer. India revised the pictorial warnings on all tobacco products in 2018, but its impact on tobacco consumers after the revision is less studied. Aim and Objective: To assess the awareness of the revised pictorial warnings on tobacco products and the impact of it on tobacco consumers in a coastal town. Methods: This cross-sectional study was conducted from 1st to 31st March 2021 among 185 adult tobacco consumers in a coastal town in Karnataka after obtaining ethical clearance and informed consent. The data was analysed using SPSS version 16.0 by descriptive statistics, Chi-square, Fisher’s exact test and binary logistic regression analysis. Results: Majority (95.7%) were males and 96.2% had seen the pictorial warning on the tobacco products. The commonly consumed tobacco products were panmasala (44.9%), gutka (38.9%), cigarette (31.4%) and bidi (15.1%). The mean age of initiation of consuming tobacco products was 24.8 years and mean duration of the habit was 17 years. Conclusions: A majority (96.2%) have seen the pictorial warnings on the tobacco products and significant predictors for reducing tobacco consumption were those who inferred the pictorial warnings as tobacco is injurious to health and cancerous.
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References
World Health Organization. Tobacco. Available from: https://www.who.int/india/health-topics/tobacco#:~:text=Tobacco% 20use%20is%20a%20major,1.35%20million%20deaths%20every%20year (Last accessed on 15.09.2022).
Global Adult Tobacco Survey. GATS-2 India 2016-17. Highlights. Available from: http://www.tiss.edu/uploads/files/National_Factshee India.pdf (Last accessed on 15.09.2022).
Global Adult Tobacco Survey. GATS-2 Fact Sheet Karnataka 2016-17. Available from: www.tiss.edu/uploads/files/Karnataka.pdf (Last accessed on 15.09.2022).
National Family Health Survey (NFHS-5) India 2019-21 Available from: http://rchiips.org/nfhs/NFHS-5_FCTS/Final%20Compendium%20 of%20fact%20sheets_India%20and%2014%20States_UTs%20(Phase-II).pdf (Last accessed on 15.09.2022).
World Health Organization. FCTC Implementation. Available from: https://www.who.int/fctc/guidelines/ArtElevenHammondTwo.pdf (Last accessed on 15.09.2022).
Arora M, Tewari A, Nazar GP, Gupta VK, Shrivastav R. Ineffective pictorial health warnings on tobacco products: Lessons learnt from India. Indian J Public Health 2012;56:61-4.
World Health Organization. Framework Convention on Tobacco Control. Elaboration of Guidelines for Implementation of Article 11 of the Convention. World Health Organization; 2008. Available from: www.who.int/fctc/guidelines/adopted/article_11/en/ (Last accessed on 15.09.2022).
Cigarettes and other Tobacco Products (Packaging and Labelling) Second Amendment Rules, 2018. Ministry of Health and Family Welfare Notification New Delhi, Gazette of India, Extraordinary, Part II, section 3, sub-section (i) vide notification number G.S.R. G.S.R. 331(E). 2018:33.
Chopra A, Rao NC, Gupta N, Vashisth S. Communicating tobacco health risks: How effective are the warning labels on tobacco products? Niger Med J. 2014;55:411-6 DOI: 10.4103/0300-1652.140383
World Health Organisation, 2022. WHO report on the global tobacco epidemic 2021: addressing new and emerging products. [online] Geneva: World Health Organisation, p.19. Available at: https://www.who.int/publications/i/item/9789240032095 (Last accessed on 15.09.2022).
Vanishree N, Narayan RR, Naveen N, Bullapa D, Vignesh D, Raveendran PNM. Impact of pictorial warning labels on tobacco products among patients attending outpatient department of a dental college in Bangalore city: A cross-sectional study. Indian J Cancer. Apr-Jun 2017;54(2):461-6. DOI: 10.4103/ijc.IJC_203_17.
Yaddanapalli SC, Ravoori S, Bommireddy VS, Pachava S. Awareness and attitude toward pictographs on tobacco products: A population-based study in field practice area. Indian J Psychiatry. 2019;61:65-9.
Oswal KC, Raute LJ, Pednekar MS, Gupta PC. Are current tobacco pictorial warnings in India effective? Asian Pac J Cancer Prev. 2011;12:121-4. PMID: 21517243
Majumdar A, Kumar SG, Selvaraj R. Awareness of health warnings and factors predicting awareness and perceived effectiveness of pictorial health warnings on tobacco products among adults in rural Puducherry, India. J Edu Health Promot2017;6:23. DOI: 10.4103/jehp.jehp_72_15
Shah VR, Dave VR, Sonaliya KN. Impact of anti-tobacco warning labels on behaviour of tobacco users in one of the cities of Gujarat, India J Prev Med Hyg. 2013;54(2):109-13. PMID: 24396992
Karinagannanavar A, Raghavendra B, Hemagiri K, Goud TG. Awareness about pictorial warnings on tobacco products and its impact on tobacco consumers in Bellary, India. Asian Pac J Cancer Prev. 2011;12:2485-9. PMID: 22320943
Karibasappa GN, Nagesh L, Usha GV, Prakash S. Assessment of awareness about pictorial warnings on tobacco products among 15 years and above in Davangere city, Karnataka, India – A cross sectional study. Indian J Stomatol. 2011;2:227-32.
Dahiya P, Kamal R, Gupta R, Bhatt S, Didhra G, Bansal V. Assessment of awareness about pictorial warnings on tobacco products in tobacco users in Paonta Sahib, Himachal Pradesh, India. Arch Med Health Sci. 2017;5:39-43.DOI: 10.4103/amhs.amhs_83_16
Rahman M, NurullahAwal AS, Fukui T, Sakamoto J. Prevalence of cigarette and bidi smoking among rickshaw pullers in Dhaka city. Prev Med. 2007;44:218-22
Chopra A, Rao NC, Gupta N, Vashisth S. Communicating tobacco health risks: How effective are the warning labels on tobacco products?. Niger Med J . 2014;55(5):411-6. DOI: 10.4103/0300-1652.140383.
European Commission. Euro barometer: Survey on Tobacco (Analytical Report). 2009; Available from: https://www.ec.europa.eu/public_opinion/flash/fl_253_en.pdf (Last accessed on 15.09.2022).
Hammod D, Fong GT, Borland R, et al.. Text and Graphic Warnings on cigarette packages: findings from the ITC four country survey. Am J Prev Med 2007;32(3):202-9. DOI: 10.1016/j.amepre.2006.11.011.
Shanahan P, Elliott D. Evaluation of the effectiveness of the graphic health warnings on tobacco product packaging. 2008; Australian Government Department of Health and Ageing, Canberra. Available from: http://www.health.gov.au/internet/main/publishing.nsf/Content/phd-tobacco-eval-graphic-health-warnings-fullreport (Last accessed on 15.09.2022).
Arora M, Tewari A, Nazar GP, Gupta VK, Shrivastav R. Ineffective pictorial health warnings on tobacco products: Lessons learnt from India. Indian J Public Health. 2012;56:61-4.
Agaku IT, Filippidis FT, Vardavas CI. Effectiveness of text versus pictorial health warning labels and predictors of support for plain packaging of tobacco products within the European Union. Eur Addict Res. 2015;21:47-52
Mannocci A, Antici D, Boccia A, La Torre G. Impact of cigarette packages warning labels in relation to tobacco smoking dependence and motivation to quit. Epidemiol Prev. 2012;36(2):100-7.
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