Larger and More Prominent Graphic Health Warnings on Plain-Packaged Tobacco Products and Avoidant Responses in Current Smokers: a Qualitative Study

Background: The introduction of tobacco plain packaging legislation in Australia meant that all tobacco products were to be sold in plain dark-brown packaging with 75 % front-of-pack graphic health warnings and standardised font type and size for brand name and product variant. The change in the siz...

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Main Authors: Hardcastle, Sarah, Chan, Derwin, Caudwell, Kim, Sultan, S., Cranwell, J., Chatzisarantis, N., Hagger, Martin
Format: Journal Article
Published: Springer New York LLC 2015
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/8377
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author Hardcastle, Sarah
Chan, Derwin
Caudwell, Kim
Sultan, S.
Cranwell, J.
Chatzisarantis, N.
Hagger, Martin
author_facet Hardcastle, Sarah
Chan, Derwin
Caudwell, Kim
Sultan, S.
Cranwell, J.
Chatzisarantis, N.
Hagger, Martin
author_sort Hardcastle, Sarah
building Curtin Institutional Repository
collection Online Access
description Background: The introduction of tobacco plain packaging legislation in Australia meant that all tobacco products were to be sold in plain dark-brown packaging with 75 % front-of-pack graphic health warnings and standardised font type and size for brand name and product variant. The change in the size and prominence of the warnings has been proposed as a reason for behaviour change in smokers in terms of increased intentions to quit and quit attempts. Purpose: The current research examined attitudes and beliefs of cigarette smokers toward the increased size and prominence of the warnings and effects on their behaviour. Method: Participants (N = 160) completed open-ended responses to questions on beliefs, attitudes and responses to plain packaging. Responses were subjected to inductive thematic content analysis for key themes. Results: Four themes emerged from the analysis: emotional response to packaging, scepticism of health warnings, warnings and cessation behaviour, and avoidant coping behaviours. Participants reported increased negative emotional responses to the packaging and made specific reference to the graphic health warnings. Some participants attempted to discredit the messages. Others reported increased intentions to quit or quitting attempts. There were pervasive reports of avoidant responses including covering or hiding the warnings. Conclusion: Consistent with theories of illness perceptions and coping, current findings indicate that the larger, prominent graphic health warnings on plain-packaged tobacco products had pervasive effects on threat perceptions and subsequent behavioural responses. While some of the reported responses were adaptive (e.g. attempts to quit), others were maladaptive (e.g. avoiding the warnings).
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spelling curtin-20.500.11937-83772019-02-19T05:35:29Z Larger and More Prominent Graphic Health Warnings on Plain-Packaged Tobacco Products and Avoidant Responses in Current Smokers: a Qualitative Study Hardcastle, Sarah Chan, Derwin Caudwell, Kim Sultan, S. Cranwell, J. Chatzisarantis, N. Hagger, Martin smoker behaviour tobacco packaging legislation health warning for smokers Background: The introduction of tobacco plain packaging legislation in Australia meant that all tobacco products were to be sold in plain dark-brown packaging with 75 % front-of-pack graphic health warnings and standardised font type and size for brand name and product variant. The change in the size and prominence of the warnings has been proposed as a reason for behaviour change in smokers in terms of increased intentions to quit and quit attempts. Purpose: The current research examined attitudes and beliefs of cigarette smokers toward the increased size and prominence of the warnings and effects on their behaviour. Method: Participants (N = 160) completed open-ended responses to questions on beliefs, attitudes and responses to plain packaging. Responses were subjected to inductive thematic content analysis for key themes. Results: Four themes emerged from the analysis: emotional response to packaging, scepticism of health warnings, warnings and cessation behaviour, and avoidant coping behaviours. Participants reported increased negative emotional responses to the packaging and made specific reference to the graphic health warnings. Some participants attempted to discredit the messages. Others reported increased intentions to quit or quitting attempts. There were pervasive reports of avoidant responses including covering or hiding the warnings. Conclusion: Consistent with theories of illness perceptions and coping, current findings indicate that the larger, prominent graphic health warnings on plain-packaged tobacco products had pervasive effects on threat perceptions and subsequent behavioural responses. While some of the reported responses were adaptive (e.g. attempts to quit), others were maladaptive (e.g. avoiding the warnings). 2015 Journal Article http://hdl.handle.net/20.500.11937/8377 10.1007/s12529-015-9487-x Springer New York LLC fulltext
spellingShingle smoker behaviour
tobacco packaging legislation
health warning for smokers
Hardcastle, Sarah
Chan, Derwin
Caudwell, Kim
Sultan, S.
Cranwell, J.
Chatzisarantis, N.
Hagger, Martin
Larger and More Prominent Graphic Health Warnings on Plain-Packaged Tobacco Products and Avoidant Responses in Current Smokers: a Qualitative Study
title Larger and More Prominent Graphic Health Warnings on Plain-Packaged Tobacco Products and Avoidant Responses in Current Smokers: a Qualitative Study
title_full Larger and More Prominent Graphic Health Warnings on Plain-Packaged Tobacco Products and Avoidant Responses in Current Smokers: a Qualitative Study
title_fullStr Larger and More Prominent Graphic Health Warnings on Plain-Packaged Tobacco Products and Avoidant Responses in Current Smokers: a Qualitative Study
title_full_unstemmed Larger and More Prominent Graphic Health Warnings on Plain-Packaged Tobacco Products and Avoidant Responses in Current Smokers: a Qualitative Study
title_short Larger and More Prominent Graphic Health Warnings on Plain-Packaged Tobacco Products and Avoidant Responses in Current Smokers: a Qualitative Study
title_sort larger and more prominent graphic health warnings on plain-packaged tobacco products and avoidant responses in current smokers: a qualitative study
topic smoker behaviour
tobacco packaging legislation
health warning for smokers
url http://hdl.handle.net/20.500.11937/8377