Evidence map›Paper›PMID 27939602›Full record

SynthesisPreventive medicine2017

Child-resistant and tamper-resistant packaging: A systematic review to inform tobacco packaging regulation.

Catherine L Jo, Anita Ambs, Carolyn M Dresler, Cathy L Backinger

Abstract readSystematic Review
In one paragraph

Synthesis in Preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Catherine L JoDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States.
Anita AmbsOffice of Science, Center for Tobacco Products (CTP), Food and Drug Administration (FDA), Rockville, MD, United States. Electronic address: anita.ambs@fda.hhs.gov.
Carolyn M DreslerOffice of Science, Center for Tobacco Products (CTP), Food and Drug Administration (FDA), Rockville, MD, United States.
Cathy L BackingerOffice of Science, Center for Tobacco Products (CTP), Food and Drug Administration (FDA), Rockville, MD, United States.

Funding

Intramural FDA HHS FD999999
6 · The paper itself

Abstract

objectiveWe aimed to investigate the effects of special packaging (child-resistant, adult-friendly) and tamper-resistant packaging on health and behavioral outcomes in order to identify research gaps and implications for packaging standards for tobacco products.

methodsWe searched seven databases for keywords related to special and tamper-resistant packaging, consulted experts, and reviewed citations of potentially relevant studies. 733 unique papers were identified. Two coders independently screened each title and abstract for eligibility. They then reviewed the full text of the remaining papers for a second round of eligibility screening. Included studies investigated a causal relationship between type of packaging or packaging regulation and behavioral or health outcomes and had a study population composed of consumers. Studies were excluded on the basis of publication type, if they were not peer-reviewed, and if they had low external validity. Two reviewers independently coded each paper for study and methodological characteristics and limitations. Discrepancies were discussed and resolved.

resultsThe review included eight studies: four assessing people's ability to access the contents of different packaging types and four evaluating the impact of packaging requirements on health-related outcomes. Child-resistant packaging was generally more difficult to open than non-child-resistant packaging. Child-resistant packaging requirements have been associated with reductions in child mortality.

conclusionsChild-resistant packaging holds the expectation to reduce tobacco product poisonings among children under six.

Indexed as

Social Control, FormalHumansProduct PackagingTobacco ProductsChild-resistantChild safetyProduct packagingSpecial packagingTamper-resistant

Identifiers

PMID27939602
PMCPMC5299541

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.