ArticleTobacco control2015
Has the introduction of plain packaging with larger graphic health warnings changed adolescents' perceptions of cigarette packs and brands?
Article in Tobacco control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.
- Tobacco packaging design for reducing tobacco use.The Cochrane database of systematic reviews · 2017Pooled it
- Standardised snus packaging reduces brand differentiation: a web-based between-subject experiment.BMC public health · 2019Trial
- Perceptions of plain packaging and health warning labels for cannabis among young adults: findings from an experimental study.BMC public health · 2018Trial
- Plain Packaging: One of the Plain Simple Solutions for Nicotine Reduction in the Middle East.International journal of environmental research and public health · 2026Review
- A scoping review of policies related to reducing energy drink consumption in children.BMC public health · 2024Article
- Impact of standardized tobacco packaging on smoking-related behaviors and perceptions in Singapore.Tobacco induced diseases · 2024Article
- Cultural appropriation on Marlboro packs in Mexico:Tobacco control · 2023Article
- Straw cigarette branding: misleading descriptors and a new Marlboro man.Tobacco control · 2023Article
- Role of affective reactivity induced by cigarette packaging including graphic warning labels: the CASA Study.Tobacco control · 2023Article
- Will plain packaging of cigarettes achieve the expected? Perceptions among medical students.Tobacco induced diseases · 2022Article
- Consumer Response to Standardized Tobacco Packaging in the United Kingdom: A Synthesis of Evidence from Two Systematic Reviews.Risk management and healthcare policy · 2021Review
- Smokers' perceptions of different classes of cigarette brand descriptors.Tobacco prevention & cessation · 2021Article
- Assessing cigarette packaging and labelling policy effects on early adolescents: results from a discrete choice experiment.Tobacco control · 2020Article
- How did smokers respond to standardised cigarette packaging with new, larger health warnings in the United Kingdom during the transition period? A cross-sectional online survey.Addiction research & theory · 2020Article
- Adolescent Attention to Disgust Visuals in Cigarette Graphic Warning Labels.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019Article
- Adolescents' perceptions of standardised cigarette packaging design and brand variant name post-implementation: a focus group study in Scotland.BMC public health · 2019Article
- Advancing Tobacco Product Warning Labels Research Methods and Theory: A Summary of a Grantee Meeting Held by the US National Cancer Institute.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019Review
- Using graphic warning labels to counter effects of social cues and brand imagery in cigarette advertising.Health education research · 2019Article
- Adolescent and adult perceptions of the effects of larger size graphic health warnings on conventional and plain tobacco packs in India: A community-based cross-sectional study.Tobacco induced diseases · 2019Article
- Adolescent's Perception about the Introduction of New Cigarette Packaging and Plain Packaging of Cigarette Packs: A Qualitative Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the impact of plain packaging of cigarettes with enhanced graphic health warnings on adolescents' perceptions of pack image and perceived brand differences.
methodsCross-sectional school-based surveys conducted in 2011 (prior to introduction of new cigarette packaging) and in 2013 (7-12 months afterwards). Students aged 12-17 years (2011 n=6338; 2013 n=5915) indicated whether they had seen a cigarette pack in previous 6 months. Students rated the character of four popular cigarette brands, indicated level of agreement regarding differences between brands in ease of smoking, quitting, addictiveness, harmfulness and look of pack; and indicated positive and negative perceptions of pack image. Changes in responses of students seeing cigarette packs in the previous 6 months (2011: 60%; 2013: 65%) were examined.
resultsPositive character ratings for each brand reduced significantly between 2011 and 2013. Changes were found for four of five statements reflecting brand differences. Significantly fewer students in 2013 than 2011 agreed that 'some brands have better looking packs than others' (2011: 43%; 2013: 25%, p<0.001), with larger decreases found among smokers (interaction p<0.001). Packs were rated less positively and more negatively in 2013 than in 2011 (p<0.001). The decrease in positive image ratings was greater among smokers.
conclusionsThe introduction of standardised packaging has reduced the appeal of cigarette packs. Further research could determine if continued exposure to standardised packs creates more uncertainty or disagreement regarding brand differences in ease of smoking and quitting, perceived addictiveness and harms.
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Registered trials
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.