SynthesisSystematic reviews2019
A systematic review of the perceptions of adolescents on graphic health warnings and plain packaging of cigarettes.
Synthesis in Systematic reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled 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.
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
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Pooled it
- The effectiveness of graphic health warnings on tobacco products: a systematic review on perceived harm and quit intentions.BMC public health · 2021Pooled it
- Branded packaging raises likelihood of cigarette purchasing in an experimental retail setting by increasing craving.Drug and alcohol dependence · 2026Trial
- Evaluating US smokers' willingness to pay for different cigarette packaging designs before and after real-world exposure in a randomised trial.Tobacco control · 2023Trial
- Perceptions of plain packaging and health warnings among university students in Turkey: a survey-based experiment.BMC public health · 2023Trial
- Plain Packaging: One of the Plain Simple Solutions for Nicotine Reduction in the Middle East.International journal of environmental research and public health · 2026Review
- Self-reported awareness of the prevention and early detection of oral cancer: a survey of 50+ year old people in Germany.Journal of cancer research and clinical oncology · 2026Article
- Young Adults' Responses to E-Cigarette Advertisements: An Examination for Potential Regulation.American journal of preventive medicine · 2026Article
- Article
- Tobacco control policies that influence Filipino adults who smoke: Results from a discrete choice experiment.Tobacco induced diseases · 2026Article
- Strengthening tobacco control policy: using plain packaging to reduce product appeal and enhance public awareness.Frontiers in public health · 2026Article
- A content analysis of cannabis edible product characteristics, packaging features, and online promotions.Preventive medicine · 2025Article
- Perspectives on a Technology-Based Smoking Cessation Intervention Among Youth Exiting Foster Care.Children and youth services review · 2025Article
- Opportunities for plain packaging of tobacco products in the Philippines: results of a nationwide online survey.Frontiers in public health · 2024Article
- Effects of immediate and distant health consequences: different types of health warning messages on sweets affect the purchase probability.BMC public health · 2023Article
- Graphic health warnings and plain packaging in the Philippines: results of online and household surveys.Frontiers in public health · 2023Article
- Eye-tracking to examine differences in alcohol product appeal by sex among young people.The American journal of drug and alcohol abuse · 2022Article
- Changes in product labelling practices and the use of flavouring chemical additives in vaping products after enactment of statewide flavour legislation.Tobacco control · 2022Article
- Standardised packs and larger health warnings: visual attention and perceptions among Colombian smokers and non-smokers.Addiction (Abingdon, England) · 2022Article
- Emotional Impact of Graphic Health Warnings on Tobacco Packaging: Analysis of Their Content.Europe's journal of psychology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGraphic health warnings on tobacco packaging and the plain packaging of tobacco products are key tobacco control interventions. This systematic review investigates the perceptions of adolescents towards these packaging interventions.
methodsPublished, original-research, English-language articles from 1 January 2000 to 1 September 2017 were identified through a systematic literature search of the PubMed, CINAHL, PsycINFO, Web of Science, and Scopus databases. Articles describing investigations into the perceptions of adolescents aged 11 to 19 years towards graphic health warnings and/or plain-packaged cigarettes were included in this review.
resultsNineteen articles, involving 15,935 adolescent participants, of which 72.85% were non-smokers or ex-smokers and 27.15% occasional or daily smokers, met the eligibility criteria. Graphic health warnings were perceived as more effective than text-only warnings, with warnings depicting lung cancer, and oral diseases being perceived as particularly effective. Health warnings increased viewer fear, anxiety, shock, and guilt and were considered effective in preventing non-smokers from experimenting with tobacco and prompting current smokers to quit. Plain packaging reduced the attractiveness and other positive attributes of cigarette packaging, with darker colours found to be the most effective. When used in combination, plain packaging increased the visibility of graphic health warnings, with participants also perceiving them as having an increased tar content and having more serious health risks, and increased thoughts of quitting amongst smokers.
conclusionsGraphic health warnings and plain packaging appear to increase adolescent awareness of the dangers of tobacco use. Further research into the most effective warnings to use in combination with plain packaging is needed to ensure the greatest reduction in tobacco use and prevent tobacco-attributable morbidity and mortality in this vulnerable population.
Indexed as
Identifiers
What OpenQuestion holds
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.