Evidence map›Paper›PMID 31636525›Full record

ArticleTobacco induced diseases2019

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.

Gaurang P Nazar, Monika Arora, Vinay K Gupta, Tina Rawal, Amit Yadav, Nanda K Kannuri, Surbhi Shrivastava, Nathan Grills, Premila Webster

Open access · goldAbstract read
In one paragraph

Article in Tobacco induced diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

9 authors at 5 institutions in 4 countries.

Gaurang P NazarHealth Promotion Division, Public Health Foundation of India, Gurugram, India.
Monika AroraHealth Promotion Division, Public Health Foundation of India, Gurugram, India.
Vinay K GuptaHealth Promotion Division, Public Health Foundation of India, Gurugram, India.
Tina RawalHealth Promotion Division, Public Health Foundation of India, Gurugram, India.
Amit YadavCenter for Tobacco Control Research and Education, University of California, San Francisco, United States.
Nanda K KannuriIndian Institute of Public Health, Hyderabad, India.
Surbhi ShrivastavaHRIDAY, New Delhi, India.
Nathan GrillsNossal Institute for Global Health, University of Melbourne, Melbourne, Australia.
Premila WebsterNuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Public Health Foundation of India · INIndian Institute of Public Health Gandhinagar · INThe University of Melbourne · AUUniversity of California, San Francisco · USUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe studied adolescent and adult perceptions of the effects of larger size, 85% versus 40%, Graphic Health Warnings (GHWs) on conventional and plain tobacco packs, in India.

methodsA cross-sectional survey was conducted with 2121 participants (aged ≥13 years), during the period 2015-16, in Delhi and Telangana, India. Four categories of GHWs on tobacco packs were shown: A - 40% existing (April 2013-April 2016), B - 40% new (April 2016-present), C - 85% new, and D - plain packs (85% new). Regression models tested percentage differences in choice of categories for eight outcomes, adjusted for gender, area of residence, socioeconomic status, age, and tobacco use.

resultsOf the total 2121 participants, 1120 were from Delhi, 1001 from Telangana, 50% were males, 62% were urban residents, 12% were adolescents, and 72% had never used tobacco. Among packs shown, the majority of participants perceived the 85% size GHWs more effective than the 40% size GHWs across all outcomes. The perceived increase in noticeability of GHWs was 45% for category C (p<0.05) and 43.5% for category D (p<0.05) versus category B. In Delhi, participants perceived plain packs to be most effective in motivating quitting, preventing initiation and conveying the health message. In Telangana, adolescents believed GHWs on plain packs were most noticeable, most effective for quitting and preventing initiation.

conclusionsThe larger size 85% GHWs were perceived to be more effective in increasing noticeability of warnings, motivating cessation, preventing initiation, and conveying the intended health message. Support for plain packaging was higher in Delhi and among adolescents in Telangana.

Indexed as

graphic health warningsIndiaperceptionplain packagingtobacco

Identifiers

PMID31636525
PMCPMC6786002
OpenAlexW2979239659

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.