Evidence map›Paper›PMID 33115961›Full record

ArticleTobacco control2022

Changes in responses to nicotine vaping product warnings and leaflets in England compared with Canada, the US and Australia: findings from the 2016-2018 ITC Four Country Smoking and Vaping Surveys.

Eve Violet Taylor, Katherine A East, Ann McNeill, Michael Cummings, James Thrasher, Geoffrey T Fong, Anne C K Quah, Máirtín McDermot, Grace Li, Ron Borland and 3 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Tobacco control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Impact of E-liquid Packaging on Vaping Product Perceptions Among Youth in England, Canada, and the United States: A Randomized Online Experiment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  5. Article
  6. Article
  7. 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

13 authors at 6 institutions in 6 countries.

Eve Violet TaylorAddictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK eve.v.taylor@kcl.ac.uk.ORCID 0000-0003-3987-4760
Katherine A EastAddictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID 0000-0001-9083-2131
Ann McNeillAddictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID 0000-0002-6223-4000
Michael CummingsPsychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0002-7103-7017
James ThrasherHealth Promotion, Education and Behavior, School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
Geoffrey T FongSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.ORCID 0000-0001-9098-6472
Anne C K QuahDepartment of Psychology, University of Waterloo, Waterloo, Ontario, Canada.
Máirtín McDermotAddictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Grace LiDepartment of Psychology, University of Waterloo, Waterloo, Ontario, Canada.
Ron BorlandMelbourne Centre for Behaviour Change, School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-0059-178X
David HammondSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Sarah AleyanAddictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Sara C HitchmanAddictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID 0000-0001-6155-6916
University of Waterloo · CAKing's College London · GBMedical University of South Carolina · USOntario Institute for Cancer Research · CASouth Carolina Department of Education · USThe University of Melbourne · AU

Funding

Vaporized Nicotine Product Initiation Among Youth in the US, Canada, and England: Methods to Predict Uptake and Policy EfficacyP01CA200512 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI HAMMOND, DAVID · 2016 to 2025
$25.3M
CIHR FDN-148477NCI NIH HHS P01 CA200512
6 · The paper itself

Abstract

BACKGROUND AND

aimsIn May 2017, black-and-white text nicotine addiction warning labels ('warnings') and health and safety leaflets ('leaflets') became mandatory for nicotine vaping products (NVPs) in England, in accordance with the European Union's Tobacco Products Directive. We compared changes over time in noticing warnings and leaflets, recall of warnings about nicotine and concerns about using NVP due to noticing warnings in England, compared with Canada, the US and Australia, where no warnings and leaflets were mandated.

design19 005 adult (aged 18+) NVP users, smokers and quitters of cigarettes and NVP from the 2016 and 2018 International Tobacco Control Four Country Smoking and Vaping Surveys in England, Canada, the US and Australia, recruited via probability and non-probability sampling.

findingsNoticing warnings increased in England from 4.9% (2016) to 9.4% (2018) (adjusted OR/AOR=1.64, 95% CI=1.15-2.36); this change was larger than changes in Canada (AOR=2.51, 95% CI=1.71-3.69) and the US (AOR=2.22, 95% CI=1.45-3.39). Recall of a nicotine warning increased in England from 86% (2016) to 94.9% (2018) (AOR=5.50, 95% CI=1.57-19.27) but not significantly elsewhere. Noticing leaflets increased in England from 14.6% (2016) to 19.1% (2018) (AOR=1.42, 95% CI=1.15-1.74); this change was larger than in Canada (AOR=1.42, 95% CI=1.12-1.79), the US (AOR=1.55, 95% CI=1.17-2.06) and Australia (AOR=1.51, 95% CI=1.02-2.22). Among those noticing warnings, concern about NVP use did not change significantly between 2016 and 2018 (all countries p>0.081).

conclusionsIntroduction of mandatory NVP warnings and leaflets in England was associated with small increases in noticing them but not with changes in concerns about NVP use.

Indexed as

Electronic Nicotine Delivery SystemsVapingAdultCanadaHumansNicotineSmokersSmokingTobacco SmokingNicotineelectronic nicotine delivery devicespackaging and labellingpublic policy

Identifiers

PMID33115961
PMCPMC8079549
OpenAlexW3097919413

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.