Evidence map›Paper›PMID 38459469›Full record

ArticleBMC pediatrics2024

Association between textual and pictorial warnings on tumbac (waterpipe tobacco) boxes and motivation to quit waterpipe smoking among Lebanese and Iraqi adolescents.

Diana Malaeb, Bassam Abdul Rasool Hassan, Ali Haider Mohammed, Sinan Subhi Farhan, Omar Abdulwahid Al-Ani, Abir Sarray El Dine, Feten Fekih-Romdhane, Sahar Obeid, Souheil Hallit

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

9 authors at 5 institutions in 5 countries.

Diana MalaebCollege of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.
Bassam Abdul Rasool HassanDepartment of Pharmacy, Al Rafidain University College, Baghdad, Iraq.
Ali Haider MohammedDepartment of Pharmacy, Al Rafidain University College, Baghdad, Iraq.
Sinan Subhi FarhanDepartment of Anesthesia, College of Medical Science Technology, University of Mashreq, Baghdad, Iraq.
Omar Abdulwahid Al-AniDepartment of Pharmacy, Al Rafidain University College, Baghdad, Iraq.
Abir Sarray El DineSchool of Pharmacy, Lebanese International University, Beirut, Lebanon.
Feten Fekih-Romdhane *The Tunisian Center of Early Intervention in Psychosis, Department of psychiatry "Ibn Omrane", Razi hospital, Manouba, 2010, Tunisia.
Sahar Obeid *Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon.
Souheil Hallit *School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. souheilhallit@hotmail.com.
Alrafidain University College · IQGulf Medical University · AELebanese American University · LBLebanese International University · LBTunis El Manar University · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWaterpipe tobacco smoking has increased tremendously at a global level among all age groups, particularly young people. Previous studies have examined the impact of waterpipe tobacco pictorial health warnings on adults but scarce studies were done on adolescents. The aim of this study was to assess the association of textual versus pictorial warnings on tumbac boxes and the motivation to quit waterpipe smoking among adolescents located in two Eastern Mediterranean countries Lebanon and Iraq.

methodsA cross-sectional study was conducted between May and November 2022, involving 294 adolescents waterpipe smokers from Lebanon and Iraq. The questionnaire included the Lebanese Waterpipe Dependence Smoking-11, the Depression, Anxiety and Stress Scale, the Waterpipe Harm Perception Scale, Waterpipe Knowledge Scale, Waterpipe Attitude Scale, the Fagerstrom Test for Nicotine Dependence, and the Motivation to Stop Scale.

resultsWhen adjusting the results over confounding variables, the results showed that compared to finding the warnings to stop smoking not efficacious at all, adolescents who find the warnings moderately (aOR = 2.83) and very (aOR = 6.64) efficacious had higher motivation to quit. Compared to finding the warnings not increasing their curiosity for information about how to stop waterpipe smoking at all, participants who confessed that warnings increased their curiosity a little (aOR = 2.59), moderately (aOR = 3.34) and very (aOR = 3.58) had higher motivation to quit. Compared to not considering changing the tumbac brand if the company uses pictorial warnings, adolescents who would consider changing the tumbac brand (aOR = 2.15) had higher motivation to quit.

conclusionPictorial and textual warnings on waterpipe packs were associated with higher motivation to stop waterpipe smoking. Public health education programs for this purpose seem warranted.

Indexed as

Smoking CessationTobacco ProductsTobacco, WaterpipeWater Pipe SmokingAdolescentAdultCross-Sectional StudiesHumansIraqMotivationProduct LabelingSmoking PreventionAdolescentsMotivation to quitPictorial warningTextual warningWaterpipe

Identifiers

PMID38459469
PMCPMC10921803
OpenAlexW4392589898

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.