包含戒烟资源信息对标准化烟草包装健康警示在意识和使用方面的影响：英国的一项纵向在线调查。
The Impact of Including Cessation Resource Information on Health Warnings on Standardized Tobacco Packaging on Awareness and Use: A Longitudinal Online Survey in the United Kingdom.
机构信息
Institute for Social Marketing and Health, Faculty of Health Sciences and Sport, University of Stirling, Stirlingshire, UK.
Department of Addictions, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
出版信息
Nicotine Tob Res. 2021 May 24;23(6):1068-1073. doi: 10.1093/ntr/ntaa251.
INTRODUCTION
Since May 2017, all cigarettes and roll-your-own (RYO) tobacco in the United Kingdom must be sold in standardized packs with pictorial warnings displaying, for the first time, a stop-smoking website.
AIMS AND METHODS
Data come from three waves of a longitudinal online survey with smokers and ex-smokers conducted pre- and post-standardized packaging, with Wave 1 (W1) in April-May 2016, Wave 2 (W2) in September-November 2017, and Wave 3 (W3) in May-July 2019. Only smokers are included in the analysis: W1 (N = 6233), W2 (N = 3629), and W3 (N = 2412). We explored any change in citing warnings on packs as a source of information about a stop-smoking website, and whether citing warnings as a source was associated with use of a stop-smoking website. As the warnings, and therefore the stop-smoking website, are larger on RYO packs than on cigarette packs due to the larger pack size, we explored differences in awareness of a stop-smoking website among exclusive cigarette smokers (W1 = 3142, W2 = 1884, W3 = 1247) and exclusive RYO smokers (W1 = 2046, W2 = 1119, W3 = 814).
RESULTS
Among smokers recalling seeing information about a stop-smoking website, citing warnings as a source increased between waves (W1 = 14.0%, W2 = 24.2%, W3 = 25.1%) and was associated with having visited a stop-smoking website (odds ratio = 11.81, 95% confidence interval 8.47-16.46). Citing warnings as a source of a stop-smoking website increased among exclusive RYO smokers at each wave (W1 = 15.5%, W2 = 26.3%, W3 = 32.1%), while for exclusive cigarette smokers it only increased at W2 (W1 = 10.5%, W2 = 22.4%, W3 = 19.9%).
CONCLUSIONS
Warnings are an important source of cessation resource information. Making this information more prominent may help sustain awareness.
IMPLICATIONS
The findings support the inclusion of a stop-smoking website on warnings as awareness among smokers increased and citing warnings as a source of information about a stop-smoking website was associated with having visited a stop-smoking website. We also explored whether the stop-smoking website on warnings on RYO packs, which is larger than on cigarette packs as a function of the larger size of RYO packs, would have any impact on awareness of this information. That exclusive RYO smokers were more likely than exclusive cigarette smokers to notice a stop-smoking website on warnings suggests that this information should be more prominent.
引言
自 2017 年 5 月以来，英国所有香烟和自卷烟草（RYO）必须在标准化包装中销售，包装上首次印有图片警告，显示戒烟网站。
目的和方法
数据来自吸烟者和戒烟者的三次纵向在线调查，分别在标准化包装前（2016 年 4 月至 5 月，第 1 波，W1）、后（2017 年 9 月至 11 月，第 2 波，W2）和 2019 年 5 月至 7 月（第 3 波，W3）进行。仅包括吸烟者进行分析：W1（N=6233）、W2（N=3629）和 W3（N=2412）。我们探讨了是否将包装上的警告作为戒烟网站信息来源的变化，以及是否将警告作为信息来源与使用戒烟网站有关。由于 RYO 包装的尺寸较大，因此包装上的警告（以及因此，戒烟网站）比香烟包装上的更大，因此我们探讨了仅吸食香烟的吸烟者（W1=3142、W2=1884、W3=1247）和仅吸食 RYO 的吸烟者（W1=2046、W2=1119、W3=814）之间对戒烟网站的认知差异。
结果
在回忆看到戒烟网站信息的吸烟者中，声称将警告作为信息来源的比例在各波之间增加（W1=14.0%、W2=24.2%、W3=25.1%），并与访问戒烟网站有关（比值比=11.81，95%置信区间 8.47-16.46）。在每个波中，仅吸食 RYO 的吸烟者将警告作为戒烟网站来源的比例都有所增加（W1=15.5%、W2=26.3%、W3=32.1%），而仅吸食香烟的吸烟者仅在 W2 时增加（W1=10.5%、W2=22.4%、W3=19.9%）。
结论
警告是戒烟资源信息的重要来源。使此信息更加突出可能有助于保持意识。
意义
研究结果支持在警告中包含戒烟网站，因为吸烟者的意识增强，并且声称警告是戒烟网站信息来源与访问戒烟网站有关。我们还探讨了包装上的 RYO 包装上的戒烟网站（由于 RYO 包装的尺寸较大，因此比香烟包装上的更大）是否会对对此信息的认知产生任何影响。与仅吸食香烟的吸烟者相比，仅吸食 RYO 的吸烟者更有可能注意到包装上的戒烟网站，这表明应更加突出此类信息。
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