Shrestha Ashish, Bhagat Tarakant, Agrawal Santosh Kumari, Limbu Binita
Department of Public Health Dentistry, College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2024 Sep;62(277):560-563. doi: 10.31729/jnma.8743. Epub 2024 Sep 30.
Pictorial health warning on cigarette packs is one of the strategies undertaken by Nepal Government as per the directive of World Health Organization Framework Convention on Tobacco Control to control smoking. It has been more than a decade since the introduction of pictorial health warnings on cigarette packs in Nepal. The objective of this study was to assess the impact of the pictorial warnings among current smokers of Dharan, Nepal.
A descriptive cross-sectional study was conducted among current smokers visiting local shops located near ward offices of Dharan after obtaining ethical approval from Institutional Review Committee (Reference number: 204/080/01 -IRC). A structured and validated Nepali questionnaire was used to interview the smokers about the impact of the pictorial warnings based on their noticeability, behavioural and cognitive responses. Statistical analysis was done using Statistical Package for Social Sciences (SPSS) version 20.0. The responses of the participants were tabulated in frequencies and percentages.
The pictorial warnings were noticed by 277 (98.93%) participants in past one month out of which 11 (3.93%) smokers had always read or looked closely at them. Smoking less frequently was the behaviour change reported by 70 (25%) participants and smoking less around others was reported by and 56 (20%) participants. In total, 189 (67.50%) smokers had thought about the harms of smoking and 160 (57.14%) had intention to quit smoking due to the pictorial warnings.
The pictorial health warnings were not so effective in bringing about changes in smoking behaviour of smokers.
根据世界卫生组织《烟草控制框架公约》的指示，在香烟包装上印制图片健康警示是尼泊尔政府采取的控制吸烟的策略之一。尼泊尔在香烟包装上引入图片健康警示已有十多年时间。本研究的目的是评估图片警示对尼泊尔达兰市现有吸烟者的影响。
在获得机构审查委员会（参考编号：204/080/01 - IRC）的伦理批准后，对前往达兰市选区办公室附近当地商店的现有吸烟者进行了描述性横断面研究。使用一份结构化且经过验证的尼泊尔语问卷，就图片警示基于其可注意性、行为和认知反应的影响对吸烟者进行访谈。使用社会科学统计软件包（SPSS）20.0版进行统计分析。参与者的回答按频率和百分比列表。
在过去一个月中，277名（98.93%）参与者注意到了图片警示，其中11名（3.93%）吸烟者总是阅读或仔细查看这些警示。70名（25%）参与者报告有减少吸烟频率的行为改变，56名（20%）参与者报告在他人面前减少吸烟。总共有189名（67.50%）吸烟者思考过吸烟的危害，160名（57.14%）吸烟者因图片警示有戒烟意愿。
图片健康警示在促使吸烟者改变吸烟行为方面效果不太显著。
