RT Journal Article
SR Electronic
T1 Evaluating the pictorial warnings on tobacco products in Arabian Gulf countries against other international pictorial warnings
JF Tobacco Control
JO Tob Control
FD BMJ Publishing Group Ltd
SP 261
OP 265
DO 10.1136/tobaccocontrol-2016-053323
VO 27
IS 3
A1 Nasser F BinDhim
A1 Kevin McGeechan
A1 Anwar K T Alanazi
A1 Hossam M S Alanazi
A1 Sasoun A J Alanazi
A1 Solaiman M Al-Hadlaq
A1 Hisham Aljadhey
A1 Tariq M Alhawassi
A1 Nadia A Alghamdi
A1 Ahmed M Shaman
A1 Meshari S Alquwayzani
A1 Mada H Basyouni
YR 2018
UL http://tobaccocontrol.bmj.com/content/27/3/261.abstract
AB Background Few assessments of pictorial warnings (PWs) on cigarette packs implemented in Gulf Cooperation Council (GCC) countries have been done.Methods This article includes two cross-sectional studies. In Study 1, convenience samples of adults from the Kingdom of Saudi Arabia (n=111) and USA (n=115) participated in a consumer survey to rate a total of nine PWs from the GCC, Australia and the UK. Outcome measures were affective responses to PWs and concerns about smoking. In Study 2, tobacco control experts (n=14) from multiple countries rated the same PWs on a potential efficacy scale and completed one open-ended question about each. The PWs were altered to mask their country of origin. Analyses compared ranking on multiple outcomes and examined ratings by country of origin and by smoking status.Results In the consumer survey, participants from both countries rated the PWs from GCC lower than PWs from other countries on the two measures. The mixed-model analysis showed significant differences between the PWs from Australia and those from the GCC and between the PWs from the UK and those from the GCC (p<0.001) in the consumer and expert samples. The experts’ comments about the PWs implemented in the GCC were negative overall and confirmed previously identified themes about effective PWs.Conclusion This study shows PWs originating from the GCC had significantly lower ratings than those implemented in Australia and the UK. The GCC countries may need to re-evaluate the currently implemented PWs and update them periodically.