Background:
Tobacco products consumption is responsible of 148.6 million DALYS and 6.4 million deaths around the World in 2015, due to a large array associated medical conditions. Tobacco products are required to illustrate label warnings with information about such conditions to reduce their consumption in some countries, such as Panama. We aim to assess the proportion of opinions against exhibiting these label warnings according to sex, age and geographical area.

Methods:
Study population derived from the Global Adult Tobacco Survey (GATS) conducted in Panama in 2013 (n=16,962). We described the proportion of opinions against label warnings on tobacco products according to sex, age and geographical area (urban, rural and indigenous). Comparisons of the proportion of negative opinions within strata were assessed using chi square test.

Results:
In the study population, 14,746 people replied to the question regarding their opinion in favor or against label warnings on tobacco products. Opinions against label warnings were more frequently stated by men (6.2%) than women (5.3%), p-value < 0.05. People 60 years or older had a higher proportion of opinions against label warnings (7.4%) than people younger than 15 years old (3.4%), p-value < 0.05. People living in urban and rural areas had similar proportion of opinions against label warnings (5.5%, p-value > 0.05). However, people living in indigenous areas had a higher proportion of opinions against label warnings than those living in urban and rural (10.5%, p-value < 0.05 compared to urban and rural areas, respectively).

Conclusions:
Opinions against label warnings are more frequent in indigenous people, older people and men. These groups are the most vulnerable to be target of advertisement of tobacco companies.