Influence of graphical health warnings in process of smoking cessation among adult smokers
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National Institute of Preventive and Social Medicine, Dhaka, Bangladesh
Publication date: 2021-09-02
Corresponding author
Ammatul Fardousi Himi   

National Institute of Preventive and Social Medicine, Dhaka, Bangladesh
Tob. Induc. Dis. 2021;19(Suppl 1):A103
Smoking is the single most important preventable cause of disability and premature mortality. In Bangladesh around 37.8 million adults are tobacco consumer, of whom 19.2 million are smoker. As a significant control measures of tobacco usage, since 2016 Graphical Health Warnings (GHWs) covering 50% of main display area of tobacco packages came into force in Bangladesh.

The aim of this study was to assess the current response of adult smokers towards GHWs in smoking cessation process.

A cross-sectional study was conducted during the period of January to December 2018 at Dhaka. Conveniently selected 230 adult smokers were interviewed to know their attitude to GHWs and its' influence on them in the process of smoking cessation.

Most of the respondents were young male with mean age of 29.57 (±8.421) years. Majority of the respondents were found to notice (72.6%), read or look closely (64.8%) the GHWs on cigarette package, which constitutes the salience of GHW. One-third of the respondents discussed about these warnings with fellow smokers and two-third of them thought about the health risks of smoking. About 43% of the respondents reduced their smoking frequency and 61% had attempted to quit during last one year. About two-third of respondents were found to have an intention to quit smoking in future. Measures of salience were significantly associated with thinking about health risks (p<0.001), prior quitting attempt (p<0.05) and quitting intention (p<0.05). Quitting intention in future was significantly associated with reduction of smoking frequency (aOR:2.589, 95% CI:1.034–6.479, p<0.05) and prior quitting attempt (aOR:6.029, 95% CI:2.835-12.820, p<0.001) after controlling covariates.

GHWs has strong influence on smoking cessation. GHWs should be more specific, vivid and informative covering a large area to draw more attention of the smokers in motivating them to quit smoking.

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