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The Adolescent Label Impact Index in a Multicentric Observational Study. Have the Tobacco Advertisements an Impact on the Adolescents?

2019; Taylor & Francis; Volume: 28; Issue: 5 Linguagem: Inglês

10.1080/1067828x.2020.1774026

1547-0652

Alice Mannocci, Fabrizio Guerra, Vittoria Colamesta, Insa Backhaus, Alberto Firenze, Sandro Provenzano, Maria Fiore, Maria Ferrara, Elisa Langiano, Elisabetta De Vito, Chiara Lorini, Guglielmo Bonaccorsi, Paolo Villari, Giuseppe La Torre,

Consumer Attitudes and Food Labeling

BackgroundPictorial warnings may contribute to lower attractiveness of smoking, particularly among adolescents. The present study compared the impact of two different label styles of tobacco product warnings (textual and pictorial) among adolescents in a new standardized way, using the Adolescent Label Impact Index (ALII).MethodsA school-based cross-sectional study was conducted. Adolescent aged 10–20 years completed an online questionnaire. The ALII score was used to assess the impact of only-textual (ALII-T) and pictorial advertisements (ALII-P).ResultsA total of 1,759 students (68.4% response-rate) declared that graphic warnings have a significant impact than textual ones (p < 0.05). The younger group, which has never smoked or just tried and believed in the harmful effects of tobacco, is associated with both scales of ALII scales (T and P) (p < 0.01). The socioeconomic status was associated with ALII-T (p < 0.01), but not ALII-P; female gender, smoker-peers, perception of the body weight are related to the ALII-P (p < 0.05) but not ALII-T.ConclusionsThe pictorial labels represent a policy of tobacco use control that has potential effects, in particular in reducing communication inequalities between socio-economic categories, reinforcing the knowledge about the damage of smoking, discouraging adolescents, especially the younger ones who do not have never smoked or have just tried to become smokers.Collaborative GroupSiriana Campioni, Department of Public Health and Infectious Disease, "Sapienza" University of RomeGabriele Castorina, Armando Platania, Specialization School of Hygiene and Preventive Medicine, Department "GF Ingrassia" Hygiene and Public Health, University of Catania, Italy;Ilenia Bellini, School of Specialization in Hygiene and Preventive Medicine, University of FlorenceOmar Enzo Santangelo, Specialization School of Hygiene and Preventive Medicine, Department of Sciences for Health Promotion and Mother and Child Care "Giuseppe D'Alessandro," University of PalermoClara Ferrara, Department of Gynecology and Obstetrics Palermo Civic Hospital and National Center of Clinical Excellence (ARNAS Di Cristina-Benfratelli) Palermo, Italy.