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Evaluating the impact of introducing standardized packaging with larger health-warning labels in England: findings from adult smokers within the EUREST-PLUS ITC Europe Surveys

2020; Oxford University Press; Volume: 30; Issue: Supplement_3 Linguagem: Inglês

10.1093/eurpub/ckaa053

1464-360X

Sarah Aleyan, Pete Driezen, Ann McNeill, Máirtín S. McDermott, Sarah Kahnert, Christina N Kyriakos, Ute Mons, Esteve Fernández, Antigona Trofor, Mateusz Zatoński, Tibor Demjén, Paraskevi Κatsaounou, Krzysztof Przewoźniak, James Balmford, Filippos T Filippidis, Geoffrey T. Fong, Constantine Vardavas, Sara C Hitchman, Constantine Vardavas, Andrea Glahn, Christina N Kyriakos, Dominick Nguyen, Katerina Nikitara, Cornel Radu-Loghin, Polina Starchenko, Aristidis Tsatsakis, Charis Girvalaki, Chryssi Igoumenaki, Sophia Papadakis, Aikaterini Papathanasaki, Manolis Tzatzarakis, Constantine Vardavas, Nicolas Bécuwe, Lavinia Deaconu, Sophie Goudet, Christopher Hanley, Oscar Rivière, Tibor Demjén, Judit Kiss, Anna Piroska Kovacs, Esteve Fernández, Yolanda Castellano, Marcela Fu, Sarah O Nogueira, Olena Tigova, Ann McNeill, Katherine East, Sara C Hitchman, Máirtín S. McDermott, Sarah Aleyan, Ute Mons, Sarah Kahnert, Yannis Tountas, Panagiotis Behrakis, Filippos T Filippidis, Christina Gratziou, Paraskevi Κatsaounou, Theodosia Peleki, Ioanna Petroulia, Chara Tzavara, Antigona Trofor, Marius Eremia, Lucia Maria Lotrean, Florin Mihălţan, Gernot Rohde, Tamaki Asano, Claudia Cichon, Amy Far, Céline Genton, Melanie Jessner, Linnéa Hedman, Christer Janson, Ann Lindberg, Beth Maguire, Sofía Ravara, Valérie Vaccaro, Brian J. Ward, Marc C. Willemsen, Hein de Vries, Karin Hummel, Gera E. Nagelhout, Witold Zatoński, Aleksandra Herbeć, Kinga Janik‐Koncewicz, Krzysztof Przewoźniak, Mateusz Zatoński, Geoffrey T. Fong, Thomas K Agar, Pete Driezen, Shannon Gravely, Anne C K Quah, Mary E. Thompson,

Behavioral Health and Interventions

The European (EU) Tobacco Product Directive (TPD) was implemented in May 2016 to regulate the design and labelling of cigarettes and roll-your-own tobacco. At the same time, the UK introduced standardized packaging measures, whereas Germany, Greece, Hungary, Poland, Romania and Spain did not. This study examines the impact of introducing standardized packaging in England using a quasi-experimental design.Data from adult smokers in Waves 1 (2016; N=9547) and 2 (2018; N=9724) from the International Tobacco Control Policy Evaluation surveys (England) and EUREST-PLUS surveys (Germany, Greece, Hungary, Poland, Romania and Spain) were used. Generalized estimating equations were used to estimate changes in pack/brand appeal, salience of health-warning labels (HWLs) and perceived relative harm of different brands in England (where larger HWLs and standardized packaging were implemented), vs. each EU country (where only larger HWLs were implemented).There was an increase in the percentage of respondents from Germany, Hungary and Poland reporting they did not like the look of the pack (4.7%, 9.6%, and 14.2%, respectively), but the largest increase was in England (41.0%). Moreover, there was a statistically significant increase in the salience of HWLs in Hungary, Poland and Romania (17.0%, 13.9%, and 15.3%, respectively), but the largest increase was in England (27.6%). Few differences were observed in cross-country comparisons of the perceived relative harm of different brands.Findings suggest that standardized packaging reduces pack appeal and enhances the salience of HWLs over and above the effects of larger HWLs. Findings provide additional evidence and support for incorporating standardized packaging into the EU TPD.