Summary: Smokers exposed to individual cigarettes with public health warnings written on them felt the products were offputting and depressing. When surveyed, those who smoke said printing messages on cigarettes would prolong the health message and had the potential to discourage smoking in young people.
Source: University of Stirling
Health warnings printed on individual cigarettes could play a key role in reducing smoking, according to new research from the University of Stirling.
Experts from Stirling’s Institute of Social Marketing examined smokers’ perceptions of the warning ‘Smoking kills’ on individual cigarettes – as opposed to the message only appearing on packs.
The team, led by Dr. Crawford Moodie, found that smokers felt the innovative approach has the potential to discourage smoking among young people, those starting to smoke, and non-smokers.
Participants felt that a warning on each cigarette would prolong the health message, as it would be visible when taken from a pack, lit, left in an ashtray, and with each draw, thus making avoidant behavior more difficult.
The visibility of the warning to others was perceived as off-putting for some because it was associated with a negative image. Within several female groups, the warnings were viewed as depressing, worrying and frightening; with it suggested that people would not feel good smoking cigarettes displaying a warning.
The possibility of warnings on cigarettes is included in the Scottish Government’s tobacco-control action plan, ‘Raising Scotland’s Tobacco-free Generation’. It suggests changes to “color, composition and/or warning messages on each stick”.
The Canadian Government has also held a consultation on the proposals and published their findings earlier this month [August 2019].
The Stirling study canvassed the opinion of 120 smokers, aged 16 and over, in 20 focus groups held in Edinburgh and Glasgow in 2015. Within every group, participants felt that warnings on individual cigarettes would potentially have an impact on themselves or others.
“The consensus was that individual cigarettes emblazoned with warnings would be off-putting for young people, those starting to smoke, and non-smokers,” Dr Moodie said. “This study suggests that the introduction of such warnings could impact the decision-making of these groups. It shows that this approach is a viable policy option and one which would – for the first time – extend health messaging to the consumption experience.”
The research – funded by Cancer Research UK – also involved: Dr Rachel O’Donnell, Joy Fleming, Dr Richard Purves and Jennifer McKell (all of the ISM at Stirling), and Fiona Dobbie, of the Usher Institute of Population Health at the University of Edinburgh.
Professor Linda Bauld, Cancer Research UK’s prevention expert, said: “Too many young people are still taking up smoking. Government anti-smoking campaigns and tax rises on cigarettes remain the most effective methods to stop young people starting smoking, but we need to continue to explore innovative ways to deter them from using cigarettes to ensure that youth smoking rates continue to drop.
“This study shows that tactics like making the cigarettes themselves unappealing could be an effective way of doing this.”
University of Stirling
Greg Christison – University of Stirling
The image is credited to University of Stirling.
Original Research: Open access
“Extending health messaging to the consumption experience: A focus group study exploring smokers’ perceptions of health warnings on cigarettes”. Crawford Moodie, Rachel O’Donnell, Joy Fleming, Richard Purves, Jennifer McKell & Fiona Dobbie.
Addiction Research and Theory. doi:10.1080/16066359.2019.1653861
Extending health messaging to the consumption experience: A focus group study exploring smokers’ perceptions of health warnings on cigarettes
Introduction: While most countries require health warnings on cigarette packs, the Scottish and Canadian Governments are considering requiring health warnings on cigarette sticks.
Methods: Twenty focus groups were conducted in Glasgow and Edinburgh (Scotland) with smokers (n = 120) segmented by age (16–17, 18–24, 25–35, 36–50, >50), gender and social grade, to explore perceptions of cigarettes displaying the warning ‘Smoking kills’ on the cigarette paper and any demographic differences in how smokers responded to these.
Results: A warning on each cigarette was thought to prolong the health message, as it would be visible when a cigarette was taken from a pack, lit, left in an ashtray, and with each draw, and make avoidant behavior more difficult. That it would be visible to others was perceived as off-putting for some. It was felt that a warning on each cigarette would create a negative image and be embarrassing. Within several female groups they were viewed as depressing, worrying and frightening, with it suggested that people would not feel good smoking cigarettes displaying a warning. Within every group there was mention of warnings on cigarettes potentially having an impact on themselves, others or both. Some, mostly younger groups, mentioned stubbing cigarettes out early, reducing consumption or quitting. The consensus was that they would be off-putting for young people, nonsmokers and those starting to smoke.
Conclusions: Including a warning on each cigarette stick is a viable policy option and one which would, for the first time, extend health messaging to the consumption experience.