Plain tobacco packaging, increased graphic health warnings and adolescents' perceptions and initiation of smoking: DePICT, a French nationwide study

El-Khoury Lesueur, Fabienne, Bolze, Camille, Gomajee, Ramchandar, White, Victoria, Melchior, Maria and DePICT study group 2018, Plain tobacco packaging, increased graphic health warnings and adolescents' perceptions and initiation of smoking: DePICT, a French nationwide study, Tobacco control, pp. 1-6, doi: 10.1136/tobaccocontrol-2018-054573.

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Title Plain tobacco packaging, increased graphic health warnings and adolescents' perceptions and initiation of smoking: DePICT, a French nationwide study
Author(s) El-Khoury Lesueur, Fabienne
Bolze, Camille
Gomajee, Ramchandar
White, VictoriaORCID iD for White, Victoria orcid.org/0000-0001-6619-8484
Melchior, Maria
DePICT study group
Journal name Tobacco control
Start page 1
End page 6
Total pages 6
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2018-11-08
ISSN 1468-3318
Keyword(s) denormalization
packaging and labelling
priority/special populations
public policy
DePICT study group
Summary BACKGROUND: Plain packaging (PP) of tobacco products and increased graphic warnings may contribute to lower attractiveness of smoking, particularly among youths. In France, this policy was introduced on 1 January 2017. We examined changes in smoking-related perceptions and behaviours among a nationwide sample of French adolescents before (2016) and 1 year post (2017) implementation. METHODS: DePICT is a two-wave cross-sectional national telephone survey of adolescents aged 12-17 years per study wave (2016: n=2046 2017: n=1999). All participants reported smoking-related perceptions, as well as ever and current tobacco use. Smokers were also asked about their perceptions of tobacco brands. Data were weighted to be representative of youths in the French population: adjusted prevalence ratios (PRs, 95% CI) estimating changes between the two study waves were calculated using multivariate log-binomial regression models. RESULTS: In 2017, as compared with 2016, French adolescents were more likely to report fear of the consequences of smoking (PR=1.06, 95% CI 1.02 to 1.09) and that smoking is dangerous (PR=1.08, 95% CI 1.05 to 1.11). They were also less likely to report that their friends (PR=0.61, 95% CI 0.54 to 0.70) and family (PR=0.51, 95% CI 0.44 to 0.60) accept smoking. Additionally, smoking initiation significantly decreased (PR=0.96, 95% CI 0.93 to 0.98) and a non-statistically significant drop in current tobacco use was observed (PR=0.93, 95% CI 0.78 to 1.11). Smokers' attachment to their tobacco brand also decreased (PR=0.47, 95% CI 0.30 to 0.73). CONCLUSION: Our findings suggest that PP and increased graphic warnings could contribute to changes in smoking norms and rates among adolescents.
Notes In press
Language eng
DOI 10.1136/tobaccocontrol-2018-054573
Indigenous content off
Field of Research MD Multidisciplinary
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, Author(s) (or their employer(s))
Persistent URL http://hdl.handle.net/10536/DRO/DU:30115694

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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