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How the new European Union’s (Pictorial) tobacco health warnings influence quit attempts and smoking cessation: Findings from the 2016–2017 international tobacco control (ITC) Netherlands surveys

van Mourik, Dirk-Jan A., Candel, Math J. J. M., Nagelhout, Gera E., Willemsen, Marc C., Yong, Hua-Hie, van den Putte, Bas, Fong, Geoffrey T. and de Vries, Hein 2019, How the new European Union’s (Pictorial) tobacco health warnings influence quit attempts and smoking cessation: Findings from the 2016–2017 international tobacco control (ITC) Netherlands surveys, International journal of environmental research and public health, vol. 16, no. 21, pp. 1-15, doi: 10.3390/ijerph16214260.

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Title How the new European Union’s (Pictorial) tobacco health warnings influence quit attempts and smoking cessation: Findings from the 2016–2017 international tobacco control (ITC) Netherlands surveys
Author(s) van Mourik, Dirk-Jan A.
Candel, Math J. J. M.
Nagelhout, Gera E.
Willemsen, Marc C.
Yong, Hua-HieORCID iD for Yong, Hua-Hie orcid.org/0000-0001-8167-6173
van den Putte, Bas
Fong, Geoffrey T.
de Vries, Hein
Journal name International journal of environmental research and public health
Volume number 16
Issue number 21
Article ID 4260
Start page 1
End page 15
Total pages 15
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2019-11
ISSN 1661-7827
1660-4601
Keyword(s) pictorial health warnings
quit attempts
smokers
smoking cessation
structural equation modeling
Summary In 2016, the Netherlands was required to introduce new European Union (EU)’s (pictorial) tobacco health warnings. Our objective was to describe the pathways through which the new EU tobacco health warnings may influence quit attempts and smoking cessation among Dutch smokers. Longitudinal data from 2016 and 2017 from the International Tobacco Control (ITC) Netherlands Survey were used. Smokers who participated in both surveys were included (N = 1017). Structural equation modeling was applied to examine the hypothesized pathways. Health warning salience was positively associated with more health worries (β = 0.301, p < 0.001) and a more positive attitude towards quitting (β = 0.180, p < 0.001), which, in turn, were associated with a stronger quit intention (health worries: β = 0.304, p < 0.001; attitude: β = 0.340, p < 0.001). Quit intention was a strong predictor of quit attempts (β = 0.336, p = 0.001). Health warning salience was also associated with stronger perceived social norms towards quitting (β = 0.166, p < 0.001), which directly predicted quit attempts (β = 0.141, p = 0.048). Quit attempts were positively associated with smoking cessation (β = 0.453, p = 0.043). Based on these findings, we posit that the effect of the EU’s tobacco health warnings on quit attempts and smoking cessation is mediated by increased health worries and a more positive attitude and perceived social norms towards quitting. Making tobacco health warnings more salient (e.g., by using plain packaging) may increase their potential to stimulate quitting among smokers.
Language eng
DOI 10.3390/ijerph16214260
Indigenous content off
Field of Research MD Multidisciplinary
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30131681

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.