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Motivation to quit smoking and acceptability of shocking warnings on cigarette packages in Lebanon

机译：黎巴嫩的戒烟动机和令人震惊的警告的可接受性

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Introduction: Health warnings on tobacco packages have been considered an essential pillar in filling the gap of knowledge and communicating the health risks of tobacco use to consumers. Our primary objective was to report the perception of smokers on the textual health warnings already appearing on tobacco packages in Lebanon versus shocking pictures about the health-related smoking consequences and to evaluate their impact on smoking behaviors and motivation. Methods: A pilot cross-sectional study was undertaken between 2013 and 2015 in five hospitals in Lebanon. Participants answered a questionnaire inquiring about sociodemographic characteristics, chronic respiratory symptoms, smoking behavior and motivation to quit smoking. Only-text warning versus shocking pictures was shown to the smokers during the interview. Results: Exactly 66% of the participants reported that they thought shocking pictorial warnings would hypothetically be more effective tools to reduce/quit tobacco consumption compared to only textual warnings. Also, 31.9% of the smokers who were motivated to stop smoking reported that they actually had stopped smoking for at least 1 month secondary to the textual warnings effects. A higher motivation to quit cigarette smoking was seen among the following groups of smokers: males (odds ratio [OR] =1.8, P =0.02), who had stopped smoking for at least 1 month during the last year due to textual warning (OR =2.79, P <0.001), who considered it very important to report health warning on cigarette packs (OR =1.92, P =0.01), who had chronic expectoration (OR =1.81, P =0.06) and who would change their favorite cigarette pack if they found shocking images on the pack (OR =1.95, P =0.004). Conclusion: Low-dependent smokers and highly motivated to quit smokers appeared to be more hypothetically susceptible to shocking pictorial warnings. Motivation to quit was associated with sensitivity to warnings, but not with the presence of all chronic respiratory symptoms.
机译：简介：烟草包装上的健康警告被认为是填补知识空白并向消费者传达烟草使用健康风险的重要支柱。我们的主要目的是报告吸烟者对黎巴嫩烟草包装上已经出现的文字健康警告的看法，而不是关于与健康相关的吸烟后果的令人震惊的图片，并评估其对吸烟行为和动机的影响。方法：2013年至2015年，在黎巴嫩的五家医院进行了一项初步的横断面研究。参与者回答了一份问卷，询问了社会人口统计学特征，慢性呼吸道症状，吸烟行为和戒烟动机。在采访中向吸烟者展示了仅文字警告和令人震惊的图片。结果：准确的参与者中有66％的人报告说，与仅文字警告相比，令人震惊的图形警告可能被认为是减少/戒烟的更有效工具。另外，有31.9％的积极戒烟的吸烟者说，他们实际上已经停止吸烟，至少持续了一个月，这是文字警告所致。在下列吸烟者中，戒烟的动机更高：男性（优势比[OR] = 1.8，P = 0.02），由于去年的文字警告（OR），他们至少戒烟了1个月。 = 2.79，P <0.001），他认为报告香烟包装上的健康警告非常重要（OR = 1.92，P = 0.01），患有慢性咳嗽（OR = 1.81，P = 0.06），并且会更换自己喜欢的香烟如果他们在包装上发现了令人震惊的图像（OR = 1.95，P = 0.004）。结论：低依赖性吸烟者和积极戒烟的吸烟者似乎更容易受到令人震惊的图形警告的影响。戒烟的动机与对警告的敏感性有关，但与所有慢性呼吸道症状的存在无关。

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