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Effectiveness of pictorial health warnings on cigarette packs among adults in a rural Sri Lankan community

机译：斯里兰卡农村社区成年人烟盒上图片健康警告的有效性

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Background: Pictorial health warnings (PHWs) on 80% of the cigarette packs were introduced in 2015 as the most recent method of communicating health risk of smoking in Sri Lanka. This study aimed to evaluate the effectiveness of the newly introduced PHWs pictorial health warnings on cigarette packs among adults in a rural community. Methods: Cross sectional data from 360 adults (56% male) smokers and non-smokers (68%) randomly selected from rural households to complete a pre-validated self-administered questionnaire were analysed. The questionnaire collected socio-demographic data, smoking history/behavior, and exposure to antismoking media messages and newly introduced pictorial warnings, knowledge about risks of smoking and attitudes on smoking. Results: Majority of the respondents (91%; 87% smokers and 99% nonsmokers) reported being exposed to the pictorial health warnings (PHW) on cigarette packs. Those who reported noticing PHWs on cigarette packs, noticing anti-smoking media messages, older age and higher education were significantly associated with higher knowledge about health risks of smoking (p 0.05). Conclusions: PHW on cigarette pack is a most efficient health communication tool in rural Sri Lankan community. The findings suggest that the newly introduced PHWs that cover 80% of the cigarette packs can help to increase knowledge about the harms of smoking among both smokers and nonsmokers, stimulate more conversation with significant others about the dangers of smoking among nonsmokers and encourage quitting among smokers, thus providing some support for its effectiveness as a health communication tool in rural Sri Lankan community.
机译：背景：2015年，对80％的香烟包装上的图片健康警告（PHW）进行了宣传，这是斯里兰卡传达吸烟健康风险的最新方法。这项研究旨在评估农村社区成年人中新近引入的PHW图形健康警告对香烟包装的有效性。方法：分析从农村家庭中随机抽取的360名成人（56％男性）吸烟者和非吸烟者（68％）的横截面数据，以完成预先验证的自我管理问卷。问卷收集了社会人口统计学数据，吸烟史/行为，接触反吸烟媒体信息和新引入的图片警告，关于吸烟风险的知识以及对吸烟的态度。结果：大多数受访者（91％; 87％的吸烟者和99％的非吸烟者）报告暴露于烟盒上的图形健康警告（PHW）。那些报告注意到烟盒上的PHW，注意到反吸烟媒体信息，年龄较大和受过高等教育的人与对吸烟健康风险的更高了解显着相关（p 0.05）。结论：香烟包装上的PHW是斯里兰卡农村社区最有效的健康交流工具。研究结果表明，新推出的覆盖了80％香烟盒的PHW可以帮助增加对吸烟者和非吸烟者之间吸烟危害的认识，激发与其他重要人士之间更多关于非吸烟者吸烟危害的对话，并鼓励吸烟者戒烟，从而为其在斯里兰卡农村社区中作为健康交流工具的有效性提供了一些支持。

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