Skip to main content
Grant Details

Grant Number: 5R01CA090955-02 Interpret this number
Primary Investigator: Fong, Geoffrey
Organization: University Of Waterloo
Project Title: Effects of Graphic Warning Labels on Adolescent Smoking
Fiscal Year: 2003
Back to top


Abstract

DESCRIPTION (provided by applicant): The broad objective of the proposed research is to evaluate and understand the impact of a national tobacco control policy. Specifically, the proposed research will evaluate the psychosocial and behavioral effects of the new graphic cigarette package warning labels that were introduced in Canada in December 2000. These labels contain vivid photographs of the negative health consequences of cigarette smoking, with text messages inside the package that include efficacy messages for reducing the threat depicted on the package. In a quasi-experimental design, the participants will be a total of 12,000 students at 9 high schools in Canada and 6 high schools in the United States. Schools in the United States are matched so that they are similar to the Canadian schools. Baseline data confirm that the Canadian and U.S. schools do not differ in smoking behavior. Students will participate in a 30-minute classroom administered survey 2 times a year for 3 academic years. The first wave of data collection was conducted prior to the introduction of the new warning labels. There are six specific aims: (1) to examine whether the graphic warning labels have any effects on smoking behavior; (2) to examine whether the graphic warning labels enhance label-relevant psychosocial variables (e.g., label salience); (3) to examine whether the graphic warning labels diminish general psychosocial variables that are related to smoking behavior; (4) to examine whether the effects of the graphic warning labels will vary as a function of exposure to the labels; (5) to examine whether the effects of the graphic warning labels will vary as a function of individual difference variables such as sensation seeking and time perspective; and (6) to examine whether the effects of the graphic warning labels on smoking behavior are mediated by variables that have been identified by theory to be important in predicting and understanding smoking behavior. Data-analytic methods will be employed that take into account the clustered nature of the data (e.g., random-effects regression models). The proposed research takes advantage of a "natural experiment" in an important tobacco control policy, and thus has the potential to gain insight into the effectiveness of these and other efforts by governments to reduce tobacco use, and could provide an empirical basis for future tobacco control policies in the U.S. and other countries. Moreover, the simultaneous focus on policy evaluation and theory testing may yield insights into the underlying mechanisms that would explain how and why the policy achieved its desired effects (or why it failed to achieve its desired effects).

Back to top


Publications

State-Level Affordability of Factory-Made Cigarettes among Current US Smokers: Findings from the ITC US Survey, 2003-2015.
Authors: Driezen P. , Nargis N. , Thompson M.E. , Cummings K.M. , Fong G.T. , Chaloupka F.J. , Shang C. , Cheng K.W. .
Source: International journal of environmental research and public health, 2019-07-09; 16(13), .
EPub date: 2019-07-09.
PMID: 31323981
Related Citations

Analysis of Gender Differences in the Impact of Taxation and Taxation Structure on Cigarette Consumption in 17 ITC Countries.
Authors: Ngo A. , Fong G.T. , Craig L.V. , Shang C. .
Source: International journal of environmental research and public health, 2019-04-10; 16(7), .
EPub date: 2019-04-10.
PMID: 30974749
Related Citations

Keeping smoking affordable in higher tax environments via smoking thinner roll-your-own cigarettes: Findings from the International Tobacco Control Four Country Survey 2006-15.
Authors: Branston J.R. , McNeill A. , Gilmore A.B. , Hiscock R. , Partos T.R. .
Source: Drug and alcohol dependence, 2018-12-01; 193, p. 110-116.
EPub date: 2018-10-06.
PMID: 30352334
Related Citations

Association between tax structure and cigarette consumption: findings from the International Tobacco Control Policy Evaluation (ITC) Project.
Authors: Shang C. , Lee H.M. , Chaloupka F.J. , Fong G.T. , Thompson M. , O'Connor R.J. .
Source: Tobacco control, 2019 05; 28(Suppl 1), p. s31-s36.
EPub date: 2018-05-24.
PMID: 29794232
Related Citations

Banning tobacco price promotions, smoking-related beliefs and behaviour: findings from the International Tobacco Control Four Country (ITC 4C) Survey.
Authors: El-Toukhy S. , Choi K. , Hitchman S.C. , Bansal-Travers M. , Thrasher J.F. , Yong H.H. , O'Connor R.J. , Shang C. .
Source: Tobacco control, 2018 05; 27(3), p. 310-318.
EPub date: 2017-07-12.
PMID: 28701585
Related Citations

Cross-country comparison of smokers' reasons for thinking about quitting over time: findings from the International Tobacco Control Four Country Survey (ITC-4C), 2002-2015.
Authors: Kasza K.A. , Hyland A.J. , Borland R. , McNeill A. , Fong G.T. , Carpenter M.J. , Partos T. , Cummings K.M. .
Source: Tobacco control, 2017 11; 26(6), p. 641-648.
EPub date: 2016-10-26.
PMID: 27798323
Related Citations

Educational differences in associations of noticing anti-tobacco information with smoking-related attitudes and quit intentions: findings from the International Tobacco Control Europe Surveys.
Authors: Springvloet L. , Willemsen M.C. , Mons U. , van den Putte B. , Kunst A.E. , Guignard R. , Hummel K. , Allwright S. , Siahpush M. , de Vries H. , et al. .
Source: Health education research, 2015 Oct; 30(5), p. 719-30.
EPub date: 2015-08-31.
PMID: 26324396
Related Citations

Trends and socioeconomic differences in policy triggers for thinking about quitting smoking: Findings from the International Tobacco Control (ITC) Europe Surveys.
Authors: Hummel K. , Nagelhout G.E. , Willemsen M.C. , Driezen P. , Springvloet L. , Mons U. , Kunst A.E. , Guignard R. , Allwright S. , van den Putte B. , et al. .
Source: Drug and alcohol dependence, 2015-10-01; 155, p. 154-62.
EPub date: 2015-07-31.
PMID: 26282108
Related Citations

Trends and socioeconomic differences in roll-your-own tobacco use: findings from the ITC Europe Surveys.
Authors: Brown A.K. , Nagelhout G.E. , van den Putte B. , Willemsen M.C. , Mons U. , Guignard R. , Thompson M.E. .
Source: Tobacco control, 2015 Jul; 24 Suppl 3, p. iii11-iii16.
EPub date: 2015-06-22.
PMID: 26101043
Related Citations

The association between tax structure and cigarette price variability: findings from the ITC Project.
Authors: Shang C. , Chaloupka F.J. , Fong G.T. , Thompson M. , O'Connor R.J. .
Source: Tobacco control, 2015 Jul; 24 Suppl 3, p. iii88-iii93.
EPub date: 2015-04-08.
PMID: 25855641
Related Citations

The impact of the Malaysian minimum cigarette price law: findings from the ITC Malaysia Survey.
Authors: Liber A.C. , Ross H. , Omar M. , Chaloupka F.J. .
Source: Tobacco control, 2015 Jul; 24 Suppl 3, p. iii83-iii87.
EPub date: 2015-03-25.
PMID: 25808666
Related Citations

Weight control belief and its impact on the effectiveness of tobacco control policies on quit attempts: findings from the ITC 4 Country Survey.
Authors: Shang C. , Chaloupka F.J. , Fong G.T. , Thompson M. , Siahpush M. , Ridgeway W. .
Source: Tobacco control, 2015 Jul; 24 Suppl 3, p. iii41-iii47.
EPub date: 2015-02-02.
PMID: 25646173
Related Citations

Are there income differences in the impact of a national reimbursement policy for smoking cessation treatment and accompanying media attention? Findings from the International Tobacco Control (ITC) Netherlands Survey.
Authors: Nagelhout G.E. , Hummel K. , Willemsen M.C. , Siahpush M. , Kunst A.E. , de Vries H. , Fong G.T. , van den Putte B. .
Source: Drug and alcohol dependence, 2014-07-01; 140, p. 183-90.
EPub date: 2014-04-28.
PMID: 24814565
Related Citations

'I bet I can do it!' - Reach and effectiveness of a television show about smoking cessation among low, moderate, and high educated smokers.
Authors: Nagelhout G.E. , Wiebing M.A. , van den Putte B. , de Vries H. , Crone M. , Bot S.M. , Willemsen M.C. .
Source: TSG : tijdschrift voor gezondheidswetenschappen, 2014 Mar; 92(2), p. 84-92.
EPub date: 2014-03-07.
PMID: 26692815
Related Citations

Cigarette tax avoidance and evasion: findings from the International Tobacco Control Policy Evaluation (ITC) Project.
Authors: Guindon G.E. , Driezen P. , Chaloupka F.J. , Fong G.T. .
Source: Tobacco control, 2014 Mar; 23 Suppl 1, p. i13-22.
EPub date: 2013-11-13.
PMID: 24227541
Related Citations

The distribution of cigarette prices under different tax structures: findings from the International Tobacco Control Policy Evaluation (ITC) Project.
Authors: Shang C. , Chaloupka F.J. , Zahra N. , Fong G.T. .
Source: Tobacco control, 2014 Mar; 23 Suppl 1, p. i23-9.
EPub date: 2013-06-21.
PMID: 23792324
Related Citations

Socioeconomic and country variations in cross-border cigarette purchasing as tobacco tax avoidance strategy. Findings from the ITC Europe Surveys.
Authors: Nagelhout G.E. , van den Putte B. , Allwright S. , Mons U. , McNeill A. , Guignard R. , Beck F. , Siahpush M. , Joossens L. , Fong G.T. , et al. .
Source: Tobacco control, 2014 Mar; 23 Suppl 1, p. i30-8.
EPub date: 2013-05-03.
PMID: 23644287
Related Citations

Impact of national smoke-free legislation on home smoking bans: findings from the International Tobacco Control Policy Evaluation Project Europe Surveys.
Authors: Mons U. , Nagelhout G.E. , Allwright S. , Guignard R. , van den Putte B. , Willemsen M.C. , Fong G.T. , Brenner H. , Pötschke-Langer M. , Breitling L.P. .
Source: Tobacco control, 2013 May; 22(e1), p. e2-9.
EPub date: 2012-02-13.
PMID: 22331456
Related Citations

Comparative impact of smoke-free legislation on smoking cessation in three European countries.
Authors: Nagelhout G.E. , de Vries H. , Boudreau C. , Allwright S. , McNeill A. , van den Putte B. , Fong G.T. , Willemsen M.C. .
Source: European journal of public health, 2012 Feb; 22 Suppl 1, p. 4-9.
PMID: 22294778
Related Citations

The influence of newspaper coverage and a media campaign on smokers' support for smoke-free bars and restaurants and on secondhand smoke harm awareness: findings from the International Tobacco Control (ITC) Netherlands Survey.
Authors: Nagelhout G.E. , van den Putte B. , de Vries H. , Crone M. , Fong G.T. , Willemsen M.C. .
Source: Tobacco control, 2012 Jan; 21(1), p. 24-9.
EPub date: 2011-05-17.
PMID: 21586760
Related Citations

Prevalence and predictors of smoking in "smoke-free" bars. Findings from the International Tobacco Control (ITC) Europe Surveys.
Authors: Nagelhout G.E. , Mons U. , Allwright S. , Guignard R. , Beck F. , Fong G.T. , de Vries H. , Willemsen M.C. .
Source: Social science & medicine (1982), 2011 May; 72(10), p. 1643-51.
EPub date: 2011-03-30.
PMID: 21497973
Related Citations

The effect of the Irish smoke-free workplace legislation on smoking among bar workers.
Authors: Mullally B.J. , Greiner B.A. , Allwright S. , Paul G. , Perry I.J. .
Source: European journal of public health, 2009 Apr; 19(2), p. 206-11.
PMID: 19307250
Related Citations

Prevalence of smoking among bar workers prior to the Republic of Ireland smokefree workplace legislation.
Authors: Mullally B.J. , Greiner B.A. , Allwright S. , Paul G. , Perry I.J. .
Source: Irish journal of medical science, 2008 Dec; 177(4), p. 309-16.
EPub date: 2008-09-27.
PMID: 18825478
Related Citations

Reductions in tobacco smoke pollution and increases in support for smoke-free public places following the implementation of comprehensive smoke-free workplace legislation in the Republic of Ireland: findings from the ITC Ireland/UK Survey.
Authors: Fong G.T. , Hyland A. , Borland R. , Hammond D. , Hastings G. , McNeill A. , Anderson S. , Cummings K.M. , Allwright S. , Mulcahy M. , et al. .
Source: Tobacco control, 2006 Jun; 15 Suppl 3, p. iii51-8.
PMID: 16754947
Related Citations

Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study.
Authors: Allwright S. , Paul G. , Greiner B. , Mullally B.J. , Pursell L. , Kelly A. , Bonner B. , D'Eath M. , McConnell B. , McLaughlin J.P. , et al. .
Source: BMJ (Clinical research ed.), 2005-11-12; 331(7525), p. 1117.
EPub date: 2005-10-17.
PMID: 16230313
Related Citations

Graphic Canadian cigarette warning labels and adverse outcomes: evidence from Canadian smokers.
Authors: Hammond D. , Fong G.T. , McDonald P.W. , Brown K.S. , Cameron R. .
Source: American journal of public health, 2004 Aug; 94(8), p. 1442-5.
PMID: 15284057
Related Citations

Impact of the graphic Canadian warning labels on adult smoking behaviour.
Authors: Hammond D. , Fong G.T. , McDonald P.W. , Cameron R. , Brown K.S. .
Source: Tobacco control, 2003 Dec; 12(4), p. 391-5.
PMID: 14660774
Related Citations




Back to Top