Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/31418
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Reactions to standardized cigarette packs with varying structural designs, and the association with smoking susceptibility: A postimplementation cross-sectional survey with never-smoking adolescents in Scotland
Author(s): Mitchell, Danielle
Critchlow, Nathan
Moodie, Crawford
Bauld, Linda
Contact Email: nathan.critchlow@stir.ac.uk
Keywords: smoking
tobacco
standardised packaging
standardized packaging
plain packaging
adolescents
cross-sectional survey
susceptibility
Issue Date: Nov-2020
Citation: Mitchell D, Critchlow N, Moodie C & Bauld L (2020) Reactions to standardized cigarette packs with varying structural designs, and the association with smoking susceptibility: A postimplementation cross-sectional survey with never-smoking adolescents in Scotland. Nicotine and Tobacco Research, 22 (11), pp. 2041-2050. https://doi.org/10.1093/ntr/ntaa109
Abstract: Aim: From 20th May 2017, cigarettes in the United Kingdom must be sold in standardised (plain) packaging. We explore post-implementation reactions to standardised cigarette packaging among never-smokers in Scotland, whether reactions vary in relation to permitted variations in pack structure, and whether reactions are associated with susceptibility. Methods: A cross-sectional survey with 12-17 year-old never-smokers (n=507) in Scotland, conducted November 2017-November 2018. Participants were shown one ‘regular’ standardised cigarette pack (flip-top lid and straight-edged pack, similar to designs in Australia) and three standardised packs with varied pack structures (bevelled-edges, slim pack, and shoulder box), which are permitted post-implementation in the UK. Participants rated each pack on eight five-point reaction measures (e.g. attractiveness). Participants also indicated which pack, if any, they would choose. Smoking susceptibility was the outcome. Results: The mean reaction scores for all four packs were mostly negative, however the shoulder box was consistently rated less negatively than the regular, slim, or bevelled-edge packs. Most participants (87%) said they would not select any of the four packs, although susceptible participants were more likely to select one than non-susceptible participants (25% vs. 7%; χ2=29.70; p=0.001). For all four packs, not finding them off-putting was associated with susceptibility (Adjusted Odds Ratio range: 2.73-3.69), albeit only a minority of adolescents did not find each pack off-putting. Conclusions: Adolescents have negative reactions to the standardised cigarette packs implemented in the United Kingdom, albeit permitted variations in structure can reduce the extent of negativity. Most reactions to standardised packaging had no association with susceptibility. Implications: We provide the first empirical evidence that adolescents find the standardized cigarette packs implemented in the United Kingdom unappealing and that most pack reactions have no association with susceptibility among never-smokers, with the exception of the minority who did not think that they would put them off smoking. This suggests that the legislation is achieving one of its primary aims, to reduce the appeal of packaging. That permitted variations in pack structure (eg, shoulder boxes) somewhat reduce negative reactions suggests that the United Kingdom, and other countries introducing similar legislation, should ensure that all aspects of pack design are fully standardized.
DOI Link: 10.1093/ntr/ntaa109
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Nicotine and Tobacco Research following peer review. The version of record Mitchell D, Critchlow N, Moodie C & Bauld L (2020) Reactions to standardised cigarette packs with varying structural designs, and the association with smoking susceptibility: A post-implementation cross-sectional survey with never-smoking adolescents in Scotland. Nicotine & Tobacco Research, Volume 22, Issue 11, November 2020, Pages 2041–2050 is available online at: https://doi.org/10.1093/ntr/ntaa109
Licence URL(s): https://storre.stir.ac.uk/STORREEndUserLicence.pdf

Files in This Item:
File Description SizeFormat 
ntaa109.pdfFulltext - Published Version8.05 MBAdobe PDFUnder Permanent Embargo    Request a copy
ntaa109.pdfFulltext - Accepted Version1.09 MBAdobe PDFUnder Embargo until 2021-06-24    Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependent on the depositor still being contactable at their original email address.



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.