| Title: |
Association Between Cigarette and Bidi Purchase Behavior (Loose vs Pack) and Health Warning Label Exposure: Findings From the Tobacco Control Policy India Survey and In-Depth Interviews With People Who Smoke |
| Authors: |
Sakhuja, Mayank; Friedman, Daniela B; Macauda, Mark M; Hebert, James R; Pednekar, Mangesh S; Gupta, Prakash C; Fong, Geoffrey T; Thrasher, James F |
| Source: |
JMIR Public Health and Surveillance, 10 |
| Publisher Information: |
JMIR Publications |
| Publication Year: |
2024 |
| Collection: |
Carolina Digital Repository (UNC - University of North Carolina) |
| Subject Terms: |
data; Policy Survey; health; India Survey; response; in-depth interviews; cigarette purchases; preferences; packing; survey; regression models; interview findings; effects of smoking; health warnings; bidi; adults; loose cigarettes; Mumbai; behavior; bidi smoking; vendors; survey sample; smoking; frequency; cigarette; effect; effectiveness of health warning labels; cigarette users; content; variables |
| Description: |
BACKGROUND: The sale of loose cigarettes or bidis can undermine the purpose of requiring health warning labels (HWLs) on cigarette packs and bidi bundles by diminishing their visibility and legibility. OBJECTIVE: This mixed-methods study aims to examine the association between purchase behavior (loose vs pack or bundle), HWL exposure, and responses to HWLs among Indian adults who smoke. METHODS: Data were analyzed from the 2018-2019 India Tobacco Control Policy Survey and from 28 in-depth interviews conducted with Indian adults who smoked in 2022. The Tobacco Control Policy Survey sample included tobacco users who bought cigarettes (n=643) or bidis (n=730), either loose or in packs or bundles at their last purchase. Ordinal regression models were fit separately for cigarettes and bidis, whereby HWL variables (noticing HWLs, reading and looking closely at HWLs, forgoing a cigarette or bidi because of HWLs, thinking about health risks of smoking, and thinking about quitting smoking cigarettes or bidis because of HWLs) were regressed on last purchase (loose vs packs or bundles). In-depth interviews with participants from Delhi and Mumbai who purchased loose cigarettes in the last month were conducted, and thematic analysis was used to analyze the interview data. RESULTS: Survey findings indicated that about 74.3% (478/643) of cigarette users and 11.8% (86/730) of bidi users reported having bought loose sticks at their last purchase. Those who purchased loose cigarettes (vs packs) noticed HWLs less often (estimate -0.830, 95% CI -1.197 to -0.463, P |
| Document Type: |
article in journal/newspaper |
| Language: |
unknown |
| Relation: |
https://cdr.lib.unc.edu/downloads/4x51hz28q?file=thumbnail; https://cdr.lib.unc.edu/downloads/4x51hz28q |
| DOI: |
10.17615/yme7-he97 |
| Availability: |
https://doi.org/10.17615/yme7-he97; https://cdr.lib.unc.edu/downloads/4x51hz28q?file=thumbnail; https://cdr.lib.unc.edu/downloads/4x51hz28q |
| Rights: |
http://rightsstatements.org/vocab/InC/1.0/ ; http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.514C46F |
| Database: |
BASE |