Young women smokers’ response to using plain cigarette packaging: qualitative findings from a naturalistic study

BMC Public Health

Anne Marie Mackintosh¹  Allison Ford¹  Linda Bauld¹  Crawford Moodie¹ 

[1]UK Centre for Tobacco and Alcohol Studies, Stirling, UK

关键词: Public health;    Naturalistic;    Interviews;    Plain packaging;    Tobacco;   

Others  :  1128742
DOI  :  10.1186/1471-2458-14-812

 received in 2014-04-15, accepted in 2014-07-29,  发布年份 2014

【 摘 要 】

Background

The aim of this study was to explore in-depth the response of young women smokers (18–35 years) to using dark brown ‘plain’ cigarette packs in naturalistic settings.

Methods

Participants were recruited in six towns and cities in Scotland to take part in a naturalistic study, where they used plain cigarette packs for a week. Participants completed a number of questionnaires during the study period (reported elsewhere), and a sub-sample participated in post-study telephone interviews to explore their experiences of using the plain packs. Of the 187 participants who completed the study, 23 were randomly selected to participate in the post-study interviews. Within the interviews a semi-structured topic guide was used to assess perceptions of the plain pack, feelings created by the pack, feelings about smoking, and avoidant and smoking behaviour.

Results

The brown (plain) packs were perceived negatively due to the colour, the undesirable image the pack conveyed, and the reaction from others. The plain packs were also associated with negative feelings, such as embarrassment, discomfort and guilt. Some participants also commented that they felt differently about the product, considered to be less enjoyable or more harmful, when using the plain packs, and were less interested in, or felt more negatively about, smoking. A number of participants said that they had engaged in avoidant behavior with the plain packs, such as hiding it, due to their negative thoughts about the packs and the reaction of others. Some participants also mentioned cessation-related behaviours when using the plain packs, such as forgoing cigarettes, stubbing cigarettes out early and thinking about quitting, largely due to the decreased enjoyment of smoking.

Conclusions

The experience of using cigarettes in plain packs prompted a range of negative responses from young women smokers, who are a crucial target group for tobacco control interventions.

【 授权许可】

   
2014 Moodie et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Moodie C, Stead M, Bauld L, McNeill A, Angus K, Hinds K, Kwan I, Thomas J, Hastings G, O’Meara A: Plain tobacco packaging: A systematic review. Stirling: Centre for Tobacco Control Research, University of Stirling; 2012.
• [2]Moodie C, Angus K, Bauld L, Stead M: Plain tobacco packaging research: An update. Stirling, Scotland: Centre for Tobacco Control Research, University of Stirling; 2013.
• [3]Adkinson SE, Bansal-Travers M, Smith DM, O’Connor RJ, Hyland AJ: Impact of smokeless tobacco packaging on perceptions and beliefs among youth, young adults, and adults in the U.S: findings from an internet-based cross-sectional survey. Harm Reduction J 2014, 11:2. BioMed Central Full Text
• [4]Arora M, Tewari A, Grills N, Nazar GP, Sonrexa J, Gupta VK, Moodie R, Reddy KS: Exploring perception of Indians about plain packaging of tobacco products: A mixed method research. Front Public Health 2013, 1:35.
• [5]Brose L, Chong CB, Apsinall E, Michie S, McEwen A: Effects of standardised cigarette packaging on craving, motivation to stop and perceptions of cigarettes and packs. Psych Health 2014, 29:849-860.
• [6]Mays D, Niaura RS, Evans WD, Hammond D, Luta G, Tercyak KP: Cigarette packaging and health warnings: the impact of plain packaging and message framing on young smokers. Tob Controlin press
• [7]Hammond D, White C, Anderson W, Arnott D, Dockrell M: The perceptions of UK youth of branded and standardized, ‘plain’ cigarette packaging. Eur J Pub Healthin press
• [8]Guillaumier A, Bonevski B, Paul C, Durkin S, D’Este C: Socioeconomically disadvantaged smokers’ ratings of plain and branded cigarette packaging: an experimental study. BMJ Open 2014, 4:e004078.
• [9]Scheffels J, Lund I: The impact of cigarette branding and plain packaging on perceptions of product appeal and risk among young adults in Norway: A between-subjects experimental survey. BMJ Open 2013, 3:e003732.
• [10]Mannocci A, Colamesta V, Mipatrini D, Boccia A, Terzano C, la Torre G: How would plain packaging and pictorial warning impact on smoking reduction, cessation and initiation? Epidemiol Prev 2013, 37:400-405.
• [11]Wakefield MA, Hayes L, Durkin S, Borland R: Introduction effects of the Australian plain packaging policy on adult smokers: A cross-sectional study. BMJ Open 2013, 3:e003175.
• [12]Young JM, Stacey I, Dobbins TA, Dunlop S, Dessaix AL, Currow DC: Association between tobacco plain packaging and Quitline calls: A population-based, interrupted time-series analysis. Med J Aust 2014, 200:29-32.
• [13]Moodie C, Hastings GB, Mackintosh AM, Ford A: Young adult smokers’ perceptions of plain packaging: A pilot naturalistic study. Tob Control 2011, 20:367-373.
• [14]Moodie C, Mackintosh AM: Young adult women smokers’ perceptions of using plain cigarette packaging: A naturalistic approach. BMJ Open 2013, 3:e002402.
• [15]Gallopel-Morvan K, Moodie C, Eker F, Beguinot E, Martinet Y: Perceptions of plain packaging among young adult roll-your-own smokers in France: A naturalistic approach. Tob Controlin press
• [16]Doxey J, Hammond D: Deadly in pink: the impact of female-oriented cigarette packaging among young women. Tob Control 2011, 20:353-360.
• [17]Marketing Perceptions: Innovative packaging is clearly an opportunity. Bates Number: 2060037883–2060037936; 1992. http://legacy.library.ucsf.edu/tid/afe72e00/pdf webcite
• [18]Neale J, Miller P, West R: Reporting quantitative information in qualitative research: guidance for authors and reviewers. Addiction 2014, 109:175-176.
• [19]Toll BA, Ling PM: The Virginia Slims identity crisis: An inside look at tobacco industry marketing to women. Tob Control 2005, 14:172-180.
• [20]Hammond D, Doxey J, Daniel S, Bansal-Travers M: Impact of female-oriented cigarette packaging in the United States. Nic Tob Res 2011, 13:579-588.
• [21]Meyers HM, Lubliner MJ: The marketer’s guide to successful packaging design. Lincolnwood: NTC Business Books; 1998.
• [22]Klimchuk MR, Krasovec SA: Packaging design: Successful product branding from concept to shelf. New Jersey: Wiley; 2006.
• [23]Centre for Tobacco Control Research: The packaging of tobacco products. Stirling: Centre for Tobacco Control Research, University of Stirling; 2012.
• [24]Brown RL: Wrapper influence on the perception of freshness in bread. J Applied Psychology 1958, 42:257-260.
• [25]Allison RI, Uhl KP: Influences of beer brand identification on taste perceptions. J Market Res 1964, 1:36-39.
• [26]McDaniel C, Baker RC: Convenience food packaging and the perception of product quality. J Marketing 1977, 41:57-58.
• [27]Gordon A, Finlay K, Watts T: The psychological effects of color in consumer product packaging. Can J Market Res 1994, 13:3-11.
• [28]Sara R: Packaging as a retail marketing tool. Internat J Physical Distrib Logist Manag 1990, 20:29-30.
• [29]Hawkes C: Food packaging: The medium is the message. Pub Health Nutrit 2010, 13:297-299.
• [30]DiFranza JR, Clark DM, Pollay RW: Cigarette package design: Opportunities for disease prevention. Tob Induced Diseases 2002, 1:97-109.
• [31]Wakefield M, Morley C, Horan JK, Cummings KM: The cigarette pack as image: New evidence from tobacco industry documents. Tob Control 2002, 11:73-80.
• [32]Chandon P: How package design and packaged-based marketing claims lead to overeating. Appl Econ Perspect Pol 2013, 35:7-31.
• [33]Wakefield M: Welcome to cardboard country: How plain packaging could change the subjective experience of smoking. Tob Control 2011, 20:321-322.