Document Type
Article
Abstract
Introduction:
This study aimed to determine associations between health warning label content and motivation to quit waterpipe smoking by gender and smoking location.
Methods:
Convenience samples of university students in three Eastern Mediterranean countries – Egypt (n=442), Jordan (n=535) and Palestine (n=487) – completed an online survey assessing health warning labels. Multinomial logit regression models were conducted to determine the association between different variables, particularly gender and smoking location, with motivation to quit.
Results:
In Palestine, female smokers were more motivated to quit waterpipe smoking when seeing textual warning labels related to children (T2) and pregnancy (T6) [T2: 1.8 (95% CI: 1.1–2.8), T6: 2.7 (95% CI: 1.6–4.3)] compared to males. Similar results were found in Jordan [T2: 1.6 (95% CI: 1.0–2.6), T6: 1.8 (95% CI: 1.1–3.0)]. As for the smoking location, home-only smokers in Palestine were more likely to quit in response to the following warnings: waterpipe smoking is addictive T1: 2.3 (95% CI: 1.4–3.7), harmful for children T2: 2.3 (95% CI: 1.4–4.1), harmful for the baby during pregnancy T6: 2.4 (95% CI: 1.3–4.3), and to believe that quitting reduces the health risks T9: 1.8 (95% CI: 1.0–3.1). These results were not found in Jordan nor Egypt. Smokers reported that the most noticeable location of a HWL on a waterpipe device is the mouthpiece.
Conclusions:
A better understanding of motivation to quit and its association with various warnings and smoking location could guide countries on which warnings to require in legislation and where best to require them particularly in relation to location.
Digital Object Identifier (DOI)
Publication Info
Published in Tobacco Prevention and Cessation, Volume 7, 2021, pages 44-.
Rights
© 2021 Farran D. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial 4.0 International License. (http://creativecommons.org/licenses/by-nc/4.0)
APA Citation
Farran, D., Khawam, G., Nakkash, R., Lee, J., Abu-Rmeileh, N., Darawad, M., Mostafa, A., Kheirallah, K., Salama, M., Hamadeh, R., Thrasher, J., & Salloum, R. (2021). Association of health warning labels and motivation to quit waterpipe tobacco smoking among university students in the Eastern Mediterranean Region. Tobacco Prevention & Cessation, 7. https://doi.org/10.18332/tpc/134561