Cigarette pack health warnings among Brazilian women daily smokers: - - PowerPoint PPT Presentation

Cigarette pack health warnings among Brazilian women daily smokers: who are they impacting?

Network for Tobacco Control among Women in Paraná, Brazil Lorna Bittencourt, MS, University of Alabama at Birmingham Sharina Person, Phd, University of Massachusetts Medical School Isabel Scarinci, MPH, PhD, University of Alabama at Birmingham

This study was supported by the National Institute on Drug Abuse (R01 DA024875).

Introduction

! Brazil is the second largest tobacco producer in

the world

! Brazil is one of the world leaders in tobacco

control legislation, and one of the first countries to introduce the health warnings on cigarette packs (CPHWs)

! However, little is known about the impact of

these health warnings among women smokers

! The aim of this study was to examine the

association between CPHWs and the intention to quit among women in a Southern state in Brazil where prevalence of smoking among women is

• ne of the highest in the country

Cigarette Pack Health Warnings in Brazil

2001- 2004 2004- 2008 2009-

Methods

! A population-based cross-sectional study among

adult women in seven different towns in the state

• f Paraná, Brazil

! A cluster sampling approach by randomly

selecting zip codes

! Face-to-face interviews using CAPI. ! The interview was adapted from the Global Adult

Tobacco Survey

! The study sample comprised 2,153 women,

approximately 300 participants/town. In our present analyses we included only daily cigarette smokers (265 subjects)

Results

Results

Discussion

! CPHWs play an important role on intention

to quit smoking among women - the tobacco companies increase their efforts to promote cigarette smoking among women.

! Larger impact of CPHWs in Brazil may be

multi-faceted.

! CPHWs have a higher impact among less

educated women as compared to women with high educational attainment.

! Differences in the impact of PHWCPs

across towns.

Conclusion

! The results demonstrate an important

relationship between CPHWs and willing to quit smoking among women.

! Level of education may be considered

when developing programs to address tobacco control among women.

Reference

• 1. Cavalcante, T. M. (2005). Tobacco control in Brazil: advances and challenges.

Revista de Psiquiatria Clínica, 32 (5), 283-300.

• 2. Thrasher, J. F., Villalobos, V., Szklo, A., Fong, G. T., Pérez, C., Sebrié, E. et al . (2010).

Assessing the impact of cigarette package health warning labels: a cross-country comparison in Brazil, Uruguay and Mexico. Salud Pública de México, 52(2),206-215.

• 3. World Health Organization. (2008). WHO report on the global tobacco epidemic, 2008:

the MPOWER package. Retrieved from: http://www.who.int/tobacco/mpower/mpower_ report_full_2008.pdf