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 one of the highest in the country
Cigarette Pack Health Warnings in Brazil 2001- 2004 2009- 2004- 2008
Methods ! A population-based cross-sectional study among adult women in seven different towns in the state of 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
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