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A description of doctorss warning on tobacco use

This population-level intervention is broadly supported as a vital measure for warning people about the health consequences of smoking. However, some components of this approach warrant close critical inspection.

Tobacco packaging warning messages

Through a qualitative content analysis of the imagery used on health warning labels from 4 countries, we consider how this imagery depicts people that smoke. By critically analyzing this aspect of the visual culture of tobacco control, we argue that this imagery has the potential for unintended consequences, and obscures the social and embodied contexts in which smoking is experienced.

Visual imagery of the health effects of smoking has a long history in the context of antitobacco campaigns. Such images featured prominently in Victorian era antismoking literature, 1,2 and visual representations of the deleterious effects of smoking on the body have been a continuous thread in modern-day tobacco control and public health iconography. From a public health standpoint, a third goal of such labels is to facilitate tobacco denormalization by challenging the social and cultural acceptability of smoking, especially the glamorization of tobacco in media and popular visual culture.

However, one limitation of the available research is that responses to cigarette packages are studied in a context in which the ordinary coordinates of smoking are absent, making effectiveness very difficult to judge. Contrary to a didactic model of health education and its emphasis on individual behavioral change, critical approaches recognize the structural context of smoking and the social, historical, and political circumstances in which antismoking messages are deployed.

WMA Statement on Health Hazards of Tobacco Products and Tobacco-Derived Products

Thus, multiple readings and responses on the part of message recipients are inevitable. In the arena of smoking cessation, this includes the potential for negative responses, ranging from context dissonance 15 to defiance or resistance.

These approaches also highlight the need for public health policies to move beyond an exclusive emphasis on questions of efficacy to consider the ethics of the strategies employed i.

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We contend that the currently used and proposed sets of health warning labels ground understandings of smoking and its effects in ways that obscure certain dimensions of the practice while foregrounding and prefiguring others. In particular, they frame smoking as an individual risk behavior, one entirely isolable from its social context. An online inventory of health warning labels, including the specific images we reference, can be found at http: Because of a legal challenge by the tobacco industry, the set of American labels we analyzed has not yet gone into effect, but we have chosen to include them in our analysis because they present the intended direction for cigarette packaging in the United States.

As the Four-Country International Tobacco Control Survey evidences, 11 these countries are commonly used as a basis for comparing tobacco control legislation, in part because as industrialized democracies they are broadly politically similar but have different histories and intensities of legislation, as well as different stakeholders influencing antitobacco advocacy.

WMA Statement on Health Hazards of Tobacco Products and Tobacco-Derived Products

Table 1 provides a summary and comparison of the status of legislation regarding the health warning labels within each country. Not applicable Implementation of 9 picture warnings was mandated for September 2012; tobacco industry won a legal challenge that blocked this in August 2012; current status unknown. Open in a separate window Note. We conducted our qualitative content analysis in several steps. First, we uploaded the health warning labels from each country to a private online gallery, grouped according to their country of origin.

  • Canada also prohibits terms such as "light" and "mild" from appearing on tobacco packaging;
  • Brazil[ edit ] Brazil 's third and current batch of graphic images, mandatory on all cigarette packs;
  • Programs aimed at convincing and helping smokers and smokeless tobacco users to cease the use of tobacco products and programs for non-smokers and non-users of smokeless tobacco products aimed at avoidance are both important;
  • If you smoke despite all this, don't say that we did not warn you.

All 3 authors separately viewed and analyzed each of the 74 warning labels, focusing on interpreting the manifest the obvious or explicit meaning and latent the subtext or implicit meaning content of the imagery and accompanying text. Each author completed an analysis table covering all of the labels, ensuring that we considered their style and format, their context within the set of labels, and how they compared with other national series.

  1. It must now act with speed and decisiveness to ensure this crucial public health measure is law before the election. Brazil[ edit ] Brazil 's third and current batch of graphic images, mandatory on all cigarette packs.
  2. The tobacco industry has invested heavily in pack design in order to communicate specific messages to specific groups. Using nine graphic labels, this study collected participant data in the field via an iPad-administered survey and card sorting of graphic warning labels.
  3. Five million deaths occur worldwide each year due to tobacco use. Dr Narong Sahametapat, public health permanent secretary, said the ministry would give tobacco companies 90 days for retailers to clear out stocks of product using the smaller-sized health warning graphics.

From our initial, independent written analyses and joint subsequent discussions emerged a set of 8 broad descriptive codes to cover the central themes we identified Table 2.