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. 2025 Jan:17:1600.
doi: 10.34172/ahj.1600. Epub 2025 Jul 25.

The Impact of Graphic Health Warning Labels on Smokeless Tobacco Packets on Motivation to Quit among Current Users: A Cross-Sectional Study

Jadhav Sachin Kumar  1 , Puvvadi Gopalakrishna Naveenkumar  1 , Mahesh R Khairnar  1 , Zainab Akram  1 , Neha Chauhan  2 , Neha Shukla  1
Affiliations

The Impact of Graphic Health Warning Labels on Smokeless Tobacco Packets on Motivation to Quit among Current Users: A Cross-Sectional Study

Jadhav Sachin Kumar et al. Addict Health. 2025 Jan.

Abstract

Background: Smokeless tobacco (SLT) use constitutes a considerable public health concern, especially in India, where there are more than 300 million users. This study seeks to assess the influence of graphic health warning labels (GHWLs) on smokeless tobacco (SLT) packaging on encouraging cessation among users.

Methods: A cross-sectional study was conducted at the Faculty of Dental Sciences, BHU, Varanasi outpatient department, from December 2023 to April 2024. The study involved 387 participants, selected via simple random sampling, who were current smokeless tobacco users. Data was collected through structured interviews using a validated questionnaire. Statistical analysis was performed using SPSS version 21.0, with a significance level set at P<0.05.

Findings: Awareness of GHWLs was high, with 91.7% of participants recognizing the labels. Among these, 66% considered quitting or reducing smokeless tobacco use due to the labels. Increased health awareness and serious consideration to quit were reported by 50.1% of participants, while 28.9% reported no impact. Awareness of tobacco cessation clinics was moderate at 48.1%, and 66.1% expressed willingness to seek help, primarily due to health concerns. Positive correlations were found between education level and awareness (r=0.387) and education and attitude towards quitting (r=0.227). Younger participants and those with shorter durations of smokeless tobacco use exhibited higher health awareness and a greater likelihood of considering cessation.

Conclusion: GHWLs are a potent tool in tobacco control, significantly influencing smokeless tobacco users' intentions to quit. A multifaceted approach involving GHWLs and comprehensive support systems can substantially reduce smokeless tobacco use and its associated health risks.

Keywords: Cross-sectional survey; Education; Smokeless tobacco; Tobacco cessation.

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Conflict of interest statement

Competing Interests The authors declare that they have no conflicts of interest.

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