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The Effects of Graphical Health Warning
Labels towards Smoking Behavior
Submitted by
Adnan Saleh Bhutto
(07-0261)
Supervised by
Mr. Hasan Javid
!rogram
Bachelors of Business "dministration #BB"$
SPRING 2011
FAST- School of Business National University of Computer & Emerging Science
Karachi Campus
%"ST S&H''L '% B(S)*ESS+ ,"-"&H)
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ecommen!ation for E"ternal E"amination
This final year pro#ect$ hereto attache!$ title!$ %Effects of graphical health arning la'els toar!
smo(ing Behavior )$ prepare! an! su'mitte! 'y %A!nan Saleh Bhutto)$ in partial fulfillment of the
re*uirements for the !egree of Bachelors of Business A!ministration +BBA,$ is here'y forar!e! for
appropriate action
.r /asan 0avi!
A!visor
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%"ST S&H''L '% B(S)*ESS+ ,"-"&H)
Certificate of Completion
This final year pro#ect title!$ %Effects of graphical health arning la'els toar! smo(ing
Behavior)$ prepare! an! su'mitte! 'y %A!nan Saleh Bhutto)$ in partial fulfillment of the
re*uirements for the !egree of Bachelors of Business A!ministration +BBA,$ has 'een accepte!
an! approve!
.r /asan 0avi! A!visor
1r Na!eem A Sye!
/ea! of .anagement Science 1epartment
"&,*'WLE.GE/E*TS
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Behind every task is a vision and in order to complete a successful task we
must have a determination to complete that vision. I would like to thanks my
Almighty Allah who gave me enough strength to work on this research
project. I would like to say the words of appreciation to my advisor Mr. asan
!avid for his kind guidance and support throughout the research.
"his report could not have #een accomplished without the splendid support
and cooperation of $r. %adeem A &yed '($) and my respected facility
mem#ers* who throughout my research helped me in guiding and sharing
their knowledge.
It has #een really knowledge seeking e+perience to do this research. And
,nally* I o-er my regards and #lessings to all of those who supported me inany respect during the completion of the research report.
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Table of Contents'i) "itle
page////////////////////////////////////////
////////////..i
'ii)
0erti,cates////////////////////////////////////
//////////////./ii
'ii)
Acknowledgement/////////////////////////////////
//////////////iv
'iii) "a#le of
contents//////////////////////////////////////
/////////.v
'iv) +ecutive
&ummary/////////////////////////////////////
//////...//vii
01 )*T-'.(&T)'*1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111112
2 2 BACK34UN1 AN1 0UST5F5CAT54N.......................................................................................
1.1.1 Overview of the area under study:...............................................................................................................8
1.1.1.1 Role of Government...................................................................................................................................
26 T78ES 4F S.4KES UN1E STU17 +B7 C53AETTE C4NSU.8T54N,.............................................1
29 T78ES 4F C53AETTE BAN1S UN1E STU17.......................................................................11
2: 84B;E.....................................................................................................................12
2< ESEAC/ 4B0ECT5=E....................................................................................................12
2> ;5.5TAT54NS................................................................................................................12
2? SC48E........................................................................................................................13
31 L)TE-"T(-E -E4)EW111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111105
62 8ACKA35N3 AN1 ;ABE;5N3 4F T4BACC4 841UCTS...............................................................1
66 /EA;T/ 5SK ASS4C5ATE1 @5T/ S.4K5N3...........................................................................14
69 /EA;T/ .ESSA3ES 4N 8ACKA35N3....................................................................................15
!.".1. #ur$ose of health warnin% la&elin%......................................................................................................1'
!.".! (m$ortan)e of health warnin%s...................................................................................................................18
2. " 6(7 (8 9( 86AM9(6: 0(%;%"I(% (% "(BA00( 0(%"6(7 '80"0)........................1
2.4. 880"I;%&& (8
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61 -ESE"-&H /ETH'.'L'G7111111111111111111111111111111111111111111111111111111111111111111111111111111111111111133
92 ESEAC/ 1ES53N........................................................................................................ 23
96 848U;AT54N................................................................................................................23
99 SA.8;E AN1 SA.8;5N3 .ET/41.....................................................................................23
9: .EASUE.ENT5 NSTU.ENT SE;ECT54N............................................................................23
9 .41E;.....................................................................................................................23
9? /784T/ES5S................................................................................................................2
51 E/!)-)&"L ."T"111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111138
81 "*"L7S)S1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111156
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E
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01 )ntroduction
01 0 Background and =ustification
For most consumer pro!ucts$ pac(aging in one of the most important component of overall
mar(eting strategies The importance of pac(aging is seen as it performs many sales tas(s$
such as gaining attention$ !escri'ing the pro!uct$ an! helping to ma(e the sale an! is an
important factor for consumer impulse 'uying 5nfact e can say that in current competitive
mar(eting environment %pac(aging sells first) 5t esta'lishes the 'ran! i!entity an! serves as
an effective form of promotion 'oth at the point of purchase an! hile the pro!uct is 'eing
use! Although in all consumer pro!ucts the manufacturers freely uses creativity$ art an!
!esign to shape their pro!uct pac(aging in a manner that oul! communicate an! attract
consumers at first sight$ 'ut in cigarette pac(aging there is an involvement of health
authorities to consi!era'le e"tent The manufacturer is !irecte! to print health arnings on
pac(ets$ hich might 'e a cause of !rastic change in !esign of cigarette pac(aging$ 'ut ith
pro!ucing a !esign to attract consumers to 'uy cigarettes$ pac(aging stan!s as an e*ually
important me!ium for communication of pu'lic health messages
This research focus on the effectiveness of health messages printe! on cigarette pac(s on
smo(ers 'ehavior +*uitting intentions,
1.1.1 Overview of the area under study
5n the case of cigarettes$ hich !o have a high !egree of social visi'ility$ pac(aging is
particularly important The nature of the pro!uct ten!s to ma(e smo(ers use the pac(aging
slightly !ifferent from many other pro!ucts Usually pac(aging is !iscar!e! after opening$
'ut in the case of cigarette smo(ers generally retain the cigarette pac( until the cigarettes are
use! an! (eep the pac( ith them or close 'y Thus$ cigarette pac(s are constantly 'eing
ta(en out an! opene!$ as ell as 'eing left on pu'lic !isplay !uring use
As a fact smo(ing is a proven (iller an! has 'een i!entifie! 'y the @orl! /ealth 4rganiation
as the lea!ing cause of !eath an! !isa'ility in the orl! 5f e tal( a'out 8a(istan$ the
to'acco relate! mortality is increasing rapi!ly an estimate! 2GG$GGG people !ie every year
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from To'acco relate! !iseases +AKU report$ 0anuary 92$ 6GGH 'y ismailimail$ IonlineJ
Availa'le httpismailimailor!presscom6GGHG292smo(ing-tren!s-in-pa(istan-a(u-
report, Smo(ing can rapi!ly pro!uce serious me!ical con!itions an! health conse*uences it
has numerous imme!iate health effects on the 'rain an! on the respiratory$ car!iovascular
system an! cause heart !isease$ lung cancer$ other cancers$ an! stro(es The use of cigarettes
hich (ills millions orl!i!e annually$ is perfectly legal an! the ris( that is associate! ith
smo(ing completely lie on smo(er No the *uestion arises that to hat e"tent smo(ers
un!erstan! the magnitu!e of these health ris(s 8ro'a'ly this might lea!s to (no their
smo(ing 'ehavior
0101010 -ole of Government
The government actions in !iscouraging to'acco inta(e an! informing the pu'lic a'out health
ris( plays very important role The .inistry of /ealth ta(e steps in or!er to re!uce health
ris($ li(e implementation of activities for to'acco control an! to provi!e strategic gui!elines
to the provincial governments for implementation of the National To'acco Control 8rogram
that ena'le to achieve o'ligations stipulate! in the Frameor( Convention for To'acco
Control +@orl! health 4rganiation 6GG9$ 6GG:$ 6GG
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6GGH$ pu'lishe! in the 3aette of 8a(istan !ate! 6: Novem'er 6GGH, The sie$ color an! the
placement of health arning !oes matter a lot 5t plays a (ey role in noticea'ility ecently on
.ay 92$ 6G2G 8a(istan government intro!uce! legislation that re*uires the implementation of
regulations for picture-'ase! health arnings Cigarette pac(s covering :GM of arning
la'els on 'oth the front an! 'ac( 9GM is covere! 'y the picture an! 2GM 'y the arning te"t
This means :GM of the overall pac(age space is appropriate! to health arnings +CT$ 6G2G$
8a(istan gets mouth cancer picture on cigarette pac(s Ipress releaseJ$ G? Septem'er$ 6G2G,
This step of 3overnment for implementing pictorial arning may meet the criteria for
ma"imum effectiveness No almost all 'ran!s manufacture! an! sol! in 8a(istan have te"t
an! graphical health arning shoing mouth cancer No the *uestion arise that !oes the
graphical arnings conveys message more effectively than te"t-only arning An! !oes the
e"posure of graphical arnings results in increase aareness of the ris( of smo(ing An!
!oes it result in stronger 'ehavioral response an! increase interest in *uit smo(ing
3raphical health arnings are alrea!y 'een implemente! glo'ally an! particularly 'y those
that are signatories to the FCTC +Frameor( Convention on To'acco Control, .any
countries have intro!uce! larger$ har!-hitting health arning ta(ing into account the ris( of
smo(ing
013 Types of smokers under study #by cigarette consumption$
Smo(ers are generally characterie! 'y the amount of cigarettes they smo(e 1epen!ing on
the society the stan!ar! for classifying smo(ers 'ase! on consumption may !iffer The
stan!ar! use! for the research stu!y is given 'lo
• Heavy Smoker>&hain Smoker O non-stop smo(er ho lights his ne"t cigarette ith
the cigarette he is presently smo(ing +*uantity estimate! is more than 9 pac(s per !ay,
• /oderate Smoker O smo(es 'eteen 2-6 pac(s per !ay
• Light Smoker O smo(es 26 to 2 pac( per !ay
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016 Types of &igarette Brands under study
Cigarette may 'e classifie! 'y to'acco$ 'y flavor or 'y length 5n 8a(istan Cigarettes are
classifie! accor!ing to taste *uality an! length hich are as follos
!remium &lass
5t is the Cigarette pro!uce! 'y the 'est availa'le to'acco Folloing stu!y ill consi!er
• 3ol! ;eaf
• Benson & /e!ges
• .arl'oro
/iddle &lass
The to'acco of these cigarettes is little har! an! in this class folloing 'ran! ill 'e
consi!ere!
• e! & @hite
• .orven 3ol!
• Capston
• 3ol! Fla(e
Lower &lass
The taste of these Cigarette is very har! an! in this class folloing 'ran! ill 'e consi!ere!
• K-6
• Em'assy
• ;or!s
• oyal Filter
015 !roblem
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/ealth arnings ith !eath threat an! !iseases ill capture peoples attention 'ut ho they
impact 'ehavior is much more complicate! *uestion Consi!ering the ris( associate! ith
cigarette smo(ing government ta(e steps to re!uce health ris( an! one of the ma#or efforts to
effectively communicate the health ris( associate! ith smo(ing is of placing te"t-only an!
graphical health arning la'els on cigarette pac(s .oreover to insure the ma"imum
effectiveness of communication the government of 8a(istan recently on .ay 92$ 6G2G
intro!uce! legislation that re*uires the implementation of regulations for picture-'ase! health
arnings Cigarette pac(s covering :GM of arning la'els on 'oth the front an! 'ac( 9GM is
covere! 'y the picture an! 2GM 'y the arning te"t +To'acco ;a'eling resource centre$
IonlineJ$ availa'le$
httpto'accola'elscahealtharningimagescountrypa(istan
No the evaluation of the effectiveness of these health arnings on consumer 'ehavior can
lea! us to (no the *uitting intention of smo(er
018 -esearch 'b?ective
The o'#ective of the stu!y is to !etermine
• The e"tent to hich the graphical health arning is effective that may change
smo(ers 'ehavior lea!ing to re!uce! or *uit smo(ing
• The e"tent to hich the graphical health arning is effective in relation to
The aareness of health ris(
Believa'ility of health ris(
Smo(ers consumption level
The type of 'ran! the smo(er is using
019 Limitations
Fe limitations that ill hin!er this stu!y are
• less availa'le time
• Availa'ility of types of smo(er !efine! might not 'e convenient
• 5t ill 'e only applica'le in 8a(istani environment
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01; Scope
This stu!y ill focus on
• 3overnment efforts for communicating health ris( associate! ith smo(ing
• 8rovi!ing information of smo(ers 'ehavior lea!ing to re!uce or *uit smo(ing that
ill help government to change or mo!ify !ifferent type of effective health arnings
• esearch ill 'e con!ucte! only in Karachi
• The stu!y ill 'e !one on the smo(ers classifie! as
/eavy Smo(erChain Smo(er
.o!erate Smo(er
;ight Smo(er
Casual Smo(er
•
The stu!y ill 'e !one on the 'ran!s classifie! as
8remium Class
.i!!le Class
;oer Class
31 Literature review
310 !ackaging and labeling of tobacco products
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.ar(eting literature usually highlights the critical role playe! 'y pac( !esign in the overall
mar(eting mi"$ emphasiing that the /$rodu)t $a),a%e is the )ommuni)ation life0&lood of
the firm the silent salesman that rea)hes out to )ustomers23nderwood R4 O5anne J J
Mar,etin% +ommuni)ation 18:!6'0!67 and that $a),a%in% /a)t as a $romotional tool in
its own ri%ht 2#almer A. -he #rodu)t. #rin)i$les of Mar,etin%. O9ford: O9ford 3niversity
#ressBoo,s !666:!1;0"87
The importance of pac(aging$ especially of to'acco pro!uct cant 'e !enie!$ as accor!ing to
+Beguinot E$ 6GGH, 8ac(aging is a central mar(eting tool for to'acco pro!ucts$ is an effective
form of a!vertising$ an! is in the #u!gment of mar(eting e"perts an! courts To'acco
companies monitor an! alter pac(aging on a regular 'asis to ensure its continuous an!
increasing appeal to target au!iences
The mar(ings place! on to'acco pro!uct pac(aging may have many functions To the
manufacturer this is an important space for 'ran!ing an! reinforcing the i!entity of the
pro!uct 5t may also 'e use! to communicate claims a'out the pro!uct For the government
authorities$ the pac(aging is an important space for man!atory health arnings$ consumer
information an! antismuggling mar(s There is an o'vious conflict over space on the pac(
'eteen the authorities an! the to'acco companies ie the latter anting the official mar(ings
to 'e small an! uno'trusive$ ith no restrictions on 'ran!ing As cigarette a!vertising is
stea!ily 'anne! an! restricte! aroun! the orl!$ the pac( is 'ecoming an important
promotional space (A 'riefing for the 3overnment of .alaysia$ @/4 Frameor(
Convention on To'acco Control Key issues for the 5NB-:$ ASEAN inter-sectional meeting :-
? .arch 6GG6,
&igarette packaging is highly visible
Cigarette pac(s !isplays are everyhere in retail stores an! out!oor ca'in orl!i!e
0igarette packaging is not removed and discarded #ut is used until the
cigarettes have #een consumedC it thus remains highly visi#le and is
freDuently e+posed to users 'and others).
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According to Mareting !acgrounder" !rown # $i%%ia&son
'1()*+,
/...if you smo,e a )i%arette $a), is one of the few thin%s you use re%ularly that ma,es a
statement a&out you. A )i%arette $a), is the only thin% you ta,e out of your $o),et !6 times a
day and lay out for everyone to see.
&igarette packaging as an important promotional tool
Cigarettes pac(aging 'ecomes more important hen other form of promotional possi'ilities
are restricte! or eliminate! 'y la The !isplays an! shelving are highly prevalent an!
effective form of promotion The cigarette pac(s hen !isplaye! 'ehin! the chec(out counter
at retail outlet ten!s to focus consumers an! are highly effective
Slade #0::;$ wrote /As advertisin% restri)tions loom or &e)ome a reality the surfa)es of
the $a), itself remain availa&le for )ommuni)ation to )ustomers and $otential )ustomers #p1
09:$1
3131 Health risk associated with smoking
There are serious health ris(s associate! ith smo(ing +AS/ Scotlan!$ 6GG:, The only
lea!ing preventa'le cause of ill health an! premature !eath aroun! the orl! is the use of
to'acco Aroun! 29GGG people !ie every year from to'acco relate! !iseases in Scotlan!$
hich inclu!e heart an! cancer !iseases +Callum$ 2H, Every!ay a'out 6
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case 5n legal system the manufactures are force! to arn smo(ers a'out health conse*uences
that might possi'ly occur 5t is there !uty to provi!e information li(e
• The magnitu!e of ris(
• Conse*uences of smo(ing
• Specific harmful !isease etc+ .ahoo! 3 @arnings that tell the truth$ To' Control$
2,
2.-.1. Purose of hea%th warning %a/e%ing
There are to main reasons for the inclusion of health arnings on cigarette pac(s
P 5t increases aareness among the pu'lic of the negative health effects of to'acco use
P The necessity to 'ring a'out further attitu!inal an! 'ehavioral change in smo(ers ith the
prospect of !ecreasing the num'er of smo(ers +Centre for Behavioral esearch in Cancer$
26,
The health arnings are use! to inform an! alert smo(ers a'out the health haar!s of
smo(ing an! as state! 'y the Centre for Behavioral esearch in Cancer +26,$ there are to
recognia'le groups most li(ely to 'e affecte! 'y health arnings on to'acco pac(ages
P Those thin(ing of *uitting
P Those thin(ing of ta(ing up the ha'it$ e"perimenting ith smo(ing or consi!ering trying
smo(ing
The National To'acco Strategy +2-6GG9, 'elieves there is no safe level of to'acco
consumption$ therefore health arning la'els are imperative to re!ucing the prevalence of
smo(ing in Australia +.C1S$ 2,
2.-.2 I&ortance of hea%th warnings
Accor!ing to +Centers for 1isease Control an! 8revention$) .or'i!ity an! .ortality @ee(ly
eport)$ 6GG, the imposition of effective health arning messages can 'e vital tool to
e!ucate smo(ers an! nonsmo(ers a'out the health ris(s of smo(ing an! passive smo(ing The
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effective arning means that the !isplay of arning must 'e prominent an! the message
shoul! 'e graphical an! in or!s$ so that it can 'e more li(ely to 'e notice! 'y consumers
Health warnin%s stimulate rea)tions that are $redi)ta&le ante)edents of G countries inha'ite! 'y over HGM of the orl!s population are parties to the FCTC an! are re*uire! to implement
Qeffective policies on health arnings Article 22 of the FCTC states that health arnings on
cigarette pac(ages shoul! cover at least
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regulation for picture-'ase! health arning too( place Cigarette pac(s covering :GM of
arning la'els on 'oth the front an! 'ac( 9GM is covere! 'y the picture an! 2GM 'y the
arning te"t This means :GM of the overall pac(age space is appropriate! to health arnings
+CT$ 6G2G$ 8a(istan gets mouth cancer picture on cigarette pac(s Ipress releaseJ$ G?
Septem'er$ 6G2G,
2.*. 56ectiveness of Grahic ea%th $arnings
esearch 2Hammond =. >on% G.-. Borland R. +ummin%s M. M)?eill A. @ =rie5en #.
2!66'7 -e9t and %ra$hi) warnin%s on )i%arette $a),a%es, in!icates that pictorial arnings are
more effective than te"t-only arnings The 5nternational To'acco Control +5TC, 8ro#ect
shos that graphical health arning as very much effective to Cana!ian smo(ers in helping
them inform a'out health ris( an! they thin( it is goo! source of information They ere
more aare of a series of a!verse health effects of smo(ing compare! to that of their
counterparts in countries here there are te"t-only health arnings + Hammond et al !66' ,
For influencing particular smo(er groups$ graphical health arnings have varying effects
• 3enerally ol!er age group an! mi!!le age group have greater effect 'y 3raphical health
arning +illemsen !66! Omar et al !66* , esearch in!icates that graphical health
arning may 'e more effective in changing 'ehavior of younger smo(ers than te"t-only
arning + =atafolha (nstitute !66! )ited in A%en)ia Saude !66" Cnvironi)s Resear)h
Grou$ !66;a Cnvironi)s Resear)h Grou$ !66;& OHe%arty et al !66* Golmier et al
!66' ,
• Accor!ing to +Omar et al !66* , mo!erate income consumers are generally most li(ely to 'e
influence! 'y health arnings an! /ealth arnings are li(ely to have a greater impact on
males
• Another stu!ies in!icates$ that females respon! more strongly than males to health arnings$
particularly those featuring graphics + Doval et al !66; OHe%arty et al !66* -hrasher
Rousu et al !66'7
1>
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• Accor!ing to Hammond the lighter or mo!erate smo(er is more li(ely change 'ehavior ie
re!uce or *uit smo(ing$ hen they see graphical health arning + Hammond et al !66Ea
Cnvironi)s Resear)h Grou$ !66;,.
3191 Effectiveness of Graphical health warnings in relation to
awareness and believability
Accor!ing to research con!ucte! 'y +1r 1avi! /ammon!$ fin!ings from the 5nternational
To'acco Control +5TC, Four Country Survey$ 6GGo)us
+anada !6610" !661, 5n 4ntario
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reporte! that the arning la'els ma!e them thin( a'out health ris( associate! ith smo(ing
+ Hammond =. >on% G.-. et al. !66E, Accor!ing to Cana!ian smo(ers cigarette pac(ages
ere as a source of information a'out health ris( than smo(ers in the Unite! States
+ Hammond = M)?eill et al. !66* ,
5n an 5nternet-'ase! stu!y of current an! former young a!ult smo(ers in the Unite! States$
the Cana!ian graphic arnings ere rate! as significantly more effective than the current
US arnings on cigarette pac(s for conveying concerns a'out the health ris(s of smo(ing
+4R/egarty$ .$ 8e!erson$ ;;$ et al 6GG>, Accor!ing to stu!y 'y Hammond e can see that
graphical arnings are effective in enhancing (nole!ge a'out the ris(s of smo(ing for eg
in Cana!a$ the graphical arning shos ris(s of impotence$ smo(ers ere 6>H +6:2O6?,
times more li(ely to agree that smo(ing causes ina'ility compare! to smo(ers from the other
three countries + Hammond et al. !66* -o&. +ontrol7. Further in Cana!a$ smo(ers also
reporte! negative emotions such as 'a! feelings$ fear an! !isgust after o'serving the
graphical arnings espon!ents ho reporte! greater negative emotions ere more li(ely to
have *uit$ attempte! to *uit or re!uce! smo(ing after 9 months + Hammond et al. !66E Am J
#u&li) Health,
Accor!ing to a report pu'lishe! in 6GGH in comparison of 6GGG +Shanahan #. and Clliott =.
!66 Cvaluation of the Cffe)tiveness of the Gra$hi) Health arnin%s on -o&a))o #rodu)t
#a),a%in% !668 Australian Government =e$artment of Health and A%ein% +an&erra,
unai!e! aareness is still very high among smo(ers$ ith 2M recalling health messages on
the front of pac( The !ecline in unai!e! aareness of si!e of pac( information is offset 'y a
significant increase in unai!e! recall of 'ac( of pac( health information 1esign of pictures
la'els appear to have playe! a greater role in noticea'ility an! recall of health arnings
+Shanahan #. and Clliott =. !66,
2.7.1 4hange in !ehavior
Accor!ing to research fin!ings
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The effect of health arnings on smo(er 'ehavior is more associate! ith their attempt
toar!s *uit smo(ing hen arning messages appear on Australian an! Cana!ian pac(age
+/ammon! et al$ 6GG:, This is 'ecause Cana!ian pac(aging evo(es negative emotions that
lea! to change in smo(ers 'ehavior +/ammon! et al$ 6GG:,
5n one of the clinical stu!y !one to compare the aareness of smo(ing ris(s an! the impact of
graphic health arning la'els on cigarette pac(s in !iscouraging smo(ing among a!ults in
Singapore an! Scotlan!$ 'y +1 / ; Ng$ S T 1 o"'urgh$ S San#ay an! K 3 Au Eong$ may
6G2G, conclu!e! that 3raphic health arning la'els rea!ing QSmo(ing causes 'lin!ness
printe! on cigarette pac(s may 'e useful in raising pu'lic aareness of 'lin!ness as a
smo(ing-relate! con!ition an! !iscouraging the ha'it of smo(ing in Singapore an! Scotlan!
+1 / ; Ng$ S T 1 o"'urgh$ S San#ay an! K 3 Au Eong$ .ay 6G2G,
Accor!ing to a survey 'y the Cana!ian Cancer Society$ :: percent of a!ult smo(ers state!
that the graphical health arnings increase! their motivation to *uit smo(ing + Cnvironi)s
>o)us +anada !6610" !661, 5n another stu!y of Cana!ian young a!ults +ages 6G to 6:,$
9?M of male participants an! :HM of female participants reporte! that the arnings on
cigarette pac(s le! them to thin( a'out *uitting smo(ing + Doval J.J. Au&ut J.A. et al.
!66;, 5n this same stu!y$ 9>M of male participants an! 9:M of female participants also
in!icate! that the health arnings might ma(e young people less li(ely to start smo(ing
+ Doval J.J. Au&ut J.A. et al. !66;,
61 -esearch /ethodology
6101 -esearch .esign
The research !esign of stu!y ill 'e *uantitative !escriptive research
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6131 !opulation
The population for the research stu!y ill 'e cigarettes smo(ers irrespective of age in
Karachi mar(et
6161 Sample and Sampling /ethod
Convenient sampling metho! ill 'e a!opte! to collect the !ata from smo(ers classifie! as
heavy$ mo!erate$ light an! casual The sample sie ill 'e 9H: respon!ents for *uestionnaire
6151 /easurement>)nstrument Selection
Both primary an! secon!ary !ata ill 'e collecte! 8rimary !ata ill 'e collecte! through
*uestionnaires @hile$ secon!ary !ata ill 'e collecte! through internet$ research papers$
magaines$ #ournals an! articles
6181 4ariables.y main varia'le of investigation is the smo(ers change in 'ehavior 5n this research the
in!epen!ent varia'les is health arning la'els that is 'een mo!erate 'y four varia'les that
might 'ring change in smo(er 'ehavior Those four mo!erating varia'le are
• Aareness of health ris(
• Believa'ility of health is(
• Types of Smo(ers +heavy$ mo!erate$ light & casual,
• Types of Bran!s +premium class$ mi!!le class & loer class,
619 /'.EL
23
4ANG5 IN
!5A8IOR5A9
A$ARN5SS O3
5A9 RIS:
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61;1 Hypothesis
0$ Ho @ 3raphical health arning !oes not change smo(ers 'ehavior lea!ing to re!uce! or
*uit smo(ing
Ha 3raphical health arning change smo(ers 'ehavior lea!ing to re!uce! or *uit
smo(ing
3$ Ho 3raphical health arning la'els !oes not lea! to change in 'ehavior$ if smo(er have
aareness of health ris(
2
!59I585A!9I; O3
5A9 RIS:
;P5 O3 !RAN<
;P5 O3
SMO:5RS
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Ha 3raphical health arning la'els ill lea!s to change in 'ehavior$ if smo(er have
aareness of health ris(
6$ Ho 3raphical health arning la'els !oes not lea! to change in 'ehavior$ if consumer use
premium class 'ran!
Ha 3raphical health arning la'els ill lea! to change in 'ehavior$ if consumer use
premium class 'ran!
5$ Ho 3raphical health arning la'els !oes not lea! to change in 'ehavior$ if consumer are
light smo(ers
Ha 3raphical health arning la'els ill lea! to change in 'ehavior$ if consumer are light
smo(ers
8$ Ho /ealth arning la'els !oes not lea! to change in 'ehavior$ if smo(ers 'elieve in
health ris(
Ha /ealth arning la'els ill lea! to change in 'ehavior$ if smo(ers 'elieve in health
ris(
51 Empirical .ata
"GE
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Age
Frequency Percent Valid Percent Cumulative Percent
Valid 18-25 186 48.4 48.4 48.4
26-35 143 37.2 37.2 85.7
more tan 35 55 14.3 14.3 1!!.!
Total 384 1!!.! 1!!.!
1)=2*> )?
27=-*> -@?
&ore than -*> 1?
age
1)=2* 27=-* &ore than -*
5nterpretation
A'ove ta'le shos the percentage of smo(ers respon!ents accor!ing to age ise 2H-6< age
group is among the highest respon!ents
&(--E*T ST"T(S
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Current status
Frequency Percent Valid Percent Cumulative Percent
Valid "tudent 185 48.2 48.2 48.2
#u"ine""man 58 15.1 15.1 63.3
in $ulltime em%loyment 1!3 26.8 26.8 &!.1
oter 38 &.& &.& 1!!.!
Total 384 1!!.! 1!!.!
Student> )?
!usiness&an> 1*?
In fu%%ti&e e&%oy&ent> 2@?
other> 10?
current status
Student !usiness&an In fu%%ti&e e&%oy&ent other
The fre*uency of stu!ent respon!ents is high ie 2H< out of 9H: respon!ents
Auestion 0 Smo(ers current use of cigarettes
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Consumption
Frequency Percent Valid Percent Cumulative Percent
Valid eavy "mo'er 1!8 28.1 28.1 28.1
moderate "mo'er 87 22.7 22.7 5!.8
lit "mo'er 18& 4&.2 4&.2 1!!.!
Total 384 1!!.! 1!!.!
eavy s&oer> 2)?
Moderate s&oer> 2-?
9ight s&oer> (?
consu&tion
eavy smoker Moderate smoker 7ight smoker
A'ove chart shos that percentage of smo(ers current use of cigarettes ie light smo(ers are
in higher percentage +:6M, ho smo(es upto one pac( per !ay
Auestion 3 @hat 'ran! of cigarette !o you smo(e
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B-"*.
Brand
Frequency Percent Valid Percent Cumulative Percent
Valid %remium cla"" 228 5&.4 5&.4 5&.4
middle cla"" 128 33.3 33.3 &2.7
lo)er cla"" 28 7.3 7.3 1!!.!
Total 384 1!!.! 1!!.!
Pre&iu& c%ass> *(?
Midd%e c%ass> --?
9ower c%ass> @?
/rand
Pre&iu& c%ass Midd%e c%ass 9ower c%ass
A'ove chart shos the percentage of smo(ers ho smo(es 8remium$ .i!!le an! ;oer
class 'ran!s The highest percentage is of 8remium 'ran! smo(ers ie
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Auestion 6 Are you aare of any picture health arning printe! on the cigarette pac( you
use
Awareness of picture of health warning on pack
Frequency Percent Valid Percent Cumulative Percent
Valid ye" 342 8&.1 8&.1 8&.1
no 42 1!.& 1!.& 1!!.!
Total 384 1!!.! 1!!.!
@esC >E
%oC 11E
Awarness of .icture hea%th warning on .ac
;es No
H2GM smo(ers are aare of the picture health arning printe! on cigarettes pac( only 22 M
smo(ers are not aare of the arning la'el
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Auestion 5 Coul! you recall any health message given 'elo 7ou can tic( one or more
choice
-E&"LL '% HE"LTH /ESS"GE
Smoking cause mouth cancer
Frequency Percent Valid Percent Cumulative Percent
Valid ye" 21! 54.7 54.7 54.7
no 174 45.3 45.3 1!!.!
Total 384 1!!.! 1!!.!
;es> **?No> *?
S&oing cause &outh cancer
@es %o
Smoking cause lungs cancer Frequency Percent Valid Percent Cumulative Percent
Valid ye" 14! 36.5 36.5 36.5
no 242 63.! 63.! &&.5
3 1 .3 .3 &&.7
4 1 .3 .3 1!!.!
*otal 384 1!!.! 1!!.!
;es> -@?
No> 7-?
S&oing cause 9ung cancer
@es %o
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smoking kills
Frequency Percent Valid Percent Cumulative Percent
Valid ye" 224 58.3 58.3 58.3
no 16! 41.7 41.7 1!!.!
*otal 384 1!!.! 1!!.!
;es> *)?No> 02?
S&oing :i%%s
@es %o
Smoking is injurious to health
Frequency Percent Valid Percent Cumulative Percent
Valid ye" 284 74.! 74.! 74.!
no 1!! 26.! 26.! 1!!.!
Total 384 1!!.! 1!!.!
;es@?
No27?
S&oing is inurious to hea%th
@es
%o
A'ove ta'les an! charts shos that smo(ers can recall the health arnings 'ut among these
four the percentage of arning %Smo(ing is in#urious to health %is higher than others @hile
recall of other arnings are at average
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Auestion 8 /o important is it that the government imposes to place picture health arning
on the pac(ets of cigarettes
Importance of warning labels
Frequency Percent Valid Percent Cumulative Percent
Valid very im%ortant 13& 36.2 36.2 36.2
quite im%ortant 1!2 26.6 26.6 62.8
quite unim%ortant 1!2 26.6 26.6 8&.3
very unim%ortant 41 1!.7 1!.7 1!!.!
Total 384 1!!.! 1!!.!
8ery i&ortant
-7?
Buite i&ortant
2@?
Buite uni&ortant
2@?
8ery uni&ortant
11?
I&ortance of icture hea%th warning
8ery i&ortant Buite i&ortant Buite uni&ortant 8ery uni&ortant
A'ove ta'le shos that most of the smo(ers feel that placement of /ealth arning ;a'el is
very important
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Auestion 9 1o you 'elieve that the 'ran! you smo(e is harmful to your health
Beliee in brand
Frequency Percent Valid Percent Cumulative Percent
Valid ye" 247 64.3 64.3 64.3
no 137 35.7 35.7 1!!.!
Total 384 1!!.! 1!!.!
;es
70?
No
-7?
!e%ieve in /rand
;es No
A'ove ta'le shos that >:9M smo(ers 'elieve that the 'ran! they smo(e is harmful to their
health
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Auestion ; Are you aare of the health conse*uences cause! 'y cigarette smo(ing
awareness of health conse!uences
Frequency Percent Valid Percent Cumulative Percent
Valid ye" 331 86.2 86.2 86.2
no 53 13.8 13.8 1!!.!
Total 384 1!!.! 1!!.!
;es)7?
No1?
Awareness of hea%th conseCuences
;es No
H>6M smo(ers are aare of health conse*uences cause! 'y smo(ing
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Auestion 2 To hat e"tent$ if at all$ !oes the picture health arning ma(e you thin( a'out
the health ris( +health !angers, of smo(ing
Think of health risk
Frequency Percent Valid Percent Cumulative Percent
Valid not at all 62 16.1 16.1 16.1
a little 122 31.8 31.8 47.&
"ome)at &8 25.5 25.5 73.4
a lot 1!2 26.6 26.6 1!!.!
Total 384 1!!.! 1!!.!
%ot at all
15E
A %itt%e
-2?So&ewhat27?
A lot
2BE
hin of hea%th ris
Not at a%% A %itt%e So&ewhat A %ot
Accor!ing to the ta'le a'ove 92HM smo(ers are those say that picture health arning
somehat ma(e them thin( of health ris( @hile 6>>M smo(ers feel that picture health
arning ma(e them thin( a lot a'out health ris( of smo(ing
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Auestion : 1o you thin( the picture health arning printe! on cigarette pac( is easily
noticea'le
"oticeabilit# of warning label
Frequency Percent Valid Percent Cumulative Percent
Valid +e" 315 82.! 82.! 82.!
,o 6& 18.! 18.! 1!!.!
Total 384 1!!.! 1!!.!
@es
2E
%o
1E
Noticea/i%ity of warning %a/e%
;es No
There is a high noticea'ility of picture arning la'els as H6M smo(ers say %yes) picture
health arning printe! on cigarette pac( is easily noticea'le
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Auestion 0 @oul! you say the inclusion of picture health arning an! health information
on cigarette pac( has improve! your (nole!ge of health effects of to'acco
consumption
knowledge of health effects
Frequency Percent Valid Percent Cumulative Percent
Valid ,ot at all 14& 38.8 38.8 38.8
little 13! 33.& 33.& 72.7
ome)at 67 17.4 17.4 &!.1
lot 38 &.& &.& 1!!.!
Total 384 1!!.! 1!!.!
Not at a%%
-(?
A %itt%e
-?
&omewhat
1E
A lot
1E
:now%edge of hea%th e6ects
Not at a%% A %itt%e So&ewhat A %ot
A'ove ta'le shos that higher percentage of smo(ers ie 9HHM thin(s that inclusion of
picture health arning an! health information on cigarette pac( has not at all improve! their
(nole!ge of health effects of to'acco consumption @hile 99M smo(ers thin( that it ha!
improve! their (nole!ge @e can see a less !eviation in percentages
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Auestion 00 5n terms of the ay you feel a'out your on smo(ing 'ehavior oul! you say
the health arning on pac(s of cigarette have helpe! you smo(e less
change in smoking behaior
Frequency Percent Valid Percent Cumulative Percent
Valid not at all 12& 33.6 33.6 33.6
a little 173 45.1 45.1 78.6
"ome)at 6& 18.! 18.! &6.6
a lot 13 3.4 3.4 1!!.!
Total 384 1!!.! 1!!.!
Not at a%%-0?
A %itt%e0*?
So&ewhat1)?
A %ot
-?
change in s&oing /ehavior
Not at a%% A %itt%e So&ewhat A %ot
A'ove ta'le shos that :M smo(ers feel that there is no effect of
health arning on their smo(ing 'ehavior
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Auestion 03 @hat is your reaction after loo(ing the picture of mouth cancer on cigarette
pac(
$eaction after looking at picture health warning
Frequenc
y Percent
Valid
Percent
Cumulative
Percent
Valid it ma'e" you $eel #ad 14! 36.5 36.5 36.5
/ am more li'ely to
quit "mo'in&5 24.7 24.7 61.2
#ecau"e o$ te %icture
you u"e "e%arate
ciarette #o0
37 &.6 &.6 7!.8
no reaction 1!8 28.1 28.1 &&.!
oter 4 1.! 1.! 1!!.!
Total 384 1!!.! 1!!.!
3E
24E
1E
2E
eaction after %ooing at icture hea%th warninIt &aes &e fee% /ad
I a& &ore %ie%y to Cuit s&oing
!ecause of the icture you use searate cigrette /oD
No reaction
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Auestion 06 1o you thin( printing picture of mouth cancer on cigarette pac(s is an effective
ay to re!uce smo(ing
%ffectieness of warning label
Frequency Percent Valid Percent Cumulative Percent
Valid ye" very e$$ective 142 37.! 37.! 37.!
ye" le"" e$$ective 168 43.8 43.8 8!.7
not e$$ective 74 1&.3 1&.3 1!!.!
Total 384 1!!.! 1!!.!
-@?
?
1(?
56ectiveness of warning %a/e%
;es very e6ective ;es %ess e6ective Not e6ective
A'ove ta'le shos that almost HGM of smo(ers thin( that there is an effect of printe! picture
of mouth cancer on cigarettes pac( in re!ucing smo(ing
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Auestion 05 @hat !o you thin( smo(ing gives you
&eelings towards smoking
Frequency Percent Valid Percent Cumulative Percent
Valid %lea"ure 213 55.5 55.5 55.5
reconition 32 8.3 8.3 63.8
"tatu" 28 7.3 7.3 71.1
arm 52 13.5 13.5 84.6
notin 5& 15.4 15.4 1!!.!
Total 384 1!!.! 1!!.!
P%easure*7?
6ecognition
E
&tatus
BE
arm
1.E
%othing
14E
$hat s&oing gives youE
P%easure Recognition Status ar& Nothing
A'ove ta'le shos a'out
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Auestion 08 1o you thin( smo(ing causes cancer an! other harmful !iseases
Beliee 'Cause of cancer and other harmful diseases(
Frequency Percent Valid Percent Cumulative Percent
Valid ye" 23! 5&.& 5&.& 5&.&
to "ome e0tent 141 36.7 36.7 &6.6
no 13 3.4 3.4 1!!.!
Total 384 1!!.! 1!!.!
5E
3E
3E
4ause of cancer and other har&fu% diseases
;es o so&e eDtent No
A'ove ta'le shos that mostly smo(ers +?M smo(er also thin( smo(ing cause cancer to
some e"tent
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81 "*"L7S)S
810 HE"LTH W"-*)*G L"BEL
Awareness of picture of health warning on pack
Frequency Percent Valid Percent Cumulative Percent
Valid ye" 342 8&.1 8)*+ 8&.1
no 42 1!.& 1!.& 1!!.!
*otal 384 1!!.! 1!!.!
,escriptie Statistics
, inimum a0imum ean td. eviation
a)arene"" o$ %icture o$ ealt
)arnin on %ac'384 1 2 +*++ .313
Valid , (li"t)i"e 384
Aroun! H2M respon!ents are aare of health arning la'el on cigarette pac(s an! that is
the reason hy the mean s*uare is near to 2 hich is option C7esD This means that ma#ority
of people (ne a'out health arning la'el 'ut the *uestion arises a'out the effectiveness of
these la'els$ to ma(e smo(ers *uit smo(ing So this research ill focus on i!entifying an!
un!erstan!ing the affect of such la'els ith respect to 'elieva'ility$ aareness of health ris($
type of smo(er an! type of 'ran!
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Awareness of picture health warning on pack - age Cross tabulation
Count
ae
*otal18-25 26-35 more tan 35
a)arene"" o$ %icture o$ ealt
)arnin on %ac'
ye" 162 134 46 342
no 24 & & 42
*otal 186 143 55 384
1)=2* 27=-* &ore than -*0.00?
10.00?
20.00?
-0.00?
0.00?
*0.00?
70.00?
@.0?
-(.20?
1-.*0?
*@.10?
21.0? 21.0?
yes no
Among those ho have seen health arning ma#ority of them ere 2H-6< age group +2>6
respon!ents, hile 29: respon!ents ere 6>-9< age group smo(ers 5f e compare
percentage of those ho sai! yes$ ma#ority of them ere 2H-6< age group +:?:GM, hile
interestingly 2H-6< age group ere among the highest respon!ent ho selecte! No ere 2H-
6< age group +
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Awareness of picture of health warning on pack - consumption Cross tabulation
Consumption
*otaleavy "mo'er
moderate
"mo'er lit "mo'er
awareness of picture of
health warning on pack
ye" Count 8& 81 172 342
)itin a)arene"" o$
%icture o$ ealt )arnin
on %ac'
26.! 23.7 ./*30 1!!.!
)itin con"um%tion 82.4 &3.1 &1.! 8&.1
o$ *otal 23.2 21.1 44.8 8&.1
no Count 1& 6 17 42
)itin a)arene"" o$
%icture o$ ealt )arnin
on %ac'
45.2 14.3 4!.5 1!!.!
)itin con"um%tion 17.6 6.& &.! 1!.&
o$ *otal 4.& 1.6 4.4 1!.&
*otal Count 1!8 87 18& 384
)itin a)arene"" o$
%icture o$ ealt )arnin
on %ac'
28.1 22.7 4&.2 1!!.!
)itin con"um%tion 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 28.1 22.7 4&.2 1!!.!
This ta'le shos that of those ho selecte! 7es regar!ing aareness of health arning la'el
ma#ority ere light smo(ers +M,This is
interesting as 0238 age group were mostly light smokers1
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Age - consumption Cross tabulation
Count
Con"um%tion
*otaleavy "mo'er moderate "mo'er lit "mo'er
ae 18-25 17 33 136 186
26-35 66 4! 37 143
more tan 35 25 14 16 55
*otal 1!8 87 18& 384
A'ove ta'le shos that ma#ority of 2H-6< age group smo(er are light smo(ers an! 6>-9< age
group smo(ers are mostly heavy smo(ers
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Awareness of picture of health warning on pack - brand Cross tabulation
rand *otal
%remium cla"" middle cla"" lo)er cla""
a)arene"" o$ %icture o$
ealt )arnin on %ac'
ye" Count 211 114 17 342
)itin a)arene"" o$
%icture o$ ealt )arnin
on %ac'
61.7 33.3 5.! 1!!.!
)itin #rand &2.5 8&.1 6!.7 8&.1
o$ *otal 54.& 2&.7 4.4 8&.1
no Count 17 14 11 42
)itin a)arene"" o$
%icture o$ ealt )arnin
on %ac'
4!.5 33.3 26.2 1!!.!
)itin #rand 7.5 1!.& 3&.3 1!.&
o$ *otal 4.4 3.6 2.& 1!.&
*otal Count 228 128 28 384
)itin a)arene"" o$
%icture o$ ealt )arnin
on %ac'
5&.4 33.3 7.3 1!!.!
)itin #rand 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 5&.4 33.3 7.3 1!!.!
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 33.215a 4 .!!!
i'eliood atio 33.772 4 .!!!
inear-#y-inear ""ociation 1.78! 1 .182
, o$ Valid Ca"e" 384
a. 1 cell" (11.1 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" 4.!1.
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Those ho ere aare of health arning ma#ority of them use! premium class +>2?M of
9:6, As 8-value +GGGG, is less than GG< significant level so the relation 'eteen aareness
of health arning la'el is statistically significant
This implies that 0238 age group has more knowledge of health warning+ use premium
brand and are light smokers1
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consumption - change in smoking behaior Cross tabulation
change in smoking behaior
*otalnot at all a little ome)at a lot
consumption eavy "mo'er Count 43 57 7 1 1!8
)itin con"um%tion 3&.8 52.8 6.5 .& 1!!.!
)itin "mo'in
#eavior33.3 32.& 1!.1 7.7 28.1
o$ *otal 11.2 14.8 1.8 .3 28.1
moderate
"mo'er
Count 34 2& 2! 4 87
)itin con"um%tion 3&.1 33.3 23.! 4.6 1!!.!
)itin "mo'in
#eavior26.4 16.8 2&.! 3!.8 22.7
o$ *otal 8.& 7.6 5.2 1.! 22.7
lit "mo'er Count 52 87 42 8 18&
)itin con"um%tion 27.5 42*/0 22.2 4.2 1!!.!
)itin "mo'in
#eavior4!.3 5!.3 6!.& 61.5 4&.2
o$ *otal 13.5 *0 1!.& 2.1 4&.2
*otal Count 12& 173 6& 13 384
)itin con"um%tion 33.6 45.1 18.! 3.4 1!!.!
)itin "mo'in
#eavior1!!.! 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 33.6 45.1 18.! 3.4 1!!.!
Those ho are light smo(ers they have higher percentage +:>GM of 2H, hich shos that
they feel health arnings helpe! them a little to smo(e less$ hich shos that they are
leading to reduce smoking.
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consumption - reaction Cross tabulation
eaction *otal
/t ma'e"
you $eel #ad
I am more
likel# to
!uit
smoking
ecau"e o$
te %icture
you u"e
"e%arate
ciarette
#o0
,o
reaction ter
con"um%tio
n
eavy "mo'er Count44 +3 13 37 1 1!8
)itin
con"um%tion4!.7 +*/0 12.! 34.3 .& 1!!.!
)itin reaction 31.4 +3*0 35.1 34.3 25.! 28.1
o$ *otal 11.5 3*40 3.4 &.6 .3 28.1
moderate
"mo'er
Count 31 + 8 27 ! 87
)itin
con"um%tion35.6 4*+0 &.2 31.! .! 1!!.!
)itin reaction 22.1 *+0 21.6 25.! .! 22.7
o$ *otal 8.1 .*.0 2.1 7.! .! 22.7
lit "mo'er Count 65 2+ 16 44 3 18&
)itin
con"um%tion34.4 3*30 8.5 23.3 1.6 1!!.!
)itin reaction 46.4 24*0 43.2 4!.7 75.! 4&.2
o$ *otal 16.& +.*)0 4.2 11.5 .8 4&.2
*otal Count 14! ). 37 1!8 4 384
)itin
con"um%tion36.5 4*0 &.6 28.1 1.! 1!!.!
)itin reaction 1!!.! +//*/0 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 36.5 4*0 &.6 28.1 1.! 1!!.!
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No let us focus on one factor %li(ely to *uit smo(ing) e can see
&onsumption Likely to Fuit smoking
Heavy smoker 29?M from <
/oderate smoker 662M from <
Light smoker >:6M from <
his i&%ies that 1)=2* age grou has &ore now%edge of hea%th
warning" use re&iu& /rand are %ight s&oers and are %ie%y to reduce
or Cuit s&oing due to icture hea%th warning.
813 Believability
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Crosstab
consumption *otal
eavy "mo'er
moderate
"mo'er lit "mo'er
beliee ye" Count 62 63 1!5 23!
)itin Cau"e o$ di"ea"e" 27.! 27.4 4.*0 1!!.!
)itin con"um%tion 57.4 72.4 55.6 5&.&
o$ *otal 16.1 16.4 27.3 5&.&
to "ome e0tent Count 4! 22 7& 141
)itin Cau"e o$ di"ea"e" 28.4 15.6 56.! 1!!.!
)itin con"um%tion 37.! 25.3 41.8 36.7
o$ *otal 1!.4 5.7 2!.6 36.7
no Count 6 2 5 13
)itin Cau"e o$ di"ea"e" 46.2 15.4 38.5 1!!.!
)itin con"um%tion 5.6 2.3 2.6 3.4
o$ *otal 1.6 .5 1.3 3.4
*otal Count 1!8 87 18& 384
)itin Cau"e o$ di"ea"e" 28.1 22.7 4&.2 1!!.!
)itin con"um%tion 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 28.1 22.7 4&.2 1!!.!
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare &.521a 4 .!4&
i'eliood atio &.538 4 .!4&
inear-#y-inear ""ociation .!36 1 .85!
, o$ Valid Ca"e" 384
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Cause of diseases - reaction Cross tabulation
reaction *otal
/t ma'e"
you $eel
#ad
/ am more
li'ely to quit
"mo'in
ecau"e o$
te %icture
you u"e
"e%arate
ciarette
#o0
,o
reaction ter
Beliee
'cause of
disease(
ye" Count 1!2 71 23 31 3 23!
)itin Cau"e o$
di"ea"e"44.3 3!.& 1!.! 13.5 1.3 1!!.!
)itin reaction 72.& 74.7 62.2 28.7 75.! 5&.&
o$ *otal 26.6 18.5 6.! 8.1 .8 5&.&
to "ome
e0tent
Count 38 23 13 66 1 141
)itin Cau"e o$
di"ea"e"27.! 16.3 &.2 46.8 .7 1!!.!
)itin reaction 27.1 24.2 35.1 61.1 25.! 36.7
o$ *otal &.& 6.! 3.4 17.2 .3 36.7
no Count ! 1 1 11 ! 13
)itin Cau"e o$
di"ea"e".! 7.7 7.7 84.6 .! 1!!.!
)itin reaction .! 1.1 2.7 1!.2 .! 3.4
o$ *otal .! .3 .3 2.& .! 3.4
*otal Count 14! &5 37 1!8 4 384
)itin Cau"e o$
di"ea"e"36.5 24.7 &.6 28.1 1.! 1!!.!
)itin reaction 1!!.! 1!!.! 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 36.5 24.7 &.6 28.1 1.! 1!!.!
Believe Likely to Fuit smoking )t makes you feel bad
7es ?:?M ?6?M
To some e"tent 6:2M 6?2M
No 22M GM
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Aroun! ?:?M of < respon!ents ho are li(ely to *uit smo(ing 'elieve that yes smo(ing
cause cancer an! other !iseases hile interestingly aroun! ?6?M out of 2:G respon!ents ho
sai! that picture health arning ma(e them feel 'a! also 'elieve that smo(ing cause cancer
This shos that 'elieva'ility is increasing among smo(ers
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 71.57!a 8 .!!!
i'eliood atio 73.4&6 8 .!!!
inear-#y-inear ""ociation 54.3&1 1 .!!!
, o$ Valid Ca"e" 384
7 cell" (46.7 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" .14.
8-value GGGG is less than GG< hich proves that the association 'eteen 'elieva'ility an!
reaction toar! 'ehavior is statically significant
816 &hanges )n Smoking Behavior
,escriptie Statistics
, inimum a0imum ean td. eviation
"mo'in #eavior 384 1 4 1.&1 .8!3
Valid , (li"t)i"e 384
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change in smoking behaior - Cause of diseases Cross tabulation
Beliee'Cause of diseases(
*otalye" to "ome e0tent no
change in smoking behaior
not at all Count 5! 7! & 12&
)itin "mo'in #eavior 38.8 54.3 7.! 1!!.!
)itin Cau"e o$ di"ea"e" 21.7 4&.6 6&.2 33.6
o$ *otal 13.! 18.2 2.3 33.6
a little Count 1!8 61 4 173
)itin "mo'in #eavior 62.4 35.3 2.3 1!!.!
)itin Cau"e o$ di"ea"e" 47.! 43.3 3!.8 45.1
o$ *otal 28.1 15.& 1.! 45.1
"ome)at Count 62 7 ! 6&
)itin "mo'in #eavior 8&.& 1!.1 .! 1!!.!
)itin Cau"e o$ di"ea"e" 27.! 5.! .! 18.!
o$ *otal 16.1 1.8 .! 18.!
a lot Count 1! 3 ! 13
)itin "mo'in #eavior 76.& 23.1 .! 1!!.!
)itin Cau"e o$ di"ea"e" 4.3 2.1 .! 3.4
o$ *otal 2.6 .8 .! 3.4
*otal Count 23! 141 13 384
)itin "mo'in #eavior 5&.& 36.7 3.4 1!!.!
)itin Cau"e o$ di"ea"e" 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 5&.& 36.7 3.4 1!!.!
Chi1S!uare Tests
Value d$
"ym%. i. (2-
"ided
Pear"on Ci-quare 53.8&8a 6 .!!!
i'eliood atio 5&.622 6 .!!!
inear-#y-inear ""ociation 46.7!7 1 .!!!
, o$ Valid Ca"e" 384
a. 4 cell" (33.3 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" .44.
4f those ho selecte! %yes) smo(ing cause cancer :?M of 69G respon!ent sai! that health
arning la'el have cause them to smo(e less i-e %a little) @hile interestingly ho to some
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e"tent 'elieve that smo(ing cause cancer :>M of 2:2 sai! that graphical health arning
la'el not at all effecte! there smo(ing 'ehavior
Beliee 'Cause of diseases( - brand Cross tabulation
Count
Brand *otal
%remium cla"" middle cla"" lo)er cla""
beliee ye" 1!8 1!1 21 23!
to "ome e0tent 113 24 4 141
no 7 3 3 13
*otal 228 128 28 384
Smo(ers ho smo(e premium class to some e"tent 'elieve that cigarette smo(ing cause
cancer an! other harmful !iseases
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 45.!17a 4 .!!!
i'eliood atio 45.751 4 .!!!
inear-#y-inear ""ociation 18.886 1 .!!!
, o$ Valid Ca"e" 384
a. 2 cell" (22.2 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" .&5.
The relation 'eteen 'elieva'ility an! 'ran! is significant
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brand - change in smoking behaior Cross tabulation
Count
Change in smoking behaior *otal
not at all a little "ome)at a lot
brand %remium cla"" &4 &6 35 3 228
middle cla"" 23 67 2& & 128
lo)er cla"" 12 1! 5 1 28
*otal 12& 173 6& 13 384
The result of this ta'le is interesting as premium 'ran! users responses are !istri'ute! in to
categories 4ne are those ho use premium 'ran! 'ut they are not li(ely to *uit smo(ing +:
respon!ents, $hile other are those ho use premium 'ran! an! they are li(ely to *uit
smo(ing i-e a little +> respon!ent,
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Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 26.813a 6 .!!!
i'eliood atio 27.&82 6 .!!!
inear-#y-inear ""ociation &.371 1 .!!2
, o$ Valid Ca"e" 384
a. 2 cell" (16.7 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" .&5.
The relation 'eteen 'ran! an! change in smo(ing 'ehavior is statistically significant
consumption - change in smoking behaior Cross tabulation
Count
Change in smoking behaior
*otalnot at all a little "ome)at a lot
consumption eavy "mo'er 43 57 7 1 1!8
moderate "mo'er 34 2& 2! 4 87
lit "mo'er 52 87 42 8 18&
*otal 12& 173 6& 13 384
heavy s&oer &oderate s&oer %ight s&oer
12
3
4
5
>
1
3
3
424
2>
2
2
1
Not at a%%
A %itt%e
So&ewhat
A %ot
A'ove results sho that there is a highest percentage of light smo(er that they have little
chance in change in 'ehavior
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815 "wareness of Health risk and change in smoking behavior
awareness of health conse!uences - smoking behaior Cross tabulation
Cane in "mo'in #eavior
*otalnot at all a little "ome)at a lot
a)arene"" o$ ealt
con"equence"
ye" Count &7 157 65 12 331
)itin a)arene"" o$
ealt con"equence"2&.3 47.4 1&.6 3.6 1!!.!
)itin "mo'in
#eavior75.2 &!.8 &4.2 &2.3 86.2
o$ *otal 25.3 4!.& 16.& 3.1 86.2
no Count 32 16 4 1 53
)itin a)arene"" o$
ealt con"equence"6!.4 3!.2 7.5 1.& 1!!.!
)itin "mo'in
#eavior24.8 &.2 5.8 7.7 13.8
o$ *otal 8.3 4.2 1.! .3 13.8
*otal Count 12& 173 6& 13 384
)itin a)arene"" o$ealt con"equence"
33.6 45.1 18.! 3.4 1!!.!
)itin "mo'in
#eavior1!!.! 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 33.6 45.1 18.! 3.4 1!!.!
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 2!.26&a 3 .!!!
i'eliood atio 1&.458 3 .!!!
inear-#y-inear ""ociation 15.41! 1 .!!!
, o$ Valid Ca"e" 384
a. 1 cell" (12.5 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" 1.7&.
8-value is 'elo GG< hich shos that result is statistically significant .ostly those
respon!ent ho sai! that they are aare of health conse*uences GHM of 2?9 sai! that health
arning la'el have cause them to smo(e less
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Crosstab
Count
$eaction after looking at picture health warning
*otal
/t ma'e" you
$eel #ad
/ am more
li'ely to quit
"mo'in
ecau"e o$
te %icture you
u"e "e%arate
ciarette #o0 no reaction oter
awareness of health
conse!uences
ye" 137 86 26 7& 3 331
no 3 & 11 2& 1 53
*otal 14! &5 37 1!8 4 384
;es No
2
.
5
1
12
1.13B
3
5
>
25
11
B>
2>
3 1
It &aes you fee% /ad
I a& &ore %ie%y to Cuit s&oing
!ecause of the icture you use searate cigarette /oD
no reaction
other
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 41.263a 4 .!!!
i'eliood atio 44.512 4 .!!!
inear-#y-inear ""ociation 37.14& 1 .!!!
, o$ Valid Ca"e" 384
2 cell" (2!.! ave e0%ected count le"" tan 5. *e minimum e0%ected count i" .55.
The relation 'eteen aareness of health conse*uences an! reaction after loo(ing at picture
health arning is statically significant The smo(ers$ 29? out of 99? ho are aare of the
health conse*uences of smo(ing$ 'elieve that smo(ing ma(es them feel 'a! @hile H> out of
922 smo(ers ho are aare of health conse*uences feel that they are more li(ely to *uit
smo(ing
52
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818 Type of Brand and change in smoking behavior
Crosstab
Count
Change in Smoking behaior
*otalnot at all a little "ome)at a lot
Brand %remium cla"" &4 &6 35 3 228
middle cla"" 23 67 2& & 128
lo)er cla"" 12 1! 5 1 28
*otal 12& 173 6& 13 384
Pre&iu& 4%ass Midd%e 4%ass 9ower 4%ass
1
2
3
.
4
5
B
>
1(0
23
12
>5
5B
1
342>
43>
1
Not at a%% A %itt%e So&ewhat A %ot
A'ove ta'le shos that smo(ers ho use premium 'ran!$ they are either less li(ely to *uit
smo(ing +> respon!ent selecte! a little, hile others are not li(ely to *uit smo(ing +:
respon!ent, This shos that !eviation is less in those ho use premium 'ran! @hile
mi!!le class 'ran! smo(ers also li(ely to have change in 'ehavior
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Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 26.813a
6 .!!!
i'eliood atio 27.&82 6 .!!!
inear-#y-inear ""ociation &.371 1 .!!2
, o$ Valid Ca"e" 384
a. 2 cell" (16.7 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" .&5.
The p value +GGGG, is less than GG< hich shos that the association 'eteen 'ran! an!
change in 'ehavior is statistically significant
Crosstab
Count
$eaction after looking at picture health warning *otal
/t ma'e" you
$eel #ad
/ am more li'ely
to quit "mo'in
ecau"e o$ te
%icture you u"e
"e%arate
ciarette #o0 ,o reaction ter
Brand %remium cla"" 75 55 18 77 3 228
middle cla"" 61 37 16 13 1 128
lo)er cla"" 4 3 3 18 ! 28
*otal 14! &5 37 1!8 4 384
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Pre&iu& c%ass Midd%e c%ass 9ower c%ass
1
2
3
.
4
5
B
@*
51
.
44
3B
3
115
3
@@
13
1)
31
It &aes you fee% /ad
I a& &ore %ie%y to Cuit s&oing
!ecause of the .icture you use se.arate cigarette /oD
No reaction
Other
A'ove ta'le shos that smo(er ho use premium 'ran! mostly ten!s to have no reaction after
loo(ing at picture health arning$ hile many of them feel that smo(ing ma(es them feel 'a!
4nly
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819 Smokers consumption level and change in smoking behavior
Crosstab
Count
Smoking behaior 'smoke less( *otal
not at all a little "ome)at a lot
consumption eavy "mo'er 43 57 7 1 1!8
moderate "mo'er 34 2& 2! 4 87
lit "mo'er 52 87 42 8 18&
*otal 12& 173 6& 13 384
A'ove ta'le shos that light smo(ers are more li(ely to change 'ehavior an! its percentage
of !eviation is high then heavy an! mo!erate smo(ers @hile the percentage of change in
'ehavior +*uit smo(ing, is very lo in smo(ers
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eavy s&oer Moderate s&oer 9ight s&oer
1
2
3
.
4
5
B
>
.3
3.
42
4B
2>
B
B
2
.2
1 .
Not at a%% A %itt%e So&ewhat A %ot
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 21.&8&a 6 .!!1
i'eliood atio 25.3!1 6 .!!!
inear-#y-inear ""ociation 12.327 1 .!!!
, o$ Valid Ca"e" 384
a. 2 cell" (16.7 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" 2.&5.
The p value +GGG2, is less than GG< hich shos that the association 'eteen consumption
an! change in 'ehavior is statistically significant
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Crosstab
Count
$eaction after looking at picture health warning
*otal
/t ma'e" you
$eel #ad
/ am more
li'ely to quit
"mo'in
ecau"e o$ te%icture you
u"e "e%arate
ciarette #o0 ,o reaction ter
consumption eavy "mo'er 44 13 13 37 1 1!8
moderate
"mo'er 31 21 8 27 ! 87
lit "mo'er 65 61 16 44 3 18&
*otal 14! &5 37 1!8 4 384
eavy s&oer Moderate s&oer 9ight s&oer
1
2
3
.
4
5
B
..
31
54
13
21
51
13
15
3B
2B
..
It &aes you fee% /ad
I a& &ore %ie%y to Cuit s&oing
!ecause of the .icture you use se.arate cigarette /oD
No reaction
Other
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 17.852a
8 .!22
i'eliood atio 1&.&!7 8 .!11
inear-#y-inear ""ociation 1.344 1 .246
, o$ Valid Ca"e" 384
a. 3 cell" (2!.! ave e0%ected count le"" tan 5. *e minimum e0%ected count i" .&1.
/ere light smo(er >< out of 2H feels 'a! after loo(ing at health arning$ hile >2 out of 2H
says that they a more li(ely to *uit smo(ing after loo(ing at picture health arning This
shos that light smo(ers are more li(ely to re!uces smo(ing or *uit it hen they are e"pose!
of picture health arnings
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815 Effectiveness of Graphical Health Warning #!icture 'f /outh &ancer$
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Age - %ffectieness of warning label Cross tabulation
effectieness of warning label
*otal
ye" very
e$$ective
ye" le""
e$$ective not e$$ective
age 18-25 Count 53 &4 3& 186
)itin ae 28.5 5!.5 21.! 1!!.!
)itin e$$ectivene"" o$
)arnin la#el37.3 56.! 52.7 48.4
o$ *otal 13.8 24.5 1!.2 48.4
26-35 Count 74 4& 2! 143
)itin ae 51.7 34.3 14.! 1!!.!
)itin e$$ectivene"" o$
)arnin la#el52.1 2&.2 27.! 37.2
o$ *otal 1&.3 12.8 5.2 37.2
more tan 35 Count 15 25 15 55
)itin ae 27.3 45.5 27.3 1!!.!
)itin e$$ectivene"" o$
)arnin la#el1!.6 14.& 2!.3 14.3
o$ *otal 3.& 6.5 3.& 14.3
*otal Count 142 168 74 384
)itin ae 37.! 43.8 1&.3 1!!.!
)itin e$$ectivene"" o$
)arnin la#el1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 37.! 43.8 1&.3 1!!.!
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1)=2* 27=-* &ore than -*
1
2
3
4
5
>
1
43
14
>
>
24
3>
214
;es very e6ective ;es %ess e6ective Not e6ective
Smo(ers ho are of 2H-6< of age thin( that printing picture of mouth cancer on cigarette
pac( is an effective ay to re!uce smo(ing @hile interestingly smo(er of age 6>-9< also
thin( that printing pictorial arning is very effective
consumption - effectieness of warning label Cross tabulation
Count
effectieness of warning label
*otalye" very e$$ective ye" le"" e$$ective not e$$ective
consumption eavy "mo'er 53 33 22 1!8
moderate "mo'er 35 37 15 87
lit "mo'er 54 &8 37 18&
*otal 142 168 74 384
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eavy s&oer Moderate s&oer 9ight s&oer
1
2
3
.
4
5
B
>
1
43
34
4.
333B
>
22
14
3B ;es very e6ective ;es %ess e6ective Not e6ective
A'ove ta'le shos that mostly light smo(er +H out of 2H, thin( that printing picture of
mouth cancer on cigarette pac( is an effective ay to re!uce smo(ing @hile heavy an!
mo!erate smo(er also thin( that pictorial arning is effective to some e"tent
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91 "*"L7S)S '% H7!'THES)S
Ho @ 3raphical health arning !oes not change smo(ers 'ehavior lea!ing to re!uce! or *uit
smo(ing
Ha 3raphical health arning change smo(ers 'ehavior lea!ing to re!uce! or *uit
smo(ing
Awareness of picture of health warning on pack - Change in smoking behaior Cross tabulation
Change in smoking behaior *otal
not at all a little "ome)at a lot
Awareness of picture of
health warning on pack
ye" Count 115 148 66 13 342
)itin a)arene"" o$
%icture o$ ealt )arnin
on %ac'
33.6 43.3 1&.3 3.8 1!!.!
)itin cane in
"mo'in #eavior 8&.1 85.5 &5.7 1!!.! 8&.1
o$ *otal 2&.& 38.5 17.2 3.4 8&.1
no Count 14 25 3 ! 42
)itin a)arene"" o$
%icture o$ ealt )arnin
on %ac'
33.3 5&.5 7.1 .! 1!!.!
)itin cane in
"mo'in #eavior 1!.& 14.5 4.3 .! 1!.&
o$ *otal 3.6 6.5 .8 .! 1!.&
*otal Count 12& 173 6& 13 384
)itin a)arene"" o$
%icture o$ ealt )arnin
on %ac'
33.6 45.1 18.! 3.4 1!!.!
)itin cane in
"mo'in #eavior 1!!.! 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 33.6 45.1 18.! 3.4 1!!.!
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;es No
2
.
5
1
12
1.
15
114
1.
1.
24
55
3
13
Not at a%% A %itt%e So&ewhat A %ot
A'ove ta'le shos that the smo(ers ho are aare of graphical health arning have little
chance that they ill change their 'ehavior in re!uce smo(ing or *uit it
@hile the correlation shos
Correlations
a)arene"" o$ %ictureo$ ealt )arnin on
%ac' "mo'in #eavior
a)arene"" o$ %icture o$ ealt
)arnin on %ac'
Pear"on Correlation 1 -.!76
i. (2-tailed .138
, 384 384
"mo'in #eavior Pear"on Correlation -.!76 1
i. (2-tailed .138
, 384 384
The p-value +G29H, is more than significance level GG< hich means that the relation
'eteen graphical health arning an! change in 'ehavior is not statistically significance
@hile the correlation value -GG?> reflect mo!erate negative relation There is a ea( relation
'eteen varia'les so this implies that if smoker have seen graphical health warning+ it is
less likely that they will Fuit smoking1 #Ho accepted$
3$ Ho 3raphical health arning la'els !oes not lea! to change in 'ehavior$ if smo(er have
aareness of health ris(
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Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 6.865a
3 .!76
i'eliood atio 8.&14 3 .!3!
inear-#y-inear ""ociation 2.1&8 1 .138
, o$ Valid Ca"e" 384
a. 1 cell" (12.5 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" 1.42.
As per a'ove result e conclu!e that as 8-value e"cee!s GG< ie GG?> so e assume that the
relation 'eteen change in 'ehavior an! aareness of health conse*uences is not statistically
significant An! hen the 8-value is greater than oo< then e cannot re#ect /o so we
conclude that CGraphical health warning labels does not lead to change in behavior+ if
smoker have awareness of health riskD1 #Ho accepted$
5
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6$ Ho 3raphical health arning la'els !oes not lea! to change in 'ehavior$ if consumer use
premium class 'ran!
Ha 3raphical health arning la'els ill lea! to change in 'ehavior$ if consumer use
premium class 'ran!
change in smoking behaior
*otalnot at all a little "ome)at a lot
brand %remium cla"" Count &4 &6 35 3 228
)itin #rand 41.2 42.1 15.4 1.3 1!!.!
)itin cane in "mo'in
#eavior 72.& 55.5 5!.7 23.1 5&.4
o$ *otal 24.5 25.! &.1 .8 5&.4
middle cla"" Count 23 67 2& & 128
)itin #rand 18.! 52.3 22.7 7.! 1!!.!
)itin cane in "mo'in
#eavior 17.8 38.7 42.! 6&.2 33.3
o$ *otal 6.! 17.4 7.6 2.3 33.3
lo)er cla"" Count 12 1! 5 1 28
)itin #rand 42.& 35.7 17.& 3.6 1!!.!
)itin cane in "mo'in
#eavior &.3 5.8 7.2 7.7 7.3
o$ *otal 3.1 2.6 1.3 .3 7.3
*otal Count12& 173 6& 13 384
)itin #rand 33.6 45.1 18.! 3.4 1!!.!
)itin cane in "mo'in
#eavior 1!!.! 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 33.6 45.1 18.! 3.4 1!!.!
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Pre&iu& c%ass Midd%e c%ass 9ower c%ass
1
2
3
.
4
5
B
>
1>.
23
12
>5
5B
1
342>
43>
1
Not at a%% a %itt%e S&o&ewhat A %ot
Accor!ing to this ta'le$ those ho use premium 'ran!$ they are either less li(ely to *uit
smo(ing +> respon!ent selecte! a little, hile others are not li(ely to *uit smo(ing +:
respon!ent, This shos that !eviation is less in those ho use premium 'ran! @hile mi!!le
class are also a little li(ely to *uit smo(ing 5nterestingly those ho use loer class 'ran!$
ma#ority of them sai! that they are not at all li(ely to *uit smo(ing +26 respon!ents, Hence
premium brand users are more likely to Fuit smoking #8818 of those who said they
will change their behavior a little as compared to lower and middle class brand users1
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 26.813a 6 .!!!
i'eliood atio 27.&82 6 .!!!
inear-#y-inear ""ociation &.371 1 .!!2
, o$ Valid Ca"e" 384
a. 2 cell" (16.7 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" .&5.
The p value +GGGG, is less than GG< hich shos that the association 'eteen 'ran! an!
change in 'ehavior is statistically significant Also the value of 8earson chi s*uare +6>H, lies
in re#ection region as the value of ith alpha an! !egree of free!om > is 26
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5$ Ho 3raphical health arning la'els !oes not lea! to change in 'ehavior$ if consumer are
light smo(ers
Ha 3raphical health arning la'els ill lea! to change in 'ehavior$ if consumer are light
smo(ers
Consumption - Change in smoking behaior Cross tabulation
change in smoking behaior
*otalnot at all a little "ome)at a lot
consumption eavy "mo'er Count 43 57 7 1 1!8
)itin con"um%tion 3&.8 52.8 6.5 .& 1!!.!
)itin cane in
"mo'in #eavior 33.3 32.& 1!.1 7.7 28.1
o$ *otal 11.2 14.8 1.8 .3 28.1
moderate "mo'er Count 34 2& 2! 4 87
)itin con"um%tion 3&.1 33.3 23.! 4.6 1!!.!
)itin cane in
"mo'in #eavior 26.4 16.8 2&.! 3!.8 22.7
o$ *otal 8.& 7.6 5.2 1.! 22.7
lit "mo'er Count 52 87 42 8 18&
)itin con"um%tion 27.5 46.! 22.2 4.2 1!!.!
)itin cane in
"mo'in #eavior 4!.3 5!.3 6!.& 61.5 4&.2
o$ *otal 13.5 22.7 1!.& 2.1 4&.2
*otal Count 12& 173 6& 13 384
)itin con"um%tion 33.6 45.1 18.! 3.4 1!!.!
)itin cane in
"mo'in #eavior 1!!.! 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 33.6 45.1 18.! 3.4 1!!.!
>
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eavy s&oer Moderate s&oer 9ight s&oer
1
2
3
4
5
>
3
3
424
2>
2
2
1
Not at a%% A %itt%e So&ewhat A %ot
A'ove ta'le shos that light smo(ers have little chance to change 'ehavior an! its percentage
of !eviation is high then heavy an! mo!erate smo(ers @hile the percentage of change in
'ehavior +*uit smo(ing, is very lo in smo(ers
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 21.&8&a 6 .!!1
i'eliood atio 25.3!1 6 .!!!
inear-#y-inear ""ociation 12.327 1 .!!!
, o$ Valid Ca"e" 384
2 cell" (16.7 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" 2.&5.
The p value +GGG2, is less than GG< hich shos that the association 'eteen consumption an!
change in 'ehavior is statistically significant Also the value of 8earson chi s*uare +62H, liesin re#ection region as the value of ith alpha an! !egree of free!om > is 26
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8$ Ho /ealth arning la'els !oes not lea! to change in 'ehavior$ if smo(ers 'elieve in
health ris(
Ha /ealth arning la'els ill lea! to change in 'ehavior$ if smo(ers 'elieve in health ris(
Beliee 'Cause of diseases( - change in smoking behaior Cross tabulation
change in smoking behaior *otal
not at all a little "ome)at a lot
Beliee 'Cause of
diseases(
ye" Count 5! 1!8 62 1! 23!
)itin elieve
(Cau"e o$ di"ea"e"
21.7 47.! 27.! 4.3 1!!.!
)itin cane in
"mo'in #eavior 38.8 62.4 8&.& 76.& 5&.&
o$ *otal 13.! 28.1 16.1 2.6 5&.&
to "ome
e0tent
Count 7! 61 7 3 141
)itin elieve
(Cau"e o$ di"ea"e"4&.6 43.3 5.! 2.1 1!!.!
)itin cane in
"mo'in #eavior
54.3 35.3 1!.1 23.1 36.7
o$ *otal 18.2 15.& 1.8 .8 36.7
no Count & 4 ! ! 13
)itin elieve
(Cau"e o$ di"ea"e"6&.2 3!.8 .! .! 1!!.!
)itin cane in
"mo'in #eavior 7.! 2.3 .! .! 3.4
o$ *otal 2.3 1.! .! .! 3.4
*otal Count 12& 173 6& 13 384
)itin elieve
(Cau"e o$ di"ea"e"33.6 45.1 18.! 3.4 1!!.!
)itin cane in
"mo'in #eavior 1!!.! 1!!.! 1!!.! 1!!.! 1!!.!
o$ *otal 33.6 45.1 18.! 3.4 1!!.!
1
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;es o so&e eDtent No
2
.
5
1
12
4
B
>
1
51
.
52
B
1
3
Not at a%% A %itt%e So&ewhat A %ot
A'ove ta'le shos that those smo(ers ho 'elieve smo(ing cause cancer an! other harmful
!iseases have a little chance that they ill re!uce or *uit smo(ing /oever there is no
ma"imum chance of change in 'ehavior
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 53.8&8a 6 .!!!
i'eliood atio 5&.622 6 .!!!
inear-#y-inear ""ociation 46.7!7 1 .!!!
, o$ Valid Ca"e" 384
a. 4 cell" (33.3 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" .44.
The 8-value +GGGG, is less than GG< hich shos that the association 'eteen 'elieva'ility
an! change in 'ehavior is statistically significant Also the value of 8earson chi s*uare
+ is 26
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Believe in brand harmfulness I &hange in smoking behavior &ross tabulation
Change in smoking behaior
*otalnot at all a little "ome)at a lot
Beliee in brand
harmfulness
ye" Count 64 116 55 12 247
)itin #elieve in #rand
arm$ulne""25.& 47.! 22.3 4.& 1!!.!
)itin cane in
"mo'in #eavior 4&.6 67.1 7&.7 &2.3 64.3
o$ *otal 16.7 3!.2 14.3 3.1 64.3
no Count 65 57 14 1 137
)itin #elieve in #rand
arm$ulne"" 47.4 41.6 1!.2 .7 1!!.!
)itin cane in
"mo'in #eavior 5!.4 32.& 2!.3 7.7 35.7
o$ *otal 16.& 14.8 3.6 .3 35.7
*otal Count 12& 173 6& 13 384
)itin #elieve in #rand
arm$ulne""33.6 45.1 18.! 3.4 1!!.!
)itin cane in
"mo'in #eavior 1!!.! 1!!.! 1!!.!
1!!.!
1!!.!
o$ *otal 33.6 45.1 18.! 3.4 1!!.!
3
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;es No
2
.
5
1
12
5. 54
115
4B44
1.12
1
Not at a%% A %itt%e S&oewhat A %ot
A'ove ta'le shos that there is a chance that those smo(ers ho 'elieve that the 'ran! they
smo(e is harmful to their health ill re!uce or *uit smo(ing
Chi1S!uare Tests
Value d$ "ym%. i. (2-"ided
Pear"on Ci-quare 24.281a 3 .!!!
i'eliood atio 25.6!1 3 .!!!
inear-#y-inear ""ociation 23.&21 1 .!!!
, o$ Valid Ca"e" 384
a. 1 cell" (12.5 ave e0%ected count le"" tan 5. *e minimum e0%ected count i" 4.64.
The 8-value +GGGG, is less than GG< hich shos that the association 'eteen 'elieva'ility
of 'ran! harmfulness an! change in 'ehavior is statistically significant Also the value of
8earson chi s*uare +6:6H2, lies in re#ection region as the value of ith alpha an! !egree of
free!om 9 is ?H2< an! that it is prove! that health warning labels will lead to change in
behavior+ if smokers believe that the brand they smoke is harmful to their health1
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;1 %)*.)*GS
"fter overall analysis the finding are as under
;10 HE"LTH W"-*)*G L"BEL
Aroun! H2M respon!ents are aare of health arning la'el on cigarette pac(s$ hich is
surly a higher percentage No Among those ho have seen health arning ma#ority of them
ere 2H-6< age group +2>6 respon!ents, hile 29: respon!ents ere 6>-9< age group
smo(ers those ho are aare of health arning la'el ma#ority ere light smo(ers +M, an! 2H-6< age group ere mostly light smo(ers
Those ho ere aare of health arning ma#ority of them use! premium class +>2?M of
9:6, ;ight smo(ers feel that health arnings helpe! them a little to smo(e less$ hich shos
that they are lea!ing to re!uce smo(ing.
;13 &hanges in Smoking Behavior
The result of this varia'le is *uite interesting$ 4f those ho selecte! %yes) smo(ing cause
cancer :?M of 69G respon!ent sai! that health arning la'el have cause them to smo(e less i-
e %a little) @hile interestingly ho to some e"tent 'elieve that smo(ing cause cancer :>Mof 2:2 sai! that graphical health arning la'el not at all affecte! there smo(ing 'ehavior
@hen comparing 'elieva'ility ith type of 'ran! 5 foun! that smo(ers ho smo(e premium
class to some e"tent 'elieve that cigarette smo(ing cause cancer an! other harmful !iseases
@hile relation 'eteen type of 'ran! an! change in smo(er 'ehavior is very interesting
There is less !eviation 'eteen smo(ers 4ne are those ho use premium 'ran! 'ut they are
not li(ely to *uit smo(ing +:5 respondents, $hile other are those ho use premium 'ran!
an! they are li(ely to *uit smo(ing i-e a little + :9 respondent, But the relation 'eteen
'ran! an! change in smo(ing 'ehavior is statistically significant
Finally hen comparing consumption level an! change in 'ehavior 5 foun! that there is a
highest percentage of light smo(er that they have little chance in change in 'ehavior
4
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;1310 "wareness of Health risk and change in smoking behavi