Graphic health warnings on tobacco packets and containers

Compliance status in Bangladesh

Syed Mahbubur Rahman, Md Shariful Alam, A. B.M. Zubair, Md Hasan Shahriar, Monowar Hossein, Md Shahedul Alam, Marita Hefler

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    Abstract

    Objective: This study describes and analyses compliance with tobacco product graphic health warning (GHW) legislation introduced in Bangladesh in March 2016. 

    Methods: A survey based on a structured questionnaire was conducted in April 2016 (immediately following the law coming into force), and 8 months later in November 2016, in eight divisional cities in Bangladesh. Five stores from three categories of retailers of combustible and smokeless tobacco products were surveyed, providing a total of 120 completed questionnaires. The study investigated a range of measures including the image and text of GHW, their ratio and colour use, and prescribed rotation. 

    Findings: Warning labels for 3312 tobacco items were assessed. In April 2016, 75% of tobacco products surveyed did not have GHWs. In November 2016, 19% were still found to not have the prescribed warnings. Even among products which did include GHW, there was significant non-compliance with the full range of requirements, in both survey periods. Compliance was highest for cigarette packets and lowest among smokeless tobacco products. In addition, awareness among tobacco retailers about the range of GHW requirements was low. 

    Conclusion: Effective implementation of GHW labels in low-income and middle-income countries requires awareness-raising among key stakeholders, combined with focused monitoring and compliance strategies. This should take into account different product categories and manufacturers, as well as measures targeted at retailers.

    Original languageEnglish
    Pages (from-to)261-267
    Number of pages7
    JournalTobacco Control
    Volume28
    Issue number3
    Early online date12 Jun 2018
    DOIs
    Publication statusPublished - May 2019

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    Bangladesh
    Tobacco Products
    Compliance
    nicotine
    Tobacco
    Health
    Smokeless Tobacco
    health
    Legislation
    questionnaire
    Color
    low income
    legislation
    stakeholder
    Surveys and Questionnaires
    monitoring
    income
    Law

    Cite this

    Rahman, S. M., Alam, M. S., Zubair, A. B. M., Shahriar, M. H., Hossein, M., Alam, M. S., & Hefler, M. (2019). Graphic health warnings on tobacco packets and containers: Compliance status in Bangladesh. Tobacco Control, 28(3), 261-267. https://doi.org/10.1136/tobaccocontrol-2018-054249
    Rahman, Syed Mahbubur ; Alam, Md Shariful ; Zubair, A. B.M. ; Shahriar, Md Hasan ; Hossein, Monowar ; Alam, Md Shahedul ; Hefler, Marita. / Graphic health warnings on tobacco packets and containers : Compliance status in Bangladesh. In: Tobacco Control. 2019 ; Vol. 28, No. 3. pp. 261-267.
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    abstract = "Objective: This study describes and analyses compliance with tobacco product graphic health warning (GHW) legislation introduced in Bangladesh in March 2016. Methods: A survey based on a structured questionnaire was conducted in April 2016 (immediately following the law coming into force), and 8 months later in November 2016, in eight divisional cities in Bangladesh. Five stores from three categories of retailers of combustible and smokeless tobacco products were surveyed, providing a total of 120 completed questionnaires. The study investigated a range of measures including the image and text of GHW, their ratio and colour use, and prescribed rotation. Findings: Warning labels for 3312 tobacco items were assessed. In April 2016, 75{\%} of tobacco products surveyed did not have GHWs. In November 2016, 19{\%} were still found to not have the prescribed warnings. Even among products which did include GHW, there was significant non-compliance with the full range of requirements, in both survey periods. Compliance was highest for cigarette packets and lowest among smokeless tobacco products. In addition, awareness among tobacco retailers about the range of GHW requirements was low. Conclusion: Effective implementation of GHW labels in low-income and middle-income countries requires awareness-raising among key stakeholders, combined with focused monitoring and compliance strategies. This should take into account different product categories and manufacturers, as well as measures targeted at retailers.",
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    Graphic health warnings on tobacco packets and containers : Compliance status in Bangladesh. / Rahman, Syed Mahbubur; Alam, Md Shariful; Zubair, A. B.M.; Shahriar, Md Hasan; Hossein, Monowar; Alam, Md Shahedul; Hefler, Marita.

    In: Tobacco Control, Vol. 28, No. 3, 05.2019, p. 261-267.

    Research output: Contribution to journalArticleResearchpeer-review

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    AU - Rahman, Syed Mahbubur

    AU - Alam, Md Shariful

    AU - Zubair, A. B.M.

    AU - Shahriar, Md Hasan

    AU - Hossein, Monowar

    AU - Alam, Md Shahedul

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