Effect of the framework convention on tobacco control and voluntary industry health warning labels on passage of mandated cigarette warning labels from 1965 to 2012: Transition probability and event history analyses

A.N. Sanders-Jackson, A.V. Song, H. Hiilamo and S.A. Glantz

American Journal of Public Health, 2013, vol. 103, issue 11, 2041-2047

Abstract: Objectives. We quantified the pattern and passage rate of cigarette package health warning labels (HWLs), including the effect of the Framework Convention on Tobacco Control (FCTC) and HWLs voluntarily implemented by tobacco companies. Methods. We used transition probability matrices to describe the pattern of HWL passage and change rate in 4 periods. We used event history analysis to estimate the effect of the FCTC on adoption and to compare that effect between countries with voluntary and mandatory HWLs. Results. The number of HWLs passed during each period accelerated, from a transition rate among countries that changed from 2.42 per year in 1965-1977 to 6.71 in 1977-1984, 8.42 in 1984-2003, and 22.33 in 2003-2012. The FCTC significantly accelerated passage of FCTC-compliant HWLs for countries with initially mandatory policies with a hazard of 1.27 per year (95% confidence interval = 1.11, 1.45), but only marginally increased the hazard for countries that had an industry voluntary HWL of 1.68 per year (95% confidence interval = 0.95, 2.97). Conclusions. Passage of HWLs is accelerating, and the FCTC is associated with further acceleration. Industry voluntary HWLs slowed mandated HWLs. Copyright © 2013 by the American Public Health Association®.

Keywords: compliance (physical); health care policy; human; legislation and jurisprudence; life event; packaging; prevention and control; smoking; statistics and numerical data; tobacco; tobacco industry; world health organization; article; legal aspect; packaging; smoking; statistics; tobacco; tobacco industry, Compliance; Health Policy; Humans; Life Change Events; Product Labeling; Smoking; Tobacco Industry; Tobacco Products; World Health Organization, Compliance; Health Policy; Humans; Life Change Events; Product Labeling; Smoking; Tobacco Industry; Tobacco Products; World Health Organization (search for similar items in EconPapers)
Date: 2013
References: Add references at CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
http://hdl.handle.net/10.2105/AJPH.2013.301324

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301324_9

DOI: 10.2105/AJPH.2013.301324

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().