[Impact of cigarette package health warnings with pictures in Mexico: results from a survey of smokers in Guadalajara]

Salud Publica Mex. 2012 Jun;54(3):254-63.
[Article in Spanish]


Objective: Evaluate the impact of the first pictorial health warning labels (HWLs) on cigarette packs in Mexico.

Materials and methods: Cross-sectional survey of a representative sample of 1 765 adult smokers from Guadalajara, Mexico, 2010. Logistic regression models were estimated to determine the association between recall of having purchased a pack with a pictorial HWL and psychosocial variables indicating their impact.

Results: 58% reported having purchased a pack with one of the pictorial HWLs, and these were considered the exposed population. Exposed smokers reported a greater frequency of thinking about smoking-related risks (34 vs. 25% p=0.003), and thinking about quitting smoking (23 vs. 14% p=0.001). Exposure to pictorial HWLs was also associated with a greater acceptability of HWLs as a means of communicating with smokers (93 vs. 87% p<0.001), as was the perception that the government communicates well about tobacco-related health risks (68 vs. 55% p<0.001).

Conclusion: Pictorial HWLs have made smokers think more about these risks and about quitting smoking. This policy should continue to be exploited as a cost-effective educational intervention.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Advertising* / economics
  • Advertising* / legislation & jurisprudence
  • Cost-Benefit Analysis
  • Cross-Sectional Studies
  • Data Collection
  • Educational Status
  • Female
  • Health Promotion* / economics
  • Health Promotion* / legislation & jurisprudence
  • Humans
  • Male
  • Mexico / epidemiology
  • Middle Aged
  • Product Labeling* / economics
  • Product Labeling* / legislation & jurisprudence
  • Product Labeling* / statistics & numerical data
  • Smoking / epidemiology
  • Smoking / psychology*
  • Smoking Cessation / psychology
  • Tobacco Industry* / economics
  • Tobacco Industry* / legislation & jurisprudence
  • Urban Population
  • Young Adult