Science for Education Today, 2020, vol. 10, no. 1, pp. 113–126

The effect of health warning labels about tobacco-related harms on young people

Barbaruk Y. V. 1 (Magadan, Russian Federation), Barbaruk A. V. 2 (Magadan, Russian Federation)
1 Scientific Center «Arktika», Far Eastern Branch of the Russian Academy of Sciences
2 Federal State Budget Educational Institution of Higher Education "North-Eastern State University"

Introduction. Pictorial and textual warning labels on cigarette packs attract smokers’ attention and stimulate smoking cessation, but their impact on various socio-demographic groups in Russia remains uncertain while in most developed countries, this problem is being investigated in order to prevent and control tobacco use and promote public health. The purpose of this study is to clarify the nature of the impact of health warning labels on cigarette packs on modern youth.
Materials and Methods. To achieve the purpose, a mass survey was conducted in Magadan region (Russia). The sample consisted of 596 people, 384 of whom were aged between 13 and 25 years. The type of sample was quota. Region’s population was distributed according to gender, age, and place of residence.
Results. The analysis revealed no significant gender or age-specific differences in the perception of warning labels. The connection between the intensity of motivation for smoking cessation and respondents’ attitude to pictorial and text warnings on cigarette packs has been confirmed. The strength of this connection has been evaluated. The percentages of young respondents potentially ready to give up smoking and their level of motivation have been identified.
Conclusions. The data obtained and their analyses allow to conclude about the universal nature of cigarette pack warnings about the dangers of smoking, with regard to youth as well. Young people who are not affected by graphic and textual warnings are most likely to postpone smoking cessation indefinitely.


Tobacco; Tobacco control; Smoking; Pictorial warning labels; Health warnings; Text warning label; Young people; Cigarette pack; Smoking cessation; Public health

Prominence Percentile SciVal: 94.817 Tobacco | Warning | Smokers


The effect of health warning labels about tobacco-related harms on young people

For citation:
Barbaruk Y. V., Barbaruk A. V. The effect of health warning labels about tobacco-related harms on young people. Science for Education Today, 2020, vol. 10, no. 1, pp. 113–126. DOI:
  1. Kontsevaya A. V., Drapkina O. M. Economics of the prevention of chronic non-communicable diseases. Russian Journal of Preventive Medicine and Public Health, 2018, vol. 21 (2–1), pp. 4–10. (In Russian) DOI: URL:
  2. Rozmainsky I. V., Tatarkin A. S. Disbelief in the future and “negative investments” in health capital in modern Russia. Voprosy Ekonomiki, 2018, no 1, pp. 128–150. (In Russian) DOI: URL:
  3. Suvorova O. V., Rozmainsky I. V. Disbelief in the future and negative investment in health capital in Russia in the mid-2010s: Survey research. Terra Economicus, 2019, vol. 17 (1), pp. 41–63. (In Russian) DOI: URL:
  4. Yagudina R. I., Skrypnyk A. R. Comparative economic modeling of restrictions tobacco smoking in the Russian Federation (from 2009 to 2016). Pharmacoeconomics Theory and Practice, 2018, vol. 6 (2), pp. 31–37. (In Russian) DOI: URL:
  5. Yang T., Barnett R., Rockett I. R. H., Yang X. Y., Wu D., Zheng W., Li L. The impact of regional economic reliance on the tobacco industry on current smoking in China. Health and Place, 2015, vol. 33, pp. 159–171. DOI:
  6. Kozlowski L. T., Sweanor D. Withholding differential risk information on legal consumer nicotine/tobacco products: The public health ethics of health information quarantines. International Journal of Drug Policy, 2016, vol. 32, pp. 17–23. DOI:
  7. Stewart B. W., Bray F., Forman D., Ohgaki H., Straif K., Ullrich A., Wild C. P. Cancer prevention as part of precision medicine: ‘Plenty to be done’. Carcinogenesis, 2016, vol. 37 (1), pp. 2–9. DOI:
  8. Novikova T. E.  Tobacco excise system: Purposes and causes. Finance, 2018, no 4, pp. 59–62. (In Russian) URL:
  9. Lunze K., Migliorini L. Tobacco control in the Russian Federation – a policy analysis. BMC Public Health, 2013, vol. 13, article number: 64. DOI:
  10. Kaasch A. Shaping global health policy: global social policy actors and ideas about health care systems. Monograph. Springer, 2015, 172 p. DOI:
  11. Levy D. T., Mays D., Yuan. Z., Hammond D., Thrasher J. F. Public health benefits from pictorial health warnings on US cigarette packs: A SimSmoke simulation. Tobacco Control, 2016, vol.  26  (6), pp. 649–655. DOI:
  12. Brewer N. T., Hall M. G., Noar S. M., Parada H., Stein-Seroussi A., Bach L. E., Hanley S., Ribisl K. M. Effect of pictorial cigarette pack warnings on changes in smoking behavior: A randomized clinical trial. JAMA Internal Medicine, 2016, vol. 176 (7), pp. 905–912. DOI:  
  13. Noar S. M., Hall M. G., Francis D., Ribisl K. M., Pepper J. K., Brewer N. T. Pictorial cigarette pack warnings: A meta-analysis of experimental studies. Tobacco Control, 2016, vol. 25 (3), pp.  341–354. DOI:
  14. Thrasher J. F., Abad-Vivero E. N., Huang L., O'Connor R. J., Hammond D., Bansal-Travers M., Yong H. H., Borland R., Markovsky B., Hardin J. Interpersonal communication about pictorial health warnings on cigarette packages: Policy-related influences and relationships with smoking cessation attempts. Social Science and Medicine, 2016, vol. 164, pp. 141–149. DOI:
  15. Nonnemaker J. M., Choiniere C. J., Farrelly M. C., Kamyab K., Davis K. C. Reactions to graphic health warnings in the United States. Health Education Research, 2015, vol. 30 (1), pp. 46–56. DOI:
  16. Cho Y. J., Thrasher J. F., Yong H. H, Szklo A. S., O'Connor R. J., Bansal-Travers M., Hammond  D., Fong G. T., Hardin J., Borland R. Path analysis of warning label effects on negative emotions and quit attempts: A longitudinal study of smokers in Australia, Canada, Mexico, and the US. Social Science and Medicine, 2018, vol. 197, pp. 226–234. DOI:
  17. Hall M. G., Peebles K., Bach L. E., Noar S. M., Ribisl K. M., Brewer N. T. Social interactions sparked by pictorial warnings on cigarette packs. International Journal of Environmental Research and Public Health, 2015, vol. 12 (10), pp. 13195–13208. DOI:
  18. Kotnowski K., Hammond D. The impact of cigarette pack shape, size and opening: Evidence from tobacco company documents. Addiction, 2013, vol. 108 (9), pp. 1658–1668. DOI:
  19. Hammond D., Reid J. L., Driezen P., Boudreau C. Pictorial health warnings on cigarette packs in the United States: an experimental evaluation of the proposed FDA warnings. Nicotine and Tobacco Research,2013, vol. 15 (1), pp. 93–102. DOI:
  20. Guydish J., Tajima B., Le T., Henderson C., Yip D., Gruber V., Garcia W., Delucchi K. L. Do cigarette graphic warnings encourage smokers to attend a smoking cessation programme: A quasi-experimental study. Tobacco Control, 2018, vol. 27 (1), pp. 43–49. DOI:
  21. Mansour A. Y., Bakhsh Z. Factors affecting the perceived effectiveness of pictorial health warnings on cigarette packages in Gulf countries: A cross-sectional study. Tobacco Use Insights, 2017, vol.  10, pp. 1–7. DOI:
  22. Maynard O. M., Brooks J. C., Munafo M. R., Leonards U. Neural mechanisms underlying visual attention to health warnings on branded and plain cigarette packs. Addiction, 2017, vol. 112 (4), pp. 662–672. DOI:
  23. Sukhovskaya О. А., Abramova K. N. The role of graphic images on cigarette packs in smoking cessation. Medical Alliance, 2018, no. 1, pp. 29–32. (In Russian) URL:
  24. Yablonskiy P. K., Sukhovskaya О. А. Topical questions about healthy lifestyles (based on surveys of Russian citizens on the hotline for a healthy lifestyle). Medical Alliance, 2018, no. 4, pp. 92–98. (In Russian) URL:
  25. Bolshakova P. N., Cherkasov S. N., Dolgov Yu. A., Bolshakov V. E. Modified Phekhner index (MIF) examining the direction and strength of influence of smoking factor commitment to students. N. A. Semashko National Research Institute of Public Health Bulletin, 2016, no. 7, pp. 5–12. (In Russian) URL:
Date of the publication 29.02.2020