cted regarding the prevalence of tobacco usage but none about the impact of warnings on the individuals. These findings are similar to those observed by Moodie et al.  that these warnings have negligible impact on daily users of tobacco and are contrary to findings in a study by Callery et al. 
Attractiveness of the packaging and small display areas of the warnings have always been considered to the reasons for the initiation of the tobacco as most of the adolescents mistook it as a mouth freshener and once they initiated the habit it was difficult to stop the same. This fact definitely highlights the importance of stopping the initiation of the tobacco habit. Government of India has come up with measures to reduce the attractiveness of the packages by mandating plain packaging in years to come.  Yet definitively awareness among the students regarding the seriousness of the warnings can be a definitive step toward our goal. ,
Through the preliminary observation we can infer the textual and pictorial warnings fail to have desired deterrent impact on the adolescent who tend to initiate tobacco use despite the warning. Drawback can be the lack of inclusion of school dropouts in the study sample. Further research with a larger sample and inclusion of adolescents from diverse social demographic profiles are needed to come up with measures to enhance the comprehension of them regarding the pictorial and textual warnings. The study was an attempt to understand the perceptions of adolescents regarding the health risk warning on tobacco packs. Furthermore, it is recommended to sensitize adolescents by including vices of tobacco use as part of education system.
| Conclusions|| |
Based on the findings of this study, it can be concluded that there is need for more attention in educating and sensitizing the adolescents of this region to the seriousness of the textual and pictorial warnings, so that they can make responsible decisions regarding the initiation or continued use of tobacco products.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
World Health Organization. WHO Report on the Global Tobacco Epidemic: Warning about the Dangers of Tobacco. Geneva, Switzerland: World Health Organization; 2011. Available from: http://www.who.int/tobacco/global_report/2011/en/
. [Last accessed on 2015 Feb 05].
World Health Organization. WHO Framework Convention on Tobacco Control. Geneva: WHO; 2003.
Ministry of Health and Family Welfare. The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 and Related Rules and Regulations. New Delhi: Government of India Press; 2009.
Government of India, Ministry of Health and Family Welfare and WHO Global Adult Tobacco Survey (GATS): India; 2009-2010.
Census of India 2011: Data from 2011 Census Including Cities Villages and Towns. Census Commission of India; 2011.
Moodie C, Mackintosh AM, Hastings G. Adolescents′ response to pictorial warnings on the reverse panel of cigarette packs: A repeat cross-sectional study. Tob Control 2015;24:e93-7.
Callery W, Hammond D, O′Connor RJ, Fong GT. Impact of health warning messages on smokeless tobacco products. Nicotine Tob Res 2012;13:373-83.
Bhaumik S. Private member′s bill proposes plain packaging of tobacco products in India. BMJ 2013;346:F953.
World Health Organization. WHO Report on the Global Tobacco Epidemic, 2008: The MPOWER Package. Geneva: World Health Organization; 2008.
World Health Organization. Guidelines for Controlling and Monitoring the Tobacco Epidemic. Geneva: World Health Organization; 1998. p. 76-80.
[Table 1], [Table 2], [Table 3]