Exploring context specific anti-smoking warning labels on cigarette packs: A quasi-experiment.

OBJECTIVE: To evaluate the impact of introducing newly-designed warning labels in relation to the available conventional cigarette packs. METHODS: The quasi-experimental study was conducted at four co-educational academic institutions selected using cluster random sampling technique in Gulshan-e-Iqbal town of Karachi from September 2016 to October 2017. The respondents, aged 16-24 years, were exposed with an experimental condition using five graphic cards; each comprising of two separate labels; label 1 being a cigarette pack currently rotated, and label 2 being the newly designed graphic and text warning label. Each participant responded over efficacy measures for each label separately. The difference in the efficacy scores between the two labels was assessed using repeated measure ANOVA with Bonferroni correction in analysis. RESULTS: Of the 388 students, 256(66%) were males and 132(34%) were females. The overall mean age was 18±2.76 years. Also, 188(48.5%) subjects were studying in higher secondary, 179(46.1%) undergraduate and 21(5.4%) postgraduate level. Of them, 104(26.8%) were ever-smokers and 284(73.2%) reported to be never-smokers. A difference was observed in the efficacy of the newly designed label "poverty" compared with current cigarette pack on the measure of not to start smoking(p=0.006). Never-smoking males perceived newly-designed label element 'dead person' as fear-arousing (p=0.045), while never-smoking females considered 'look after family' as efficacious (p=0.024). CONCLUSIONS: There was some evidence of variation in efficacy scores after stratifying on gender and smoking status. A more holistic approach is needed in this regard.

Effects of dental aesthetics on psycho-social wellbeing among students of health sciences.

OBJECTIVE: To determine the effects of dental aesthetics and socio-demographics on psychosocial well-being among students of health sciences. Methods: The analytical cross-sectional study was conducted at a private tertiary care health centre in Karachi from March to August 2018, and comprised medical, dental and pharmacy students. Data was collected using a structured adapted questionnaire comprising Psychosocial Impact of Dental Aesthetics Questionnaire and Aesthetic Component of Index of Orthodontic Treatment Need which was graded from group 1 to group 5. Data was analysed using SPSS 22. RESULTS: Of the 385 subjects, 122(31.7%) were males and 263(68.3%) were females. The overall mean age was 20.6±1.70 years. There were 177(46%) medial students, 125(32.5%) dental and 83(21.6%) pharmacy undergraduates. Dental aesthetics concern and social impact factors were significantly different between the genders (p<0.05). The two factors were also significantly different with respect to years of study (p<0.05). Significant difference was observed between aesthetic concern and age (p<0.05). Dental self-confidence the highest in group 1 with a mean of 2.6±1.02, and the lowest in group 5 with a mean of 2.0±1.16 of Aesthetic Component of Index of Orthodontic Treatment Need. CONCLUSIONS: The psycho-social life was affected by poor dental aesthetics, indicating that dental therapy and cosmetic treatments had an influence over psychological well-being of individuals.

Inadequate checks on smokeless tobacco usage in Pakistan: cultural heritage or policy neglect?

The Asian-Eastern Mediterranean block has increased inhabitation of the smokeless tobacco users. Due to geopolitical reasons, Pakistan is one of the countries which is in danger of suffering from future smokeless tobaccorelated morbidity and mortality due to weak policy measures. This paper is an overview of smokeless tobacco control measures practised in Pakistan, in comparison to its neighbouring countries sharing similar socio-cultural parameters. Tobacco control reports confined only to smokeless tobacco control were extracted for the region of Southeast Asia and Eastern Mediterranean regions published under World Health Organisation. The selection of countries from each region was based upon the fulfilment of the criterion of sharing common borders with Pakistan and holding a signatory status under framework convention on tobacco control. There is a need to revise existing tobacco control strategy to include smokeless tobacco reforms over pricing, packaging and media communication in Pakistan.