title: Perceptions of plain packaging among young adult roll-your-own smokers in France: a naturalistic approach.
abstract: BACKGROUND
  We explored, for the first time, young adult roll-your-own smokers' response to using plain packaging in real-world settings.
  
  
  METHODS
  Naturalistic research was employed, where 133 French young adult smokers (18-25 years of age) used plain roll-your-own packs for 10 days; the plain packs they were provided with contained their usual brand of rolling tobacco and displayed the name of their usual brand. Participants were recruited in five cities in France (Paris, Marseille, Metz, Nantes, Toulouse) and completed two questionnaires to measure their response to their own branded packs and the plain packs. Both questionnaires assessed pack perceptions, brand attachment, product perceptions (eg, taste, quality, natural), feelings about smoking (satisfying, pleasurable), feelings when using the pack in front of others (embarrassment, image), warning response (credibility, awareness of risks) and smoking-related behaviour (eg, consumption, quitting).
  
  
  RESULTS
  Compared to their own fully branded packs, plain packs were associated with less positive pack and product perceptions, lower brand attachment and less positive feelings about smoking and feelings when using the pack in front of others. Participants were also more likely to report feeling like reducing consumption and quitting when using the plain packs, and more likely to feel like missing out on rolling a cigarette. No significant differences between the two pack types (plain and branded) were found in terms of credibility of warnings and perceptions of level of tar.
  
  
  CONCLUSIONS
  The study suggests that the impacts of plain packaging for roll-your-own cigarette smokers are the same as for smokers of factory-made cigarettes.
authors.affiliation: EHESP School of Public Health, EA MOS (Equipe d'Accueil en Management des Organisations de Santé), Rennes Cx, France.
authors.forename: Karine
authors.initials: K
authors.lastname: Gallopel-Morvan
authors.affiliation: Centre for Tobacco Control Research, University of Stirling, Scotland, UK.
authors.forename: Crawford
authors.initials: C
authors.lastname: Moodie
authors.affiliation: French National Committee Against Tobacco (CNCT), Paris, France.
authors.forename: Figen
authors.initials: F
authors.lastname: Eker
authors.affiliation: French National Committee Against Tobacco (CNCT), Paris, France.
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Beguinot
authors.affiliation: Unité de Coordination de Tabacologie, Centre Hospitalier Universitaire and University Henri Poincaré, Nancy, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Martinet
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D001364:Awareness; D002947:Cities; D004349:Drug Packaging; D004644:Emotions; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D010465:Perception; D057181:Pleasure; D011356:Product Labeling; D019064:Product Packaging; D012907:Smoking; D016540:Smoking Cessation; D011795:Surveys and Questionnaires; D013649:Taste; D062789:Tobacco Products; D055815:Young Adult
keywords: Hand-rolled/RYO tobacco; Packaging and Labelling; Prevention