Post-plain packaging, in the UK warning salience and effectiveness increased, while in Norway, it decreased or remained unchanged.38 Longitudinal research in Canada, where large pictorial warnings on packs were unchanged post-plain packaging, also points to the importance of revising warnings and removing full branding simultaneously given that while appeal decreased there was no difference in warning salience.39 In terms of behavioural changes, some studies suggest that plain packs may help deter youth from starting or continuing to smoke and increase cessation-related behaviours among smokers,4043 although further research exploring uptake and cessation, and research on relapse prevention, is needed
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