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2014 Jan 1 [cited 2023 Dec 1];88(1):57

Consumers routinely seek untaxed and lower-taxed alternatives when governments sharply increase excise taxes on widely consumed products such as cigarettes

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These increases were observed in young adults aged 1825, as well as adults aged 2634 and 3549 and over this time period, youth smokers aged 1217 remained the group with the highest prevalence of menthol cigarette use (54%) [14]

Canadian research monitored the effectiveness of the pictorial warnings among nationally representative samples over 12 waves of data collection and indicated that health warnings have their greatest impact shortly after implementation and decline in effectiveness over time.15 This is consistent with national survey data from other countries, including the UK and Australia.22 39 68 In particular, youth commonly report on the stale or ineffective nature of old warnings that remain unchanged for more than several years.18 58 115 This is consistent with the basic principles of advertising and health communications, which suggest that the salience of a communication is greatest upon initial exposure and erodes thereafter.113 114 Although all warnings are subject to wear-out over time, recent research suggests that larger pictorial warnings sustain their effects longer.72 Health warnings and brand appeal Prominent health warnings that cover a significant proportion of the packageparticularly pictorial warningshave the potential to undermine a brand's appeal and the impact of package displays at retail outlets.21 25 37 54 56 64 115 116 For example, 88% of youth smokers in Canada and 90% of potential smokers reported that picture-based health warnings make smoking seem less attractive