Can pictorial warning labels on cigarette packages address smoking-related health disparities? Field experiments in Mexico to assess pictorial warning label content.

Objective: The objective of this study was to determine the most effective content of pictorial health warning labels (HWLs) and whether educational attainment moderates these effects.Methods: Field experiments were conducted with 529 adult smokers and 530 young adults (258 nonsmokers; 271 smokers)....

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Publicado en:Cancer Causes & Control Vol. 23; pp. 69 - 81
Autores principales: Thrasher, James F, Arillo-Santillán, Edna, Villalobos, Victor, Pérez-Hernández, Rosaura, Hammond, David, Carter, Jarvis, Sebrié, Ernesto, Sansores, Raul, Regalado-Piñeda, Justino
Formato: research randomized controlled trial Journal Article
Publicado: Springer Nature 2012 Mar Suppl 1
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Can pictorial warning labels on cigarette packages address smoking-related health disparities? Field experiments in Mexico to assess pictorial warning label content.
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          Thrasher, James F
          Arillo-Santillán, Edna
          Villalobos, Victor
          Pérez-Hernández, Rosaura
          Hammond, David
          Carter, Jarvis
          Sebrié, Ernesto
          Sansores, Raul
          Regalado-Piñeda, Justino
        affil: Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, 800 Sumter Street, Columbia, SC 29208, USA. thrasher@mailbox.sc.edu
      sug:
        subj:
          Health Services Accessibility
          Product Labeling Methods
          Smoking
          Smoking Prevention and Control
          Adolescence
          Adult
          Aged
          Aged, 80 and Over
          Educational Status
          Female
          Human
          Male
          Mexico
          Middle Age
          Randomized Controlled Trials
          Smoking Psychosocial Factors
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: The objective of this study was to determine the most effective content of pictorial health warning labels (HWLs) and whether educational attainment moderates these effects.Methods: Field experiments were conducted with 529 adult smokers and 530 young adults (258 nonsmokers; 271 smokers). Participants reported responses to different pictorial HWLs printed on cigarette packages. One experiment involved manipulating textual form (testimonial narrative vs. didactic) and the other involved manipulating image type (diseased organs vs. human suffering).Results: Tests of mean ratings and rankings indicated that pictorial HWLs with didactic textual forms had equivalent or significantly higher credibility, relevance, and impact than pictorial HWLs with testimonial forms. Results from mixed-effects models confirmed these results. However, responses differed by participant educational attainment: didactic forms were consistently rated higher than testimonials among participants with higher education, whereas the difference between didactic and testimonial narrative forms was weaker or not statistically significant among participants with lower education. In the second experiment, with textual content held constant, greater credibility, relevance, and impact was found for graphic imagery of diseased organs than imagery of human suffering.Conclusions: Pictorial HWLs with didactic textual forms seem to work better than those with testimonial narratives. Future research should determine which pictorial HWL content has the greatest real-world impact among consumers from disadvantaged groups, including assessment of how HWL content should change to maintain its impact as tobacco control environments strengthen and consumer awareness of smoking-related risks increases.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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