Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.

<h4>Background</h4>The U.S. Family Smoking Prevention and Tobacco Control Act of 2009 requires updating of the existing text-only health warning labels on tobacco packaging with nine new warning statements accompanied by pictorial images. Survey and experimental research in the U.S. and...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jennifer Cantrell, Donna M Vallone, James F Thrasher, Rebekah H Nagler, Shari P Feirman, Larry R Muenz, David Y He, Kasisomayajula Viswanath
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/12e72e8de3874983b4651dd8cbb58b17
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:12e72e8de3874983b4651dd8cbb58b17
record_format	dspace
spelling	oai:doaj.org-article:12e72e8de3874983b4651dd8cbb58b172021-11-18T08:01:42ZImpact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.1932-620310.1371/journal.pone.0052206https://doaj.org/article/12e72e8de3874983b4651dd8cbb58b172013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23341895/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The U.S. Family Smoking Prevention and Tobacco Control Act of 2009 requires updating of the existing text-only health warning labels on tobacco packaging with nine new warning statements accompanied by pictorial images. Survey and experimental research in the U.S. and other countries supports the effectiveness of pictorial health warning labels compared with text-only warnings for informing smokers about the risks of smoking and encouraging cessation. Yet very little research has examined differences in reactions to warning labels by race/ethnicity, education or income despite evidence that population subgroups may differ in their ability to process health information. The purpose of the present study was to evaluate the potential impact of pictorial warning labels compared with text-only labels among U.S. adult smokers from diverse racial/ethnic and socioeconomic subgroups.<h4>Methods/findings</h4>Participants were adult smokers recruited from two online research panels (n = 3,371) into a web-based experimental study to view either the new pictorial warnings or text-only warnings. Participants viewed the labels and reported their reactions. Adjusted regression models demonstrated significantly stronger reactions for the pictorial condition for each outcome salience (b = 0.62, p<.001); perceived impact (b = 0.44, p<.001); credibility (OR = 1.41, 95% CI = 1.22-1.62), and intention to quit (OR = 1.30, 95% CI = 1.10-1.53). No significant results were found for interactions between condition and race/ethnicity, education, or income. The only exception concerned the intention to quit outcome, where the condition-by-education interaction was nearly significant (p = 0.057).<h4>Conclusions</h4>Findings suggest that the greater impact of the pictorial warning label compared to the text-only warning is consistent across diverse racial/ethnic and socioeconomic populations. Given their great reach, pictorial health warning labels may be one of the few tobacco control policies that have the potential to reduce communication inequalities across groups. Policies that establish strong pictorial warning labels on tobacco packaging may be instrumental in reducing the toll of the tobacco epidemic, particularly within vulnerable communities.Jennifer CantrellDonna M ValloneJames F ThrasherRebekah H NaglerShari P FeirmanLarry R MuenzDavid Y HeKasisomayajula ViswanathPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 1, p e52206 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jennifer Cantrell Donna M Vallone James F Thrasher Rebekah H Nagler Shari P Feirman Larry R Muenz David Y He Kasisomayajula Viswanath Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.
description	<h4>Background</h4>The U.S. Family Smoking Prevention and Tobacco Control Act of 2009 requires updating of the existing text-only health warning labels on tobacco packaging with nine new warning statements accompanied by pictorial images. Survey and experimental research in the U.S. and other countries supports the effectiveness of pictorial health warning labels compared with text-only warnings for informing smokers about the risks of smoking and encouraging cessation. Yet very little research has examined differences in reactions to warning labels by race/ethnicity, education or income despite evidence that population subgroups may differ in their ability to process health information. The purpose of the present study was to evaluate the potential impact of pictorial warning labels compared with text-only labels among U.S. adult smokers from diverse racial/ethnic and socioeconomic subgroups.<h4>Methods/findings</h4>Participants were adult smokers recruited from two online research panels (n = 3,371) into a web-based experimental study to view either the new pictorial warnings or text-only warnings. Participants viewed the labels and reported their reactions. Adjusted regression models demonstrated significantly stronger reactions for the pictorial condition for each outcome salience (b = 0.62, p<.001); perceived impact (b = 0.44, p<.001); credibility (OR = 1.41, 95% CI = 1.22-1.62), and intention to quit (OR = 1.30, 95% CI = 1.10-1.53). No significant results were found for interactions between condition and race/ethnicity, education, or income. The only exception concerned the intention to quit outcome, where the condition-by-education interaction was nearly significant (p = 0.057).<h4>Conclusions</h4>Findings suggest that the greater impact of the pictorial warning label compared to the text-only warning is consistent across diverse racial/ethnic and socioeconomic populations. Given their great reach, pictorial health warning labels may be one of the few tobacco control policies that have the potential to reduce communication inequalities across groups. Policies that establish strong pictorial warning labels on tobacco packaging may be instrumental in reducing the toll of the tobacco epidemic, particularly within vulnerable communities.
format	article
author	Jennifer Cantrell Donna M Vallone James F Thrasher Rebekah H Nagler Shari P Feirman Larry R Muenz David Y He Kasisomayajula Viswanath
author_facet	Jennifer Cantrell Donna M Vallone James F Thrasher Rebekah H Nagler Shari P Feirman Larry R Muenz David Y He Kasisomayajula Viswanath
author_sort	Jennifer Cantrell
title	Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.
title_short	Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.
title_full	Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.
title_fullStr	Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.
title_full_unstemmed	Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.
title_sort	impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/12e72e8de3874983b4651dd8cbb58b17
work_keys_str_mv	AT jennifercantrell impactoftobaccorelatedhealthwarninglabelsacrosssocioeconomicraceandethnicgroupsresultsfromarandomizedwebbasedexperiment AT donnamvallone impactoftobaccorelatedhealthwarninglabelsacrosssocioeconomicraceandethnicgroupsresultsfromarandomizedwebbasedexperiment AT jamesfthrasher impactoftobaccorelatedhealthwarninglabelsacrosssocioeconomicraceandethnicgroupsresultsfromarandomizedwebbasedexperiment AT rebekahhnagler impactoftobaccorelatedhealthwarninglabelsacrosssocioeconomicraceandethnicgroupsresultsfromarandomizedwebbasedexperiment AT sharipfeirman impactoftobaccorelatedhealthwarninglabelsacrosssocioeconomicraceandethnicgroupsresultsfromarandomizedwebbasedexperiment AT larryrmuenz impactoftobaccorelatedhealthwarninglabelsacrosssocioeconomicraceandethnicgroupsresultsfromarandomizedwebbasedexperiment AT davidyhe impactoftobaccorelatedhealthwarninglabelsacrosssocioeconomicraceandethnicgroupsresultsfromarandomizedwebbasedexperiment AT kasisomayajulaviswanath impactoftobaccorelatedhealthwarninglabelsacrosssocioeconomicraceandethnicgroupsresultsfromarandomizedwebbasedexperiment
_version_	1718422589673570304

Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.

Ejemplares similares