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Social Interactions Sparked by Pictorial Warnings on Cigarette Packs

Author

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  • Marissa G. Hall

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Rosenau Hall CB7440, Chapel Hill, NC 27599, USA
    Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Kathryn Peebles

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Rosenau Hall CB7440, Chapel Hill, NC 27599, USA)

  • Laura E. Bach

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Rosenau Hall CB7440, Chapel Hill, NC 27599, USA
    Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Seth M. Noar

    (Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA
    School of Media and Journalism, University of North Carolina, Carroll Hall, CB 3365, Chapel Hill, NC 27599, USA)

  • Kurt M. Ribisl

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Rosenau Hall CB7440, Chapel Hill, NC 27599, USA
    Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Noel T. Brewer

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Rosenau Hall CB7440, Chapel Hill, NC 27599, USA
    Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA)

Abstract

The Message Impact Framework suggests that social interactions may offer smokers the opportunity to process pictorial warnings on cigarette packs more deeply. We aimed to describe adult smokers’ social interactions about pictorial cigarette pack warnings in two longitudinal pilot studies. In Pilot Study 1, 30 smokers used cigarette packs with one of nine pictorial warnings for two weeks. In Pilot Study 2, 46 smokers used cigarette packs with one of five pictorial warnings for four weeks. Nearly all smokers (97%/96% in Pilot Study 1/2) talked about the warnings with other people, with the most common people being friends (67%/87%) and spouses/significant others (34%/42%). Pilot Study 2 found that 26% of smokers talked about the warnings with strangers. Discussions about the health effects of smoking and quitting smoking were more frequent during the first week of exposure to pictorial warnings than in the week prior to beginning the study (both p < 0.05). Pictorial warnings sparked social interactions about the warnings, the health effects of smoking, and quitting smoking, indicating that pictorial warnings may act as a social intervention reaching beyond the individual. Future research should examine social interactions as a potential mediator of the impact of pictorial warnings on smoking behavior.

Suggested Citation

  • Marissa G. Hall & Kathryn Peebles & Laura E. Bach & Seth M. Noar & Kurt M. Ribisl & Noel T. Brewer, 2015. "Social Interactions Sparked by Pictorial Warnings on Cigarette Packs," IJERPH, MDPI, vol. 12(10), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:10:p:13195-13208:d:57484
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    References listed on IDEAS

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    1. Powell, Lisa M. & Tauras, John A. & Ross, Hana, 2005. "The importance of peer effects, cigarette prices and tobacco control policies for youth smoking behavior," Journal of Health Economics, Elsevier, vol. 24(5), pages 950-968, September.
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    3. WHO World Health Organization, 2013. "Who Report On The Global Tobacco Epidemic, 2013," University of California at San Francisco, Center for Tobacco Control Research and Education qt5t06910t, Center for Tobacco Control Research and Education, UC San Francisco.
    4. Bell, Kirsten & Dennis, Simone & Robinson, Jude & Moore, Roland, 2015. "Does the hand that controls the cigarette packet rule the smoker? Findings from ethnographic interviews with smokers in Canada, Australia, the United Kingdom and the USA," Social Science & Medicine, Elsevier, vol. 142(C), pages 136-144.
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    Cited by:

    1. Francisco Cartujano-Barrera & Ruthmarie Hernández-Torrez & Xueya Cai & Rafael H. Orfin & Chiamaka Azogini & Arlette Chávez-Iñiguez & Edgar Santa Cruz & Maansi Bansal-Travers & Karen M. Wilson & Scott , 2022. "Evaluating the Immediate Impact of Graphic Messages for Vaping Prevention among Black and Latino Adolescents: A Randomized Controlled Trial," IJERPH, MDPI, vol. 19(16), pages 1-11, August.
    2. Marissa G. Hall & Jessica K. Pepper & Jennifer C. Morgan & Noel T. Brewer, 2016. "Social Interactions as a Source of Information about E-Cigarettes: A Study of U.S. Adult Smokers," IJERPH, MDPI, vol. 13(8), pages 1-10, August.
    3. Kaitlyn E. Brodar & Marissa G. Hall & Eboneé N. Butler & Humberto Parada & Al Stein-Seroussi & Sean Hanley & Noel T. Brewer, 2016. "Recruiting Diverse Smokers: Enrollment Yields and Cost," IJERPH, MDPI, vol. 13(12), pages 1-9, December.
    4. Jennifer R. Mendel & Marissa G. Hall & Sabeeh A. Baig & Michelle Jeong & Noel T. Brewer, 2018. "Placing Health Warnings on E-Cigarettes: A Standardized Protocol," IJERPH, MDPI, vol. 15(8), pages 1-14, July.

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