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Smokers’ and E-Cigarette Users’ Perceptions about E-Cigarette Warning Statements

Author

Listed:
  • Olivia A. Wackowski

    (Center for Tobacco Studies, Rutgers School of Public Health, New Brunswick, NJ 08901, USA)

  • David Hammond

    (School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Richard J. O’Connor

    (Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA)

  • Andrew A. Strasser

    (Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA)

  • Cristine D. Delnevo

    (Center for Tobacco Studies, Rutgers School of Public Health, New Brunswick, NJ 08901, USA)

Abstract

Cigarette warning labels are important sources of risk information, but warning research for other tobacco products is limited. This study aimed to gauge perceptions about warnings that may be used for e-cigarettes. We conducted six small focus groups in late 2014/early 2015 with adult current e-cigarette users and cigarette-only smokers. Participants rated and discussed their perceptions of six e-cigarette warning statements, and warnings in two existing Vuse and MarkTen e-cigarette ads. Participants were open to e-cigarette warnings and provided the strongest reactions to statements warning that e-liquid/e-vapor or e-cigarettes can be poisonous, contain toxins, or are “not a safe alternative to smoking”. However, many also noted that these statements were exaggerated, potentially misleading, and could scare smokers away from reducing their harm by switching to e-cigarettes. Opinions on the Food and Drug Administration’s proposed nicotine addiction warning and warnings that e-cigarettes had not been approved for smoking cessation or had unknown health effects were mixed. Participants perceived MarkTen’s advertisement warning to be stronger and more noticeable than Vuse’s. Care should be taken in developing e-cigarette warnings given their relative recentness and potential for harm reduction compared to other tobacco products. Additional research, including with varied audiences, would be instructive.

Suggested Citation

  • Olivia A. Wackowski & David Hammond & Richard J. O’Connor & Andrew A. Strasser & Cristine D. Delnevo, 2016. "Smokers’ and E-Cigarette Users’ Perceptions about E-Cigarette Warning Statements," IJERPH, MDPI, vol. 13(7), pages 1-13, June.
  • Handle: RePEc:gam:jijerp:v:13:y:2016:i:7:p:655-:d:73073
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    References listed on IDEAS

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    1. Noar, S.M. & Hall, M.G. & Brewer, N.T., 2015. "Pictorial cigarette pack warnings have important effects," American Journal of Public Health, American Public Health Association, vol. 105(3), pages 1-1.
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    Cited by:

    1. Olivia A. Wackowski & Jennah M. Sontag & David Hammond & Richard J. O’Connor & Pamela A. Ohman-Strickland & Andrew A. Strasser & Andrea C. Villanti & Cristine D. Delnevo, 2019. "The Impact of E-Cigarette Warnings, Warning Themes and Inclusion of Relative Harm Statements on Young Adults’ E-Cigarette Perceptions and Use Intentions," IJERPH, MDPI, vol. 16(2), pages 1-14, January.
    2. Ce Shang & Frank J. Chaloupka, 2017. "The Trend of Voluntary Warnings in Electronic Nicotine Delivery System Magazine Advertisements," IJERPH, MDPI, vol. 14(1), pages 1-12, January.

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