IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i18p3380-d266692.html
   My bibliography  Save this article

Graphic Warning Labels Affect Hypothetical Cigarette Purchasing Behavior among Smokers Living with HIV

Author

Listed:
  • Lauren R. Pacek

    (Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27705, USA
    Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA)

  • Meredith S. Berry

    (Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA
    Department of Health Education and Behavior & Department of Psychology, University of Florida, Gainesville, FL 32611, USA)

  • Olga Rass

    (Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA)

  • Melissa Mercincavage

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

  • F. Joseph McClernon

    (Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27705, USA)

  • Matthew W. Johnson

    (Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA)

Abstract

Cigarette pack graphic warning labels (GWLs) are associated with increased knowledge of tobacco-related harms; scant research has evaluated their effects on behavior among vulnerable populations. We used a behavioral economic approach to measure the effects of GWLs and price on hypothetical cigarette purchasing behavior among HIV-positive smokers. Participants (n = 222) completed a cigarette valuation task by making hypothetical choices between GWL cigarette packs at a fixed price ($7.00) and text-only warning label cigarette packs at increasing prices ($3.50 to $14.00; $0.25 increments). More than one-quarter (28.8%) of participants paid more to avoid GWLs. The remaining participants’ purchasing decisions appear to have been driven by price: 69.8% of participants chose the cheaper pack. Across all participants, overall monetary choice value observed for GWL cigarette packs (mean = $7.75) was greater than if choice was driven exclusively by price ($7.00). Most (87.4%) preferred the text-only warning label when GWL and text-only cigarette packs were equally priced. Correlation analysis indicated GWL pack preference was associated with agreement with statements that GWLs would stop individuals from having a cigarette or facilitate thoughts about quitting. These data suggest that GWLs may influence some HIV-positive smokers in such a way that they are willing to pay more to avoid seeing GWLs.

Suggested Citation

  • Lauren R. Pacek & Meredith S. Berry & Olga Rass & Melissa Mercincavage & F. Joseph McClernon & Matthew W. Johnson, 2019. "Graphic Warning Labels Affect Hypothetical Cigarette Purchasing Behavior among Smokers Living with HIV," IJERPH, MDPI, vol. 16(18), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3380-:d:266692
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/18/3380/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/18/3380/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Lifson, A.R. & Neuhaus, J. & Arribas, J.R. & Van Berg-Wolf, M.D. & Labriola, A.M. & Read, T.R.H., 2010. "Smoking-related health risks among persons with HIV in the strategies for management of antiretroviral therapy clinical trial," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1896-1903.
    2. Feldman, J.G. & Minkoff, H. & Schneider, M.F. & Gange, S.J. & Cohen, M. & Watts, D.H. & Gandhi, M. & Mocharnuk, R.S. & Anastos, K., 2006. "Association of cigarette smoking with HIV prognosis among women in the HAART era: A report from the women's interagency HIV study," American Journal of Public Health, American Public Health Association, vol. 96(6), pages 1060-1065.
    3. Hammond, D. & Fong, G.T. & McDonald, P.W. & Brown, K.S. & Cameron, R., 2004. "Graphic Canadian cigarette warning labels and adverse outcomes: Evidence from Canadian smokers," American Journal of Public Health, American Public Health Association, vol. 94(8), pages 1442-1445.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Gideon P. Naudé & Sean B. Dolan & Justin C. Strickland & Meredith S. Berry & David J. Cox & Matthew W. Johnson, 2021. "The Influence of Episodic Future Thinking and Graphic Warning Labels on Delay Discounting and Cigarette Demand," IJERPH, MDPI, vol. 18(23), pages 1-15, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Thomas Mariotti & Nikolaus Schweizer & Nora Szech & Jonas von Wangenheim, 2023. "Information Nudges and Self-Control," Management Science, INFORMS, vol. 69(4), pages 2182-2197, April.
    2. Wenjian Xu & Wanjie Tang & Jing Zhang & Xin Shi & Yong Zheng & Michelle R. Kaufman, 2020. "Cigarette Smoking and Its Associations with Substance Use and HIV-Related Sexual Risks among Chinese Men Who Have Sex with Men," IJERPH, MDPI, vol. 17(5), pages 1-14, March.
    3. Trinidad Beleche & Nellie Lew & Rosemarie L. Summers & J. Laron Kirby, 2018. "Are Graphic Warning Labels Stopping Millions of Smokers? A Comment on Huang, Chaloupka, and Fong," Econ Journal Watch, Econ Journal Watch, vol. 15(2), pages 129–157-1, May.
    4. Frida Ngalesoni & George Ruhago & Mary Mayige & Tiago Cravo Oliveira & Bjarne Robberstad & Ole Frithjof Norheim & Hideki Higashi, 2017. "Cost-effectiveness analysis of population-based tobacco control strategies in the prevention of cardiovascular diseases in Tanzania," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-20, August.
    5. Dirk-Jan A. van Mourik & Math J. J. M. Candel & Gera E. Nagelhout & Marc C. Willemsen & Hua-Hie Yong & Bas van den Putte & Geoffrey T. Fong & Hein de Vries, 2019. "How the New European Union’s (Pictorial) Tobacco Health Warnings Influence Quit Attempts and Smoking Cessation: Findings from the 2016–2017 International Tobacco Control (ITC) Netherlands Surveys," IJERPH, MDPI, vol. 16(21), pages 1-15, November.
    6. Laure Tron & France Lert & Bruno Spire & Rosemary Dray-Spira & the ANRS-Vespa2 study group, 2014. "Tobacco Smoking in HIV-Infected versus General Population in France: Heterogeneity across the Various Groups of People Living with HIV," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-11, September.
    7. Gallopel-Morvan, Karine & Gabriel, Patrick & Le Gall-Ely, Marine & Rieunier, Sophie & Urien, Bertrand, 2011. "The use of visual warnings in social marketing: The case of tobacco," Journal of Business Research, Elsevier, vol. 64(1), pages 7-11, January.
    8. Chukwudi Keke & Zane Wilson & Limakatso Lebina & Katlego Motlhaoleng & David Abrams & Ebrahim Variava & Nikhil Gupte & Raymond Niaura & Neil Martinson & Jonathan E. Golub & Jessica L. Elf, 2023. "A Cross-Sectional Analysis of the Nicotine Metabolite Ratio and Its Association with Sociodemographic and Smoking Characteristics among People with HIV Who Smoke in South Africa," IJERPH, MDPI, vol. 20(6), pages 1-8, March.
    9. Van Asselt, Joanna & Nian, Yefan & Soh, Moonwon & Gao, Zhifeng & Morgan, Stephen N, 2020. "Do Plastic Warning Labels Reduce Consumers’ Willingness to Pay for Plastic Packaging?," 2020 Annual Meeting, July 26-28, Kansas City, Missouri 304503, Agricultural and Applied Economics Association.
    10. Carolina Werle & Caroline Cuny, 2012. "The boomerang effect of mandatory sanitary messages to prevent obesity," Marketing Letters, Springer, vol. 23(3), pages 883-891, September.
    11. Janet Chung-Hall & Geoffrey T. Fong & Gang Meng & Mi Yan & Takahiro Tabuchi & Itsuro Yoshimi & Yumiko Mochizuki & Lorraine V. Craig & Janine Ouimet & Anne C. K. Quah, 2020. "Effectiveness of Text-Only Cigarette Health Warnings in Japan: Findings from the 2018 International Tobacco Control (ITC) Japan Survey," IJERPH, MDPI, vol. 17(3), pages 1-17, February.
    12. Han, Seunghee & Lerner, Jennifer S. & Zeckhauser, Richard, 2010. "Disgust Promotes Disposal: Souring the Status Quo," Working Paper Series rwp10-021, Harvard University, John F. Kennedy School of Government.
    13. Christopher Carpenter, 2007. "How Do Workplace Smoking Laws Work? Quasi-Experimental Evidence from Local Laws in Ontario, Canada," NBER Working Papers 13133, National Bureau of Economic Research, Inc.
    14. Béatrice Parguel & Renaud Lunardo & Jean-Charles Chebat, 2010. "When activism may prove counterproductive: An exploratory study of anti-brand spoof advertising effects in the tobacco industry," Post-Print halshs-00636238, HAL.
    15. Rebecca Schnall & Jasmine Carcamo & Tiffany Porras & Ming-Chun Huang & Monica Webb Hooper, 2019. "Use of the Phase-Based Model of Smoking Treatment to Guide Intervention Development for Persons Living with HIV Who Self-Identify as African American Tobacco Smokers," IJERPH, MDPI, vol. 16(10), pages 1-12, May.
    16. Cho, Yoo Jin & Thrasher, James F. & Yong, Hua-Hie & Szklo, André Salem & O'Connor, Richard J. & Bansal-Travers, Maansi & Hammond, David & Fong, Geoffrey T. & Hardin, James & Borland, Ron, 2018. "Path analysis of warning label effects on negative emotions and quit attempts: A longitudinal study of smokers in Australia, Canada, Mexico, and the US," Social Science & Medicine, Elsevier, vol. 197(C), pages 226-234.
    17. Gina Turrini & Stephanie S Chan & Pamela W Klein & Stacy M Cohen & Antigone Dempsey & Heather Hauck & Laura W Cheever & Andre R Chappel, 2020. "Assessing the health status and mortality of older people over 65 with HIV," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-20, November.
    18. Tatiana Andreeva & Konstantin Krasovsky, 2011. "Recall of tobacco pack health warnings by the population in Ukraine and its association with the perceived tobacco health hazard," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(3), pages 253-262, June.
    19. Ulisses Ramos Montarroyos & Demócrito Barros Miranda-Filho & Cibele Comini César & Wayner Vieira Souza & Heloisa Ramos Lacerda & Maria de Fátima Pessoa Militão Albuquerque & Mariana Freitas Aguiar & R, 2014. "Factors Related to Changes in CD4+ T-Cell Counts over Time in Patients Living with HIV/AIDS: A Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-8, February.
    20. Jessica L. Reid & Seema Mutti-Packer & Prakash C. Gupta & Qiang Li & Jiang Yuan & Nigar Nargis & A. K. M. Ghulam Hussain & David Hammond, 2017. "Influence of Health Warnings on Beliefs about the Health Effects of Cigarette Smoking, in the Context of an Experimental Study in Four Asian Countries," IJERPH, MDPI, vol. 14(8), pages 1-15, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3380-:d:266692. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.