IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0052206.html
   My bibliography  Save this article

Impact of Tobacco-Related Health Warning Labels across Socioeconomic, Race and Ethnic Groups: Results from a Randomized Web-Based Experiment

Author

Listed:
  • Jennifer Cantrell
  • Donna M Vallone
  • James F Thrasher
  • Rebekah H Nagler
  • Shari P Feirman
  • Larry R Muenz
  • David Y He
  • Kasisomayajula Viswanath

Abstract

Background: 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. Methods/Findings: 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

Suggested Citation

  • Jennifer Cantrell & Donna M Vallone & James F Thrasher & Rebekah H Nagler & Shari P Feirman & Larry R Muenz & David Y He & Kasisomayajula Viswanath, 2013. "Impact of Tobacco-Related Health Warning Labels across Socioeconomic, Race and Ethnic Groups: Results from a Randomized Web-Based Experiment," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-11, January.
    • Handle: RePEc:plo:pone00:0052206
    DOI: 10.1371/journal.pone.0052206
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0052206
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0052206&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0052206?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Thrasher, James F. & Rousu, Matthew C. & Hammond, David & Navarro, Ashley & Corrigan, Jay R., 2011. "Estimating the impact of pictorial health warnings and "plain" cigarette packaging: Evidence from experimental auctions among adult smokers in the United States," Health Policy, Elsevier, vol. 102(1), pages 41-48, September.
    2. Niederdeppe, J. & Fiore, M.C. & Baker, T.B. & Smith, S.S., 2008. "Smoking-cessation media campaigns and their effectiveness among socioeconomically advantaged and disadvantaged populations," American Journal of Public Health, American Public Health Association, vol. 98(5), pages 916-924.
    3. Ai, Chunrong & Norton, Edward C., 2003. "Interaction terms in logit and probit models," Economics Letters, Elsevier, vol. 80(1), pages 123-129, July.
    4. Dolores J. Severtson & Jeffrey B. Henriques, 2009. "The Effect of Graphics on Environmental Health Risk Beliefs, Emotions, Behavioral Intentions, and Recall," Risk Analysis, John Wiley & Sons, vol. 29(11), pages 1549-1565, November.
    5. Durkin, S.J. & Biener, L. & Wakefield, M.A., 2009. "Effects of different types of antismoking ads on reducing disparities in smoking cessation among socioeconomic subgroups," American Journal of Public Health, American Public Health Association, vol. 99(12), pages 2217-2223.
    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. Ramanadhan, Shoba & Nagler, Rebekah H. & McCloud, Rachel & Kohler, Racquel & Viswanath, Kasisomayajula, 2017. "Graphic health warnings as activators of social networks: A field experiment among individuals of low socioeconomic position," Social Science & Medicine, Elsevier, vol. 175(C), pages 219-227.
    2. Daniel Bennett & Syed Ali Asjad Naqvi & Wolf‐Peter Schmidt, 2015. "Constraints on Compliance and the Impact of Health Information in Rural Pakistan," Health Economics, John Wiley & Sons, Ltd., vol. 24(9), pages 1065-1081, September.
    3. Andreas Vilhelmsson & Per-Olof Östergren, 2018. "Reducing health inequalities with interventions targeting behavioral factors among individuals with low levels of education - A rapid review," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-14, April.
    4. Ce Shang & Jidong Huang & Kai-Wen Cheng & Yanyun He & Frank J. Chaloupka, 2017. "The Association between Warning Label Requirements and Cigarette Smoking Prevalence by Education-Findings from the Global Adult Tobacco Survey (GATS)," IJERPH, MDPI, vol. 14(1), pages 1-16, January.
    5. Adnan M. S. Fakir & Tushar Bharati, 2022. "Healthy, nudged, and wise: Experimental evidence on the role of information salience in reducing tobacco intake," Health Economics, John Wiley & Sons, Ltd., vol. 31(6), pages 1129-1166, June.
    6. Abigail T Evans & Ellen Peters & Andrew A Strasser & Lydia F Emery & Kaitlin M Sheerin & Daniel Romer, 2015. "Graphic Warning Labels Elicit Affective and Thoughtful Responses from Smokers: Results of a Randomized Clinical Trial," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-23, December.
    7. 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.
    8. Francesco Bogliacino & Cristiano Codagnone & Giuseppe Alessandro Veltri & Amitav Chakravarti & Pietro Ortoleva & George Gaskell & Andriy Ivchenko & Francisco Lupiáñez-Villanueva & Francesco Mureddu & , 2015. "Pathos & Ethos: Emotions and Willingness to Pay for Tobacco Products," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-25, October.
    9. Kuehnle, Daniel, 2019. "How effective are pictorial warnings on tobacco products? New evidence on smoking behaviour using Australian panel data," Journal of Health Economics, Elsevier, vol. 67(C).
    10. Adnan M. S. Fakir & Tushar Bharati, 2021. "Healthy, nudged, and wise: Experimental evidence on the role of cost reminders in healthy decision-making," Economics Discussion / Working Papers 21-13, The University of Western Australia, Department of Economics.

    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. James F. Thrasher & Farahnaz Islam & Rachel E. Davis & Lucy Popova & Victoria Lambert & Yoo Jin Cho & Ramzi G. Salloum & Jordan Louviere & David Hammond, 2018. "Testing Cessation Messages for Cigarette Package Inserts: Findings from a Best/Worst Discrete Choice Experiment," IJERPH, MDPI, vol. 15(2), pages 1-21, February.
    2. Lei, Lianlian & Liu, Feng, 2021. "Medicaid coverage and use of nicotine replacement treatment," Economics & Human Biology, Elsevier, vol. 40(C).
    3. Mohammad Siahpush & Ron Borland & Geoffrey T. Fong & Tara Elton-Marshall & Hua-Hie Yong & Charamporn Holumyong, 2011. "Socioeconomic Differences in the Effectiveness of the Removal of the “Light” Descriptor on Cigarette Packs: Findings from the International Tobacco Control (ITC) Thailand Survey," IJERPH, MDPI, vol. 8(6), pages 1-11, June.
    4. Ian Peacock & Emily Ryo, 2022. "A study of pandemic and stigma effects in removal proceedings," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 19(3), pages 560-593, September.
    5. Cho, Seo-young & Vadlamannati, Krishna Chaitanya, 2010. "Compliance for big brothers: An empirical analysis on the impact of the anti-trafficking protocol," University of Göttingen Working Papers in Economics 118, University of Goettingen, Department of Economics.
    6. Li, Chen, 2015. "Do immigrants attract FDI? District-level evidence from Germany," VfS Annual Conference 2015 (Muenster): Economic Development - Theory and Policy 113130, Verein für Socialpolitik / German Economic Association.
    7. Abel Brodeur, 2012. "Smoking, Income and Subjective Well-Being: Evidence from Smoking Bans," Working Papers halshs-00664269, HAL.
    8. Chowdhury, Shyamal & Ooi, Evarn & Slonim, Robert, 2017. "Racial discrimination and white first name adoption: a field experiment in the Australian labour market," Working Papers 2017-15, University of Sydney, School of Economics.
    9. Shun-Yang Lee & Julian Runge & Daniel Yoo & Yakov Bart & Anett Gyurak & J. W. Schneider, 2023. "COVID-19 Demand Shocks Revisited: Did Advertising Technology Help Mitigate Adverse Consequences for Small and Midsize Businesses?," Papers 2307.09035, arXiv.org, revised Jan 2024.
    10. Cowling, Marc & Ughetto, Elisa & Lee, Neil, 2018. "The innovation debt penalty: Cost of debt, loan default, and the effects of a public loan guarantee on high-tech firms," Technological Forecasting and Social Change, Elsevier, vol. 127(C), pages 166-176.
    11. Yamada, Katsunori & Sato, Masayuki, 2013. "Another avenue for anatomy of income comparisons: Evidence from hypothetical choice experiments," Journal of Economic Behavior & Organization, Elsevier, vol. 89(C), pages 35-57.
    12. Beck, Thorsten & Demirgüç-Kunt, Asli & Singer, Dorothe, 2013. "Is Small Beautiful? Financial Structure, Size and Access to Finance," World Development, Elsevier, vol. 52(C), pages 19-33.
    13. Sonja Fagernäs, 2011. "Protection through Proof of Age. Birth Registration and Child Labor in Early 20th Century USA," Working Paper Series 2311, Department of Economics, University of Sussex Business School.
    14. Hilber, Christian A.L., 2010. "New housing supply and the dilution of social capital," Journal of Urban Economics, Elsevier, vol. 67(3), pages 419-437, May.
    15. Mario Schnalzenberger & Nicole Schneeweis & Rudolf Winter-Ebmer & Martina Zweimüller, 2014. "Job Quality and Employment of Older People in Europe," LABOUR, CEIS, vol. 28(2), pages 141-162, June.
    16. Marianna Belloc & Francesco Drago & Roberto Galbiati, 2016. "Earthquakes, Religion, and Transition to Self-Government in ItalianCities," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1875-1926.
    17. Zvonimir Bašić & Parampreet C. Bindra & Daniela Glätzle-Rützler & Angelo Romano & Matthias Sutter & Claudia Zoller, 2021. "The Roots of Cooperation," ECONtribute Discussion Papers Series 097, University of Bonn and University of Cologne, Germany.
    18. Una Okonkwo Osili & Anna L. Paulson, 2006. "What can we learn about financial access from U.S. immigrants?," Working Paper Series WP-06-25, Federal Reserve Bank of Chicago.
    19. Amrei Lahno & Marta Serra-Garcia, 2015. "Peer effects in risk taking: Envy or conformity?," Journal of Risk and Uncertainty, Springer, vol. 50(1), pages 73-95, February.
    20. Mayer, T. & Mejean, I. & Nefussi, B., 2010. "The location of domestic and foreign production affiliates by French multinational firms," Journal of Urban Economics, Elsevier, vol. 68(2), pages 115-128, September.

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0052206. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.