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Cancer Causes & Control

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01.03.2012 | Original paper

Perceived effectiveness of pictorial health warnings among Mexican youth and adults: a population-level intervention with potential to reduce tobacco-related inequities

verfasst von: David Hammond, James Thrasher, Jessica L. Reid, Pete Driezen, Christian Boudreau, Edna Arillo Santillán

Erschienen in: Cancer Causes & Control | Sonderheft 1/2012

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Abstract

Purpose

Pictorial health warnings on cigarette packages are a prominent and effective means of communicating the risks of smoking; however, there is little research on effective types of message content and socio-demographic effects. This study tested message themes and content of pictorial warnings in Mexico.

Methods

Face-to-face surveys were conducted with 544 adult smokers and 528 youth in Mexico City. Participants were randomized to view 5–7 warnings for two of 15 different health effects. Warnings for each health effect included a text-only warning and pictorial warnings with various themes: “graphic” health effects, “lived experience”, symbolic images, and testimonials.

Results

Pictorial health warnings were rated as more effective than text-only warnings. Pictorial warnings featuring “graphic” depictions of disease were significantly more effective than symbolic images or experiences of human suffering. Adding testimonial information to warnings increased perceived effectiveness. Adults who were female, older, had lower education, and intended to quit smoking rated warnings as more effective, although the magnitude of these differences was modest. Few interactions were observed between socio-demographics and message theme.

Conclusions

Graphic depictions of disease were perceived by youth and adults as the most effective warning theme. Perceptions of warnings were generally similar across socio-demographic groups.

Siahpush M, McNeill A, Hammond D, Fong GT (2006) Socioeconomic and country variations in knowledge of health risks of tobacco smoking and toxic constituents of smoke: results from the 2002 International Tobacco Control Policy Evaluation Survey. Tob Control 15(Suppl III):iii65–iii70PubMedCrossRef

Callery W, Hammond D, Reid JL, Fong GT, Borland R, Cummings KM (2008) Socioeconomic variation in the reach of various sources of anti-smoking information: Findings from the ITC 4-Country Survey [poster presentation]. Society for research on nicotine and tobacco annual meeting, February 2008: Portland, Oregon

Hammond D (2011) Health warnings on tobacco packages: a review. Tob Control 20:327–337

European Commission (2009) Eurobarometer: survey on tobacco [analytical report]. Available at: http://ec.europa.eu/public_opinion/flash/fl_253_en.pdf. Accessed 12 April 2010

Thrasher J, Villalobos V, Szklo A, Fong GT, Pérez C, Sebrié EM, Boado M, Figueiredo V, Bianco E (2010) Assessing the impact of cigarette package warning labels: a cross-country comparison in Brazil, Uruguay and Mexico. Salud Publica Mex 52(Sup 2):S206–S215PubMedCrossRef

Durkin SJ, Biener L, Wakefield M (2009) Effects of different types of antismoking ads on reducing disparities in smoking cessation among socioeconomic subgroups. Am J Public Health 99(12):2217–2223PubMedCrossRef

Niederdeppe J, Fiore MC, Baker TB, Smith SS (2008) Smoking-cessation media campaigns and their effectiveness among socioeconomically advantaged and disadvantaged populations. Am J Public Health 98(5):916–924PubMedCrossRef

Chaloupka FJ, Warner KE (2000) The economics of smoking. In: Cuyler AJ, Newhouse JP (eds) Handbook of health economics. Elsiever, Amsterdam, pp 1539–1627

Link B (2008) Epidemiological sociology and the social shaping of population health. J Health Soc Behav 49:367–384PubMedCrossRef

10.

Instituto Nacional de Cancer (2009) Brazil: Health warnings on tobacco products. Rio di Janeiro: Ministereo de Saude, Instituto Nacional de Cancer. Images available at: http://www.tobaccolabels.ca/healthwarningimages/country/brazil

11.

Witte K, Allen M (2000) A meta-analysis of fear appeals: implications for effective public health campaigns. Health Educ Behav 27:591–615PubMedCrossRef

12.

Flay BR, Burton D (1990) Effective mass communication strategies for health campaigns. In: Atkin C, Wallack L (eds) Mass communication for public health: complexities and conflicts. Sage Publications, Newbury Park, pp 129–146

13.

Sweet KM, Willis SK, Ashida S, Westman JA (2003) Use of fear-appeal techniques in the design of tailored cancer risk communication messages: implications for healthcare providers. J Clin Oncol 21(17):3375–3376PubMedCrossRef

14.

Hammond D, Fong GT, McDonald P, Brown KS, Cameron R (2004) Graphic Canadian warning labels and adverse outcomes: evidence from Canadian smokers. Am J Public Health 94(8):1442–1445PubMedCrossRef

15.

Elliott & Shanahan Research (2002, September) Developmental research for new Australian health warnings on tobacco products: stage 1. Prepared for the population health division department of health and ageing, commonwealth of Australia. Available at: http://www.health.gov.au/internet/main/publishing.nsf/Content/474DA5DAC70608F2CA2571A1001C7DFE/$File/warnings_stage1.pdf. Accessed 13 July 2009

16.

Peters E, Romer D, Slovic P, Hall Jamieson K, Wharfield L, Mertz CK, Carpenter SM (2007) The impact and acceptability of Canadian-style cigarette warning labels among U.S. smokers and nonsmokers. Nicotine Tob Res 9(4):473–481PubMedCrossRef

17.

Kees J, Burton S, Andrews JC, Kozup J (2010) Understanding how graphic pictorial warnings work on cigarette packaging. J Publ Pol Market 29(2):115–126

18.

Les Etudes de Marche Createc (2006, June) Final report: qualitative testing of health warning messages. Prepared for health Canada

19.

Decima Research (2009, June) Testing of health warning messages and health information messages for tobacco products, executive summary. Prepared for health Canada

20.

Elliott & Shanahan Research (2003, August) Developmental research for new Australian health warnings on tobacco products: stage 2. Prepared for the Australian population health division department of health and ageing, commonwealth of Australia. Available at: http://www.health.gov.au/internet/main/publishing.nsf/Content/474DA5DAC70608F2CA2571A1001C7DFE/$File/warnings_stage2.pdf. Accessed 13 July 2009

21.

BRC Marketing & Social Research (2004, May) Smoking health warnings stage 1: the effectiveness of different (pictorial) health warnings in helping people consider their smoking-related behaviour. Prepared for the New Zealand Ministry of Health

22.

Thrasher JF, Allen B, Anaya-Ocampo R, Reynales LM, Lazcano-Ponce EC, Hernández-Avila M (2006) Análisis del impacto en fumadores Mexicanos de los avisos gráficos en las cajetillas de cigarros [Analysis of the impact of cigarette package warning labels with graphic images among Mexican smokers]. Salud Publica Mex 48:S65–S75PubMedCrossRef

23.

Kreuter MW, Green MC, Cappella J (2007) Narrative communication in cancer prevention and control: a framework to guide research and application. Ann Behav Med 33(3):221–235PubMedCrossRef

24.

Instituto Nacional de Salud Pública (2010) Encuesta Mundial de Tabaquismo en Adultos, México 2009 [Global Adult Tobacco Survey, México 2009]. Instituto Nacional de Salud Pública & Pan American Health Organization, Cuernavaca

25.

World Health Organization (2008) WHO report on the global tobacco epidemic, 2008: the MPOWER package. World Health Organization, Geneva

26.

Campuzano JC, Hernández-Avila M, Samet J, Méndez I, Tapia R, Sepúlveda J (1998) Comportamiento de los fumadores en México según las Encuestas Nacionales de Adicciones 1988 a 1998. In: Valdés-Salgado R, Lazcano-Ponce E, Hernández-Avila M (eds) Primer informe sobre combate al tabaquismo: México ante el Convenio Marco para el Control del Tabaco. Instituto Nacional de Salud Pública, Cuernavaca, pp 21–27

27.

Pierce JP, Choi WS, Gilpin EA, Farkas AJ, Merritt RK (1996) Validation of susceptibility as a predictor of which adolescents take up smoking in the United States. Health Psychol 15:355–361PubMedCrossRef

28.

Laird NM, Ware JH (1982) Random-effects models for longitudinal data. Biometrics 38:963–974PubMedCrossRef

29.

Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Series B Stat Methodol 57(1):289–300

30.

Fitzmaurice GM, Laird NM, Ware JH (2004) Chapter 8: linear mixed effects models. Applied longitudinal analysis. Hoboken, John Wiley & Sons, Inc.,: New Jersey, pp 187–235

31.

World Health Organization (2003) WHO framework convention on tobacco control. Geneva: World Health Organization. Available at: http://www.who.int/tobacco/framework/en/

32.

World Health Organization (2008) Elaboration of guidelines for implementation of article 11 of the convention. Available at: http://apps.who.int/gb/fctc/PDF/cop3/FCTC_COP3_7-en.pdf

33.

Hammond D (2009) Tobacco labelling resource [website]. Available at: http://www.tobaccolabels.org. Accessed 15 April 2011

34.

CRÉATEC+Market Studies (2003) Effectiveness of health warning messages on cigarette packages in informing less-literate smokers, final report. Prepared for communication Canada

35.

Malouff J, Gabrilowitz D, Schutte N (1992) Readibility of health warnings on alcohol and tobacco products. Am J Public Health 82(3):464PubMedCrossRef

36.

Reid JL, Hammond D, Driezen P (2010) Socioeconomic status and smoking in Canada, 1999–2006: has there been any progress on disparities in tobacco use? Can J Public Health 101(1):73–78PubMed

37.

Terry-McElrath Y, Wakefield M, Ruel E, Balch GI, Emery S, Szczypka G, Clegg-Smith K, Flay B (2005) The effect of antismoking advertisement executional characteristics on youth comprehension, appraisal, recall, and engagement. J Health Commun 10(2):127–143PubMedCrossRef

38.

Western Opinion/NRG Research Group (2006, August) Illustration-based health information messages: concept testing. Prepared for health Canada. Available at: http://www.tobaccolabels.ca/healt/canada2006. Accessed 12 April 2010

39.

National Cancer Institute (2008, June) The role of the media in promoting and reducing tobacco use. Tobacco control monograph No. 19. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute. NIH Pub. No. 07-6242

40.

Thrasher JF, Arillo-Santillán E, Villalobos V, Pérez-Hernández R, Hammond D, Carter J, Sebrie E, Sansores R, Regalado-Piñeda J (under review) Can cigarette package warning labels address smoking-related health disparities?: field experiments among Mexican smokers to assess the impact of textual content

Titel: Perceived effectiveness of pictorial health warnings among Mexican youth and adults: a population-level intervention with potential to reduce tobacco-related inequities
verfasst von: David Hammond
James Thrasher
Jessica L. Reid
Pete Driezen
Christian Boudreau
Edna Arillo Santillán
Publikationsdatum: 01.03.2012
Verlag: Springer Netherlands
Erschienen in: Cancer Causes & Control / Ausgabe Sonderheft 1/2012
Print ISSN: 0957-5243
Elektronische ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-012-9902-4

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Perceived effectiveness of pictorial health warnings among Mexican youth and adults: a population-level intervention with potential to reduce tobacco-related inequities