Abstract
Several countries have introduced graphic warning images aimed at discouraging smoking. However, the images may be subject to an habituation effect. This study examined the effects of repeated exposure to an image of smoking-related mouth cancer in 24 smokers, 20 ex-smokers, and 39 individuals who had never smoked regularly. Participants viewed the warning image seven times over 7 to 14 days. Trend analysis showed that the smokers had high distress initially when viewing the image, followed by a significant lessening of image-related distress that leveled out over time. Nonetheless, viewing the image had a significant linearly increasing positive effect on their intention to quit smoking, with no sign that the effect of the image on intention was wearing out. The two groups of nonsmokers showed response patterns different from those of the smokers, including signs of habituation to the image. Other results showed a significant relationship between experiencing a high level of distress when viewing the image and having a negative attitude toward smoking. The implications of these findings are discussed in light of anti-smoking campaigns.
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References
Bornstein, R. F. (1989). Exposure and affect: Overview and meta-analysis of research. Psychological Bulletin, 106, 265–289.
de Hoog, N., Stroebe, W., & de Wit, J. B. F. (2007). The impact of vulnerability to and severity of a health risk on processing and acceptance of fear-arousing communications: A meta-analysis. Review of General Psychology, 11, 258–285.
Hammond, D., Fong, G. T., McDonald, P. W., Brown, S., & Cameron, R. (2004). Graphic Canadian cigarette warning labels amd adverse outcomes: Evidence from Canadian smokers. American Journal of Public Health, 94, 1142–1145.
Hammond, D., Fong, G. T., Borland, R., Cummings, K. M., McNeil, A. D., & Driezen, P. (2007). Text and graphic warnings on cigarette packages: Findings from the International Tobacco Control Four Country Study. American Journal of Preventive Medicine, 32, 210–217.
Harris, G. (2010). F.D.A. unveils proposed graphic warning labels for cigarette packs. New York Times. http://www.nytimes.com/2010/11/11/health/policy/tobacco.html. Accessed 8 July 2011.
Kees, J., Burton, S., Andrews, J. C., & Kozup, J. (2006). Tests of graphic visuals and cigarette package warning combinations: Implications for the Framework Convention on Tobacco Control. American Marketing Association, 25, 212–223.
Li, J., & Grigg, M. (2009). New graphic warnings encourage registration with the quitline. Tobacco Control, 18, 72.
Miller, C. L., Hill, D. J., Quester, P. G., & Hiller, J. E. (2009). Impact on the Australian Quitline of new graphic cigarette pack warnings including the Quitline number. Tobacco Control, 18, 235–237.
O’Hegarty, M., Pederson, L. L., Nelson, D. E., Mowery, P., Gable, J. M., & Wortley, P. (2006). Reactions of young adult smokers to warning labels on cigarette packages. American Journal of Preventive Medicine, 30, 467–473.
Peters, E., Romer, D., Slovic, P., Jamieson, K. H., Wharfield, L., Mertz, C. K., et al. (2007). The impact and acceptability of Canadian-style cigarette warning labels among U. S. smokers and nonsmokers. Nicotine & Tobacco Research, 9, 473–481.
Stark, E., Kim, A., Miller, C., & Borgida, E. (2008). Effects of including a graphic warning label in advertisements for reduced-exposure products: Implications for persuasion and policy. Journal of Applied Social Psychology, 38, 281–293.
Thrasher, J. F., Rousu, M. C., Anaya-Ocampo, R., Reynales-Shigematsu, L. M., Arillo-Santillan, E., & Hernandez-Avila, M. (2007). Estimating the impact of different cigarette package warning label policies: The auction method. Addictive Behaviors, 32, 2916–2925.
US Department of Health and Human Services (2008). National Health Interview Survey. Retrieved December 21st, 2010, from <http://staging.childcareresearch.org/ICPSR/studies/27341/detail>
Vardavas, C., Connolly, G., Karamanolis, K., & Kafatos, A. (2009). Adolescents’ perceived effectiveness of the proposed European graphic tobacco warning labels. European Journal of Public Health, 19, 212–217.
World Health Organisation (2008). Report on the global tobacco epidemic. Retrieved December 20th, 2010, from <http://www.who.int/tobacco/mpower/mpower_report_forward_summary_2008.pdf>
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This research was funded by the Australian Department of Health and Ageing.
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Rooke, S., Malouff, J. & Copeland, J. Effects of Repeated Exposure to a Graphic Smoking Warning Image. Curr Psychol 31, 282–290 (2012). https://doi.org/10.1007/s12144-012-9147-0
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DOI: https://doi.org/10.1007/s12144-012-9147-0