Skip to main content
Log in

The appropriateness of fear appeal use for health care marketing to the elderly: Is it OK to scare granny?

  • Published:
Journal of Business Ethics Aims and scope Submit manuscript

Abstract

In this paper we explore the intersection of three topics which have historically been singled out for ethical consideration in advertising and marketing: the use of fear appeals, marketing to the elderly, and the marketing of health care services and products. Issues relevant to using fear appeals in promoting health care issues to the elderly are explored with a consumer psychologist's theoretical view of fear appeals. Next the assumption of the elderly market's vulnerability and indicants of social or psychological function which would differentiate the elderly recipients of marketing communications are examined both in terms of function and ethical concerns.

Overall, our review of the theoretical underpinnings of fear-based communication and the psychological characteristics does not indicate that the elderly of today are particularlyvulnerable. While the elderly are probably somewhat more dogmatic than younger consumers and perhaps view outcomes from the perspective of their age, there are no indications that their psychological responses to fear-based appeals differ significantly from those of younger consumers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Association of Retired Persons: 1990,A Report on the Survey of Older Consumer Behavior (Market Facts Inc., Washington, D.C.).

    Google Scholar 

  • Arenberg, D.: 1967, ‘Regression Analysis of Verbal Learning on Adult Age at Two Anticipation Intervals’,Journal of Gerontology 11, pp. 27–42.

    Google Scholar 

  • Ash, S. B., Gardiner, D. F. and Quelch, J. A.: 1980, ‘Consumer Satisfaction and Dissatisfaction in the Elderly Market’,Proceedings of the 5th Annual Conference on Consumer Satisfaction/Dissatisfaction and Complaining Behavior, pp. 86–96.

  • Bagby, R. M., Cox, B. J., Endler, N. S. and Parker, J. D. A.: 1991, ‘Multidimensionality of State and Trait Anxiety: Factor Structure of the Endler Multidimensional Anxiety Scales’,Journal of Personality and Social Psychology 60(6), pp. 919–926.

    PubMed  Google Scholar 

  • Bearden, W. O. and Mason, J. B.: 1979 (Spring), ‘Elderly Use of In-Store Information Sources and Dimensions of Product Satisfaction/Dissatisfaction’,Journal of Retailing, pp. 79–81.

  • Benet, S. B., Wong, J. K. and Pitts, R. E.: 1990, ‘Evaluation of the Efficiency of Delivery Strategies to the Elderly: A Hospital Model’, V. Venkatesan (ed.),Advances in Health Care Research, 1990 Proceedings, forthcoming.

  • Botwinick, J.: 1978,Aging and Behavior: A Comprehensive Integration of Research Findings, 2nd ed. (Springer Publishing Company, New York).

    Google Scholar 

  • Burnett, J. J. and Wilkes, R. E.: 1980, ‘Fear Appeals to Segments Only’,Journal of Advertising Research 20(5), pp. 21–24.

    Google Scholar 

  • Cerella, J.: 1985, ‘Information Processing Rates in the Elderly’,Psychological Bulletin 98(1), pp. 67–83.

    PubMed  Google Scholar 

  • Cohen, G. and Faulkner, D.: 1983, ‘Age Difference in Performance on Two Information-Processing Tasks: Strategy Selection and Processing Efficiency’,Journal of Gerontology 38(4), pp. 447–454.

    PubMed  Google Scholar 

  • Cole, C. A. and John, D. R.: 1986, ‘Age Differences in Information Processing: Understanding Deficits in Young and Elderly Consumers’,Journal of Consumer Research 13(3), pp. 297–315.

    Google Scholar 

  • Corso, J. F.: 1977, ‘Auditory Perception of Communication’, in J. E. Birrin and K. W. Schaie (eds.),The Psychology of Aging (Van Nostrand and Reinhold Company, New York), pp. 535–553.

    Google Scholar 

  • Endler, N. S. and Edwards, J. M.: ‘Evaluation of the Statetrait Anxiety Concept within an Interaction Model’,The Southern Psychologist 2, pp. 63–71.

  • Ferraro, K. F. and LaGrange, R. L.: 1987, ‘The Elderly's Fear of Crime’,Research on Aging 9(3), pp. 372–391.

    PubMed  Google Scholar 

  • Hyman, M. R. and Tansey, R.: 1990, ‘The Ethics of Psychoactive Ads’,Journal of Business Ethics 9, pp. 105–114.

    Google Scholar 

  • Izard, C. E.: 1977,Human Emotions (Plenum Press, New York).

    Google Scholar 

  • Koeske, R. D. and Srivastava, R. K.: 1977,Preliminary Examination of the Sources and Handling of Consumer Problems by the Elderly, Unpublished manuscript (University of Pittsburgh, Elderly Consumer Project), p. 4.

  • Lang, P. J., Rice, D. and Sternbach R. A.: 1972, ‘The Psychophysiology of Emotion’, in N. S. Greenfield and R. A. Sternbach (eds.),Handbook of Psychophysiology (Holt, Rinehart and Winston, Inc., New York).

    Google Scholar 

  • LaTour, M. S.: 1990, ‘Female Nudity in Print Advertising: Gender Differences in Arousal and Ad Response’,Psychology and Marketing 7(1), pp. 65–81.

    Google Scholar 

  • LaTour, M. S. and Pitts, R. E.: 1989 (Sep), ‘Using Fear Appeals for AIDS Prevention in the College-Aged Population’,Journal of Health Care Marketing 9, pp. 5–14.

    Google Scholar 

  • LaTour, M. S., Pitts, R. E. and Snook-Luther, D. C.: 1991 (Winter), ‘Female Nudity, Arousal and Ad Response: An Experimental Investigation’,Journal of Advertising 19, pp. 51–62.

    Google Scholar 

  • LaTour, M. S. and Zahra, S. A.: 1989, ‘Fear Appeals as Advertising Strategy: Should They Be Used?’,The Journal of Consumer Marketing 6(3), pp. 61–70.

    Google Scholar 

  • Leventhal, H.: 1970, ‘Findings and Theory in the Study of Fear Communications’, in Berkowitz (ed.),Advances in Experimental Social Psychology 5 (Academic Press, New York), pp. 119–186.

    Google Scholar 

  • Mayes, A.: 1979, ‘The Physiology of Fear and Anxiety’, in W. Sluckin (ed.),Fear in Animals and Man (Van Nostrand Reinhold Company, New York).

    Google Scholar 

  • Menchin, R. S.: 1989,The Mature Market: A Strategic Marketing Guide to America's Fastest Growing Population Segment (Probus Publishing Company, Chicago).

    Google Scholar 

  • Needham, H. and Steers: 1981,Annual Life-Style Study (Chicago, IL).

  • Neugarten, B. L.: 1974, ‘Age Groups in American Society and the Rise of the Young-Old’,Annals of American Academy of Political and Social Sciences, pp. 187–198.

  • Phillips, L. W. and Sternthal, B.: 1977 (Nov), ‘Age Differences in Information Processing: A Perspective of the Aged’,XIV, pp. 444–457.

  • Ray, M. and Wilkie, W.: 1970 (Jan), ‘Fear: The Potential of an Appeal Neglected by Marketing’,Journal of Marketing 34, pp. 54–62.

    Google Scholar 

  • Riche, M. F.: 1986 (Jan), ‘Retirement's Lifestyle Pioneers’,American Demographics 8, pp. 42–56.

    Google Scholar 

  • Rogers, R.: 1975 (Sep), ‘A Protection Motivation Theory of Fear Appeals and Attitude Change’,Journal of Psychology 91, pp. 93–114.

    Google Scholar 

  • Ross, I.: 1981, ‘Information Processing and the Older Consumer: Marketing and Public Policy Implications’, in A. Mitchell (ed.),Advances in Consumer Research (Association for Consumer Research, Pittsburgh), pp. 31–37.

    Google Scholar 

  • Schacter, S.: 1975, ‘Cognition and Peripheralist-Centralist Controversies in Motivation and Emotion’, in M. Gazzanger (ed.),Handbook of Psychobiology (Academic Press, New York).

    Google Scholar 

  • Schaie, K. W.: 1980, ‘Age Changes in Intelligence’, in R. L. Sprott (ed.),Age, Learning Ability, and Intelligence (Van Nostrand Reinhold Co., New York), pp. 41–77.

    Google Scholar 

  • Schiffman, L. G. and Sherman, E.: 1991, ‘Value Orientations of New-Age Elderly: The Coming of an Ageless Market’,Journal of Business Research 2, pp. 187–194.

    Google Scholar 

  • Schultz, H. G., Baird, P. C. and Hawker, G. R.: 1979,Lifestyles and Consumer Behavior of Older Americans (Praeger, New York).

    Google Scholar 

  • Snook-Luther, D. C. and McGann, A. F.: 1991, ‘The Mediating Effect of Arousal in a Marketing Communications Model: The Case of Color’, unpublished working paper (The University of Wyoming).

  • Spielberger, C. D.: 1983, ‘Manual for the State-Trait Anxiety Inventory’ (Form V) (Consulting Psychologists Press, Palo Alto, CA).

    Google Scholar 

  • Sternthal, B. and Craig, C. S.: 1974 (Dec), ‘Fear Appeals: Revisited and Revised’,Journal of Consumer Research 1, pp. 22–34.

    Google Scholar 

  • Stuteville, J.: 1970 (Apr), ‘Psychic Defenses Against High Fear Appeals: A Key Marketing Variable’,Journal of Marketing 34, pp. 39–45.

    Google Scholar 

  • Sutton, S. R.: 1982, ‘Fear Arousing Communications: A Critical Examination of Theory and Research’, in J. R. Eiser (ed.),Social Psychology and Behavioral Medicine (John Wiley & Sons, Inc., New York).

    Google Scholar 

  • Tanner, J. F., Day, E. and Crask, M. R.: 1989, ‘Protection Motivation Theory: An Extension of Fear Appeals Theory in Communication’,The Journal of Business Research 19, pp. 267–276.

    Google Scholar 

  • The Courier Journal Magazine: 1989 (Feb 19), ‘As Time Goes By’, pp. 24–27.

  • Thompson, R.: 1979, ‘The Concept of Fear’, in W. Sluckin (ed.),Fear in Animals and Man (Van Nostrand Reinhold Company, New York).

    Google Scholar 

  • Tongren, H. N.: 1988, ‘Determinant Behavior Characteristics of Older Consumers’,The Journal of Consumer Affairs 20(1), pp. 136–157.

    Google Scholar 

  • Tsalikis, J. and Fritzsche, D. J.: 1989, ‘Business Ethics: A Literature Review With a Focus on Marketing Ethics’,Journal of Business Ethics 8, pp. 695–743.

    Google Scholar 

  • U.S. Bureau of Labor Statistics: 1986 (Aug),Consumer Expenditure Survey: Interview Survey, 1984, Bulletin 2267 (U.S. Department of Labor, Washington).

    Google Scholar 

  • Waddell, F. E.: 1976,The Elderly Consumer (The Human Ecology Center, Antioch College, Columbia, Md).

    Google Scholar 

  • Zajonc, R. B.: 1968 (Jun), ‘Attitudinal Effects on Mere Exposure’,Journal of Personality and Social Psychology 9, pp. 1–27.

    PubMed  Google Scholar 

  • Zajonc, R. B.: 1980, ‘Feeling and Thinking Preferences Need No Inferences’,American Psychologist 35(2), pp. 151–175.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Suzeanne Benet is on the faculty at Grand Valley State University. She received a Ph.D. in Business Administration. She has also been on the faculty at DePaul University in Chicago. Dr. Benet's research has primarily focused on marketing to the elderly and related public policy concerns.

Robert E. Pitts is Professor and Chair of the Department of Marketing and the Director of Kellstadt Center for Marketing Analysis and Planning at DePaul University. He served as a member of the faculty of Jacksonville State University, the University of Notre Dame and the University of Mississippi. Dr. Pitts' research has appeared in numerous publications including theJournal of Marketing, Journal of Bank Research, Journal of Advertising, Journal of Consumer Research, Journal of Social Marketing Education, Journal of Business Research, Journal of Social Psychology, Southern Economic Review, Journal of Travel Research, Journal of Behavioral Economics, The Mid-South Journal of Economics, Psychology and Marketing, Marketing and Media Decisions andJournal of Insurance Issues and Practices. Dr. Pitts is the editor ofPersonal Values and Consumer Psychology (Lexington Publishers) and co-author ofBank Marketing, A Guide to Strategic Planning, andEffective Bank Marketing Issues, Techniques and Application. Over the past decade, Dr. Pitts has served as a consultant to such firms as General Motors Corporation, Congolium Corp-Kinder Division, National Standard Steel Corp., WalMart Corp. Training Programs, Illinois State Chamber of Commerce and Council of State Chambers of Commerce.

Michael S. LaTour is Associate Professor of Marketing at Auburn University. Dr. LaTour graduated with honors in 1986 in Business Administration. Dr. LaTour's research interests focus upon arousal responses to advertising and associated ethical issues. He has published in a variety of scholarly journals includingThe Journal of Business Ethics, The Journal of Advertising, Psychology and Marketing, The Journal of Health Care Marketing, andThe Journal of Public Policy and Marketing.

Second and third authors contributed equally to this article.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Benet, S., Pitts, R.E. & LaTour, M. The appropriateness of fear appeal use for health care marketing to the elderly: Is it OK to scare granny?. J Bus Ethics 12, 45–55 (1993). https://doi.org/10.1007/BF01845786

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01845786

Keywords

Navigation