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Gepubliceerd in: Journal of Behavioral Medicine 3/2018

06-02-2018

Public support for pictorial warnings on cigarette packs: an experimental study of US smokers

Auteurs: Marissa G. Hall, Theresa M. Marteau, Cass R. Sunstein, Kurt M. Ribisl, Seth M. Noar, Elizabeth N. Orlan, Noel T. Brewer

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2018

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Abstract

Background

Understanding factors that influence public support for “nudging” policies, like pictorial cigarette pack warnings, may offer insight about how to increase such support. We sought to examine factors that influence smokers’ support for requiring pictorial warnings on cigarette packs.

Methods

In 2014 and 2015, we randomly assigned 2149 adult US smokers to receive either pictorial warnings or text-only warnings on their cigarette packs for 4 weeks. The outcome examined in the current study was support for a policy requiring pictorial warnings on cigarette packs in the US.

Results

Support for pictorial warnings was high at baseline (mean: 3.2 out of 4). Exposure to pictorial warnings increased policy support at week 4 (β = .05, p = .03). This effect was explained by increases in perceived message effectiveness (p < .001) and reported conversations about policy support (p < .001). Message reactance (i.e., an oppositional reaction to the warning) partially diminished the impact of pictorial warnings on policy support (p < .001).

Conclusions

Exposing people to a new policy through implementation could increase public support for that policy by increasing perceived effectiveness and by prompting conversations about the policy. Reactance may partially weaken the effect of policy exposure on public support.
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Literatuur
go back to reference Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.CrossRefPubMed Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.CrossRefPubMed
go back to reference Bollen, K. A. (1989). Structural equations with latent variables. New York, NY: Wiley.CrossRef Bollen, K. A. (1989). Structural equations with latent variables. New York, NY: Wiley.CrossRef
go back to reference Brehm, J. W. (1966). A theory of psychological reactance. New York, NY: Academic Press. Brehm, J. W. (1966). A theory of psychological reactance. New York, NY: Academic Press.
go back to reference Brehm, J. W., & Brehm, S. S. (1981). Psychological reactance: A theory of freedom and control. New York, NY: Academic Press. Brehm, J. W., & Brehm, S. S. (1981). Psychological reactance: A theory of freedom and control. New York, NY: Academic Press.
go back to reference Brewer, N. T., Hall, M. G., Noar, S. M., Parada, H., Stein-Seroussi, A., Bach, L. E., et al. (2016). Effect of pictorial cigarette pack warnings on changes in smoking behavior: A randomized clinical trial. JAMA Internal Medicine, 176, 905–912.CrossRefPubMedPubMedCentral Brewer, N. T., Hall, M. G., Noar, S. M., Parada, H., Stein-Seroussi, A., Bach, L. E., et al. (2016). Effect of pictorial cigarette pack warnings on changes in smoking behavior: A randomized clinical trial. JAMA Internal Medicine, 176, 905–912.CrossRefPubMedPubMedCentral
go back to reference Canadian Cancer Society. (2016). Cigarette package health warnings: International status report. Ontario: Canadian Cancer Society. Canadian Cancer Society. (2016). Cigarette package health warnings: International status report. Ontario: Canadian Cancer Society.
go back to reference Christakis, N. A., & Fowler, J. H. (2008). The collective dynamics of smoking in a large social network. New England Journal of Medicine, 358, 2249–2258.CrossRefPubMedPubMedCentral Christakis, N. A., & Fowler, J. H. (2008). The collective dynamics of smoking in a large social network. New England Journal of Medicine, 358, 2249–2258.CrossRefPubMedPubMedCentral
go back to reference Hammond, D. (2011). Health warning messages on tobacco products: A review. Tobacco Control, 20, 327–337.CrossRefPubMed Hammond, D. (2011). Health warning messages on tobacco products: A review. Tobacco Control, 20, 327–337.CrossRefPubMed
go back to reference Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420.CrossRef Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420.CrossRef
go back to reference Hong, S.-M., & Page, S. (1989). A psychological reactance scale: Development, factor structure and reliability. Psychological Reports, 64, 1323–1326.CrossRef Hong, S.-M., & Page, S. (1989). A psychological reactance scale: Development, factor structure and reliability. Psychological Reports, 64, 1323–1326.CrossRef
go back to reference Kline, R. B. (2011). Principles and practice of structural equation modeling. New York, NY: Guilford Press. Kline, R. B. (2011). Principles and practice of structural equation modeling. New York, NY: Guilford Press.
go back to reference Kowitt, S. D., Goldstein, A. O., Schmidt, A. M., Hall, M. G., & Brewer, N. T. (2017a). Attitudes toward FDA regulation of newly deemed tobacco products. Tobacco Regulatory Science, 3, 504–515.CrossRefPubMedPubMedCentral Kowitt, S. D., Goldstein, A. O., Schmidt, A. M., Hall, M. G., & Brewer, N. T. (2017a). Attitudes toward FDA regulation of newly deemed tobacco products. Tobacco Regulatory Science, 3, 504–515.CrossRefPubMedPubMedCentral
go back to reference LaVoie, N. R., Quick, B. L., Riles, J. M., & Lambert, N. J. (2015). Are graphic cigarette warning labels an effective message strategy? A test of psychological reactance theory and source appraisal. Communic Res, Advance online publication. https://doi.org/10.1177/0093650215609669 LaVoie, N. R., Quick, B. L., Riles, J. M., & Lambert, N. J. (2015). Are graphic cigarette warning labels an effective message strategy? A test of psychological reactance theory and source appraisal. Communic Res, Advance online publication. https://​doi.​org/​10.​1177/​0093650215609669​
go back to reference MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding and suppression effect. Prevention Science, 1, 173–181.CrossRefPubMedPubMedCentral MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding and suppression effect. Prevention Science, 1, 173–181.CrossRefPubMedPubMedCentral
go back to reference Mazzocchi, M., Cagnone, S., Bech-Larsen, T., Niedźwiedzka, B., Saba, A., Shankar, B., et al. (2015). What is the public appetite for healthy eating policies? Evidence from a cross-European survey. Health Economics, Policy and Law, 10, 267–292.CrossRef Mazzocchi, M., Cagnone, S., Bech-Larsen, T., Niedźwiedzka, B., Saba, A., Shankar, B., et al. (2015). What is the public appetite for healthy eating policies? Evidence from a cross-European survey. Health Economics, Policy and Law, 10, 267–292.CrossRef
go back to reference Noar, S. M., Hall, M. G., Francis, D. B., Ribisl, K. M., Pepper, J. K., & Brewer, N. T. (2016b). Pictorial cigarette pack warnings: A meta-analysis of experimental studies. Tobacco Control, 25, 341–354.CrossRefPubMed Noar, S. M., Hall, M. G., Francis, D. B., Ribisl, K. M., Pepper, J. K., & Brewer, N. T. (2016b). Pictorial cigarette pack warnings: A meta-analysis of experimental studies. Tobacco Control, 25, 341–354.CrossRefPubMed
go back to reference Peters, C. L., & Enders, C. (2002). A primer for the estimation of structural equation models in the presence of missing data: Maximum likelihood algorithms. Journal of Targeting, Measurement and Analysis for Marketing, 11, 81–95.CrossRef Peters, C. L., & Enders, C. (2002). A primer for the estimation of structural equation models in the presence of missing data: Maximum likelihood algorithms. Journal of Targeting, Measurement and Analysis for Marketing, 11, 81–95.CrossRef
go back to reference R.J. Reynolds Tobacco Company vs United States Food and Drug Administration. (2011). Civil Case No. 11-1482 (RJL). R.J. Reynolds Tobacco Company vs United States Food and Drug Administration. (2011). Civil Case No. 11-1482 (RJL).
go back to reference Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behav Res, 25, 173–180.CrossRefPubMed Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behav Res, 25, 173–180.CrossRefPubMed
go back to reference Sunstein, C. R. (2016). People prefer system 2 nudges (kind of). Duke Law Journal, 66, 121–168. Sunstein, C. R. (2016). People prefer system 2 nudges (kind of). Duke Law Journal, 66, 121–168.
go back to reference Thaler, R. H., & Sunstein, C. R. (2008). Nudge: Improving decisions about health, wealth, and happiness. New Haven, CT: Yale University Press. Thaler, R. H., & Sunstein, C. R. (2008). Nudge: Improving decisions about health, wealth, and happiness. New Haven, CT: Yale University Press.
go back to reference Thrasher, J. F., Abad-Vivero, E. N., Huang, L., O’Connor, R. J., Hammond, D., Bansal-Travers, M., et al. (2015). Interpersonal communication about pictorial health warnings on cigarette packages: Policy-related influences and relationships with smoking cessation attempts. Social Science and Medicine, S0277–9536, 00331–00337. https://doi.org/10.1016/j.socscimed.2015.05.042 Thrasher, J. F., Abad-Vivero, E. N., Huang, L., O’Connor, R. J., Hammond, D., Bansal-Travers, M., et al. (2015). Interpersonal communication about pictorial health warnings on cigarette packages: Policy-related influences and relationships with smoking cessation attempts. Social Science and Medicine, S0277–9536, 00331–00337. https://​doi.​org/​10.​1016/​j.​socscimed.​2015.​05.​042
go back to reference Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10.CrossRef Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10.CrossRef
go back to reference Wade, B., Merrill, R. M., & Lindsay, G. B. (2011). Cigarette pack warning labels in Russia: How graphic should they be? The European Journal of Public Health, 21, 366–372.CrossRefPubMed Wade, B., Merrill, R. M., & Lindsay, G. B. (2011). Cigarette pack warning labels in Russia: How graphic should they be? The European Journal of Public Health, 21, 366–372.CrossRefPubMed
go back to reference World Health Organization. (2009). Global health risks: Mortality and burden of disease attributable to selected major risks (9241563877). Switzerland: Retrieved from Geneva. World Health Organization. (2009). Global health risks: Mortality and burden of disease attributable to selected major risks (9241563877). Switzerland: Retrieved from Geneva.
go back to reference World Health Organization. (2012). WHO global report: Mortality attributable to tobacco. Geneva: World Health Organization. World Health Organization. (2012). WHO global report: Mortality attributable to tobacco. Geneva: World Health Organization.
Metagegevens
Titel
Public support for pictorial warnings on cigarette packs: an experimental study of US smokers
Auteurs
Marissa G. Hall
Theresa M. Marteau
Cass R. Sunstein
Kurt M. Ribisl
Seth M. Noar
Elizabeth N. Orlan
Noel T. Brewer
Publicatiedatum
06-02-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2018
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-018-9910-2

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