Impact of textual framing and depictions of harm on indicators of cigarette pictorial health warning label effectiveness in China
Background Cigarette pictorial health warning labels (HWLs) are more effective than text-only HWLs at increasing cessation intention. Measuring indicators of HWL effectiveness, such as salience of HWLs, thinking about the health risks of smoking, thinking about quitting smoking, avoidance of HWLs, p...
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doaj-3642c1d02dca47b69bd850fc18adbef02020-11-25T00:02:24ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8397983979Impact of textual framing and depictions of harm on indicators of cigarette pictorial health warning label effectiveness in ChinaJeffrey Hardesty0Joanna Cohen1Zuyi Zhu2Ryan Kennedy3Johns Hopkins Bloomberg School of Public Health, United States of AmericaJohns Hopkins Bloomberg School of Public Health, United States of AmericaJohns Hopkins Bloomberg School of Public Health, United States of AmericaJohns Hopkins Bloomberg School of Public Health, United States of AmericaBackground Cigarette pictorial health warning labels (HWLs) are more effective than text-only HWLs at increasing cessation intention. Measuring indicators of HWL effectiveness, such as salience of HWLs, thinking about the health risks of smoking, thinking about quitting smoking, avoidance of HWLs, perceived risk of smoking, and likelihood of forgoing next cigarette can help explain how viewing HWLs impacts cessation intention. Our aim was to conduct a pre-post analysis of these indicators to evaluate how pictorial HWL textual framing (factual - vs. personal-text) and depictions of harm (smoking - vs. secondhand smoke-related harms) encourage cessation intention. Methods A cross-sectional randomized experimental survey was conducted during 2016 in four Chinese cities: Beijing, Shanghai, Wuhan, and Kunming. Adult smokers (n=1612) answered questions regarding indicators of effectiveness of the current text-only HWLs in China, were presented eight pictorial HWLs with factual - or personal-text and depictions of smoking - or secondhand smoke-related harms, and answered questions regarding indicators of pictorial HWL effectiveness. T-tests were conducted to compare differences between current text-only and pictorial HWL indicators. Results Reported salience, thinking about health risks, thinking about quitting, avoidance, perceived risks, and likelihood of forgoing next cigarette significantly increased after viewing the personal pictorial HWLs (each test, p< 0.01). Similar results were found for factual pictorial HWLs; however, avoidance of factual pictorial HWLs with depictions of smoking - or secondhand smoke-related harms was unchanged (p=0.1 and p=0.6, respectively). Conclusions All reported indicators of HWL effectiveness increased after viewing pictorial HWLs with the exception of avoidance of factual pictorial HWLs suggesting that both personal and factual pictorial HWLs depicting smoking or secondhand smoke-related harms are effective at encouraging cessation intention. Future studies can use these indicators as tools to identify the most effective and culturally relevant pictorial HWLs for Chinese smokers.http://www.journalssystem.com/tid/Impact-of-textual-framing-and-depictions-of-harm-on-indicators-of-cigarette-pictorial,83979,0,2.htmlWCTOH |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jeffrey Hardesty Joanna Cohen Zuyi Zhu Ryan Kennedy |
spellingShingle |
Jeffrey Hardesty Joanna Cohen Zuyi Zhu Ryan Kennedy Impact of textual framing and depictions of harm on indicators of cigarette pictorial health warning label effectiveness in China Tobacco Induced Diseases WCTOH |
author_facet |
Jeffrey Hardesty Joanna Cohen Zuyi Zhu Ryan Kennedy |
author_sort |
Jeffrey Hardesty |
title |
Impact of textual framing and depictions of harm on indicators of cigarette pictorial health warning label effectiveness in China |
title_short |
Impact of textual framing and depictions of harm on indicators of cigarette pictorial health warning label effectiveness in China |
title_full |
Impact of textual framing and depictions of harm on indicators of cigarette pictorial health warning label effectiveness in China |
title_fullStr |
Impact of textual framing and depictions of harm on indicators of cigarette pictorial health warning label effectiveness in China |
title_full_unstemmed |
Impact of textual framing and depictions of harm on indicators of cigarette pictorial health warning label effectiveness in China |
title_sort |
impact of textual framing and depictions of harm on indicators of cigarette pictorial health warning label effectiveness in china |
publisher |
European Publishing |
series |
Tobacco Induced Diseases |
issn |
1617-9625 |
publishDate |
2018-03-01 |
description |
Background
Cigarette pictorial health
warning labels (HWLs) are more effective than text-only HWLs at increasing cessation
intention. Measuring indicators of HWL effectiveness, such as salience of HWLs,
thinking about the health risks of smoking, thinking about quitting smoking,
avoidance of HWLs, perceived risk of smoking, and likelihood of forgoing next
cigarette can help explain how viewing HWLs impacts cessation intention. Our aim
was to conduct a pre-post analysis of these indicators to evaluate how
pictorial HWL textual framing (factual - vs. personal-text) and depictions of
harm (smoking - vs. secondhand smoke-related harms) encourage cessation
intention.
Methods
A cross-sectional randomized
experimental survey was conducted during 2016 in four Chinese cities: Beijing,
Shanghai, Wuhan, and Kunming. Adult smokers (n=1612) answered questions
regarding indicators of effectiveness of the current text-only HWLs in China, were
presented eight pictorial HWLs with factual - or personal-text and depictions of
smoking - or secondhand smoke-related harms, and answered questions regarding indicators
of pictorial HWL effectiveness. T-tests were conducted to compare differences between
current text-only and pictorial HWL indicators.
Results
Reported salience, thinking
about health risks, thinking about quitting, avoidance, perceived risks, and
likelihood of forgoing next cigarette significantly increased after viewing the
personal pictorial HWLs (each test, p< 0.01). Similar results were found for factual
pictorial HWLs; however, avoidance of factual pictorial HWLs with depictions of
smoking - or secondhand smoke-related harms was unchanged (p=0.1 and p=0.6,
respectively).
Conclusions
All reported indicators of
HWL effectiveness increased after viewing pictorial HWLs with the exception of
avoidance of factual pictorial HWLs suggesting that both personal and factual
pictorial HWLs depicting smoking or secondhand smoke-related harms are
effective at encouraging cessation intention. Future studies can use these indicators
as tools to identify the most effective and culturally relevant pictorial HWLs
for Chinese smokers. |
topic |
WCTOH |
url |
http://www.journalssystem.com/tid/Impact-of-textual-framing-and-depictions-of-harm-on-indicators-of-cigarette-pictorial,83979,0,2.html |
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