Evidence map›Paper›PMID 23950861›Full record

Trial reportPloS one2013

Non-smoking male adolescents' reactions to cigarette warnings.

Jessica K Pepper, Linda D Cameron, Paul L Reiter, Annie-Laurie McRee, Noel T Brewer

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Systematic Review of Measures Used in Pictorial Cigarette Pack Warning Experiments.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Adolescents' Responses to Pictorial Warnings on Their Parents' Cigarette Packs.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016
    Trial
  7. Trial
  8. Impact of Visual Elements of Tobacco Packaging on Health Risk Perceptions of Youth Groups.International journal of environmental research and public health · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Placing Health Warnings on E-Cigarettes: A Standardized Protocol.International journal of environmental research and public health · 2018
    Article
  16. Article
  17. The Importance of Relevant Emotional Arousal in the Efficacy of Pictorial Health Warnings for Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Jessica K PepperGillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Linda D Cameron
Paul L Reiter
Annie-Laurie McRee
Noel T Brewer
UNC Lineberger Comprehensive Cancer CenterThe Ohio State University · USUniversity of California, Merced · USUniversity of Minnesota · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
LINEBERGER CANCER CONTROL EDUCATION PROGRAMR25CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EARP, JO ANNE L, RIBISL, KURT M. · 1992 to 2016
$8.0M
NCI NIH HHS P30 CA016086NCI NIH HHS R25 CA057726NCI NIH HHS R25 CA57726PHS HHS T32HP22239
6 · The paper itself

Abstract

backgroundThe U.S. Food and Drug Administration (FDA) is working to introduce new graphic warning labels for cigarette packages, the first change in cigarette warnings in more than 25 years. We sought to examine whether warnings discouraged participants from wanting to smoke and altered perceived likelihood of harms among adolescent males and whether these warning effects varied by age.

methodsA national sample of 386 non-smoking American males ages 11-17 participated in an online experiment during fall 2010. We randomly assigned participants to view warnings using a 2 × 2 between-subjects design. The warnings described a harm of smoking (addiction or lung cancer) using text only or text plus an image used on European cigarette package warnings. Analyses tested whether age moderated the warnings' impact on risk perceptions and smoking motivations.

resultsThe warnings discouraged most adolescents from wanting to smoke, but lung cancer warnings discouraged them more than addiction warnings did (60% vs. 34% were "very much" discouraged, p<.001). Including an image had no effect on discouragement. The warnings affected several beliefs about the harms from smoking, and age moderated these effects. Adolescents said addiction was easier to imagine and more likely to happen to them than lung cancer. They also believed that their true likelihood of experiencing any harm was lower than what an expert would say.

conclusionsOur findings suggest that warnings focusing on lung cancer, rather than addiction, are more likely to discourage wanting to smoke among adolescent males and enhance their ability to imagine the harmful consequences of smoking. Including images on warnings had little effect on non-smoking male adolescents' discouragement or beliefs, though additional research on the effects of pictorial warnings for this at-risk population is needed as the FDA moves forward with developing new graphic labels.

Indexed as

Health Knowledge, Attitudes, PracticeSmoking PreventionAdolescentAnalysis of VarianceChildHumansLung NeoplasmsMaleProduct LabelingSmokingSurveys and QuestionnairesTobacco Use DisorderUnited StatesUnited States Food and Drug Administration

Identifiers

PMID23950861
PMCPMC3737223
OpenAlexW2152451852

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.