Evidence map›Paper›PMID 24848554›Full record

ArticleHealth education research2015

Pictorial health warning label content and smokers' understanding of smoking-related risks-a cross-country comparison.

Kamala Swayampakala, James F Thrasher, David Hammond, Hua-Hie Yong, Maansi Bansal-Travers, Dean Krugman, Abraham Brown, Ron Borland, James Hardin

Abstract read
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In one paragraph

Article in Health education research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Radiation and environmental biophysics · 2024
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  9. Scientific reports · 2022
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  10. Article
  11. Article
  12. Impact of Pictorial Cigarette Warnings Compared With Surgeon General's Warnings on Understanding of the Negative Health Consequences of Smoking.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  13. Influence of Warning Statements on Understanding of the Negative Health Consequences of Smoking.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Public Understanding of Cigarette Smoke Chemicals: Longitudinal Study of US Adults and Adolescents.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  18. Article
  19. Knowledge and Awareness of Added Sugar in Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    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

9 authors.

Kamala SwayampakalaDepartment of Epidemiology and Biostatistics, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1, VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Victoria 3053, Australia, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA, Department of Advertising and Public Relations, University of Georgia, Athens, GA 30602, USA and Division of Marketing, Nottingham Trent University, Nottingham NG1 4BU, UK swayampa@mailbox.sc.edu.
James F ThrasherDepartment of Epidemiology and Biostatistics, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1, VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Victoria 3053, Australia, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA, Department of Advertising and Public Relations, University of Georgia, Athens, GA 30602, USA and Division of Marketing, Nottingham Trent University, Nottingham NG1 4BU, UK.
David HammondDepartment of Epidemiology and Biostatistics, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1, VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Victoria 3053, Australia, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA, Department of Advertising and Public Relations, University of Georgia, Athens, GA 30602, USA and Division of Marketing, Nottingham Trent University, Nottingham NG1 4BU, UK.
Hua-Hie YongDepartment of Epidemiology and Biostatistics, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1, VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Victoria 3053, Australia, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA, Department of Advertising and Public Relations, University of Georgia, Athens, GA 30602, USA and Division of Marketing, Nottingham Trent University, Nottingham NG1 4BU, UK.
Maansi Bansal-TraversDepartment of Epidemiology and Biostatistics, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1, VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Victoria 3053, Australia, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA, Department of Advertising and Public Relations, University of Georgia, Athens, GA 30602, USA and Division of Marketing, Nottingham Trent University, Nottingham NG1 4BU, UK.
Dean KrugmanDepartment of Epidemiology and Biostatistics, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1, VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Victoria 3053, Australia, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA, Department of Advertising and Public Relations, University of Georgia, Athens, GA 30602, USA and Division of Marketing, Nottingham Trent University, Nottingham NG1 4BU, UK.
Abraham BrownDepartment of Epidemiology and Biostatistics, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1, VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Victoria 3053, Australia, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA, Department of Advertising and Public Relations, University of Georgia, Athens, GA 30602, USA and Division of Marketing, Nottingham Trent University, Nottingham NG1 4BU, UK.
Ron BorlandDepartment of Epidemiology and Biostatistics, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1, VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Victoria 3053, Australia, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA, Department of Advertising and Public Relations, University of Georgia, Athens, GA 30602, USA and Division of Marketing, Nottingham Trent University, Nottingham NG1 4BU, UK.
James HardinDepartment of Epidemiology and Biostatistics, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1, VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Victoria 3053, Australia, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA, Department of Advertising and Public Relations, University of Georgia, Athens, GA 30602, USA and Division of Marketing, Nottingham Trent University, Nottingham NG1 4BU, UK.

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Christine B. Ambrosone · 1985 to 2026
$116.6M
Building evidence for effective and sustainable cigarette warning label policyR01CA167067 · NCI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI THRASHER, JAMES · 2012 to 2016
$2.7M
NCI NIH HHS P30 CA016056NCI NIH HHS R01 CA167067
6 · The paper itself

Abstract

The aim of the present study was to assess smokers' level of agreement with smoking-related risks and toxic tobacco constituents relative to inclusion of these topics on health warning labels (HWLs). 1000 adult smokers were interviewed between 2012 and 2013 from online consumer panels of adult smokers from each of the three countries: Australia (AU), Canada (CA) and Mexico (MX). Generalized estimating equation models were estimated to compare agreement with smoking-related risks and toxic tobacco constituents. For disease outcomes described on HWLs across all three countries, there were few statistical differences in agreement with health outcomes (e.g. emphysema and heart attack). By contrast, increases in agreement where the HWLs were revised or introduced on HWLs for the first time (e.g. blindness in AU and CA, bladder cancer in CA). Similarly, samples from countries that have specific health content or toxic constituents on HWLs showed higher agreement for that particular disease or toxin than countries without (e.g. higher agreement for gangrene and blindness in AU, higher agreement for bladder cancer and all toxic constituents except nitrosamines and radioactive polonium in CA). Pictorial HWL content is associated with greater awareness of smoking-related risks and toxic tobacco constituents.

Indexed as

AdolescentAdultAustraliaAwarenessCanadaCardiovascular DiseasesCross-Cultural ComparisonFemaleHealth PromotionHumansIntentionInterviews as TopicMaleMexicoMiddle AgedProduct Labeling

Identifiers

PMID24848554
PMCPMC4296885

What OpenQuestion holds

Textmetadata
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.