Evidence map›Paper›PMID 28385093›Full record

ArticlePsychology & health2018

Cigarette graphic warning labels increase both risk perceptions and smoking myth endorsement.

Abigail T Evans, Ellen Peters, Abigail B Shoben, Louise R Meilleur, Elizabeth G Klein, Mary Kate Tompkins, Martin Tusler

Abstract read
In one paragraph

Article in Psychology & health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Mediational Effects on Motivation to Quit Smoking After Exposure to a Cigarette Pictorial Warning Label Among Young Adults.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
    Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Numeracy and memory for risk probabilities and risk outcomes depicted on cigarette warning labels.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
    Article
  8. Review
  9. Article
  10. Pictorial Warning Labels and Memory for Cigarette Health-risk Information Over Time.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2019
    Article
  11. Article
  12. Article
  13. 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

7 authors.

Abigail T Evansa Department of Psychology , Ohio State University , Columbus , OH , USA.
Ellen Petersa Department of Psychology , Ohio State University , Columbus , OH , USA.
Abigail B Shobenb College of Public Health, Ohio State University , Columbus , OH , USA.
Louise R Meilleura Department of Psychology , Ohio State University , Columbus , OH , USA.
Elizabeth G Kleinb College of Public Health, Ohio State University , Columbus , OH , USA.
Mary Kate Tompkinsa Department of Psychology , Ohio State University , Columbus , OH , USA.
Martin Tuslera Department of Psychology , Ohio State University , Columbus , OH , USA.

Funding

Project 4: Comprehension of Health Risks in More and Less Arousing Affe p240-275P50CA180908 · NCI · OHIO STATE UNIVERSITY · PI SHIELDS, PETER G., WEWERS, MARY ELLEN · 2013 to 2017
$18.9M
NCI NIH HHS P50 CA180908
6 · The paper itself

Abstract

objectiveCigarette graphic warning labels elicit negative emotion, which increases risk perceptions through multiple processes. We examined whether this emotion simultaneously affects motivated cognitions like smoking myth endorsement (e.g. 'exercise can undo the negative effects of smoking') and perceptions of cigarette danger versus other products.

design736 adult and 469 teen smokers/vulnerable smokers viewed one of three warning label types (text-only, low emotion graphic or high emotion graphic) four times over two weeks.

main outcome measuresEmotional reactions to the warnings were reported during the first and fourth exposures. Participants reported how often they considered the warnings, smoking myth endorsement, risk perceptions and perceptions of cigarette danger relative to smokeless tobacco and electronic cigarettes.

resultsIn structural equation models, emotional reactions influenced risk perceptions and smoking myth endorsement through two processes. Emotion acted as information about risk, directly increasing smoking risk perceptions and decreasing smoking myth endorsement. Emotion also acted as a spotlight, motivating consideration of the warning information. Warning consideration increased risk perceptions, but also increased smoking myth endorsement. Emotional reactions to warnings decreased perceptions of cigarette danger relative to other products.

conclusionsEmotional reactions to cigarette warnings increase smoking risk perceptions, but also smoking myth endorsement and misperceptions that cigarettes are less dangerous than potentially harm-reducing tobacco products.

Indexed as

Attitude to HealthAdolescentAdultFemaleHumansMaleProduct LabelingRisk AssessmentSmokingTobacco Productsemotionsrisk perceptionssmoking mythstobacco control

Identifiers

PMID28385093
PMCPMC5632120

What OpenQuestion holds

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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.