Evidence map›Paper›PMID 30634618›Full record

ArticleInternational journal of environmental research and public health2019

The Impact of E-Cigarette Warnings, Warning Themes and Inclusion of Relative Harm Statements on Young Adults' E-Cigarette Perceptions and Use Intentions.

Olivia A Wackowski, Jennah M Sontag, David Hammond, Richard J O'Connor, Pamela A Ohman-Strickland, Andrew A Strasser, Andrea C Villanti, Cristine D Delnevo

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Effects of Modified Risk Tobacco Product Claims on Consumer Responses.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Trial
  6. Impact of Financial Disclosures and Health Warnings on Youth and Young Adult Perceptions of Pro-E-cigarette Instagram Posts.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Role of e-Cigarette Packaging as a Health Communications Tool: A Focus Group Study With Adolescents and Adults in England and Scotland.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Assessing Attention to Tobacco Warnings With a Heatmapping Task.American journal of preventive medicine · 2023
    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

8 authors at 5 institutions in 2 countries.

Olivia A WackowskiCenter for Tobacco Studies, Rutgers School of Public Health, New Brunswick, NJ 08901, USA. wackowol@sph.rutgers.edu.
Jennah M SontagCenter for Tobacco Studies, Rutgers School of Public Health, New Brunswick, NJ 08901, USA. js2486@sph.rutgers.edu.
David HammondSchool of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada. david.hammond@uwaterloo.ca.
Richard J O'ConnorDepartment of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA. richard.o'connor@roswellpark.org.
Pamela A Ohman-StricklandDepartment of Epidemiology & Biostatistics, Rutgers School of Public Health, Piscataway, NJ 08854, USA. ohmanpa@sph.rutgers.edu.
Andrew A StrasserDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. strasse3@mail.med.upenn.edu.
Andrea C VillantiDepartment of Psychiatry, Vermont Center on Behavior and Health, University of Vermont, Burlington, VT 05405, USA. Andrea.Villanti@uvm.edu.
Cristine D DelnevoCenter for Tobacco Studies, Rutgers School of Public Health, New Brunswick, NJ 08901, USA. delnevo@sph.rutgers.edu.
Rutgers, The State University of New Jersey · USRoswell Park Comprehensive Cancer Center · USUniversity of Pennsylvania · USUniversity of Vermont · USUniversity of Waterloo · CA

Funding

Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2013 to 2022
$21.3M
Perceptions and Impact of Modified Risk Tobacco Product Communication MessagesR37CA222002 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI WACKOWSKI, OLIVIA · 2018 to 2023
$2.1M
Perceptions of Nicotine and Relative Harm of Tobacco Products in U.S. Young AdultsR03CA212694 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI VILLANTI, ANDREA · 2017 to 2018
$242k
FDA Center for Tobacco Products K01CA189301NCI NIH HHS R03 CA212694NCI NIH HHS R37 CA222002NIGMS NIH HHS P20 GM103644
6 · The paper itself

Abstract

Although e-cigarettes in the United States are required to carry one nicotine addiction warning, little is known about the impact of other potential e-cigarette warning themes, nor about pairing warnings with messages that communicate e-cigarettes' reduced-harm potential relative to cigarettes. We randomly assigned 876 young adults (ages 18⁻29) to view e-cigarette ads in a 3 × 2 plus control online experiment that varied by warning theme (i.e., nicotine addiction; nicotine's impact on adolescent brain development; presence of harmful chemicals) and warning type-i.e., the presence ("relative harm warning") or absence ("standard warning") of a relative harm (RH) statement in the warning label ("e-cigarettes may cause harm to health but are less harmful than cigarettes"). Warning believability, informativeness, understandability and support were high across conditions and there were no significant differences by warning theme on e-cigarette harm perceptions or use intentions nor on nicotine (mis)perceptions. Perceived warning effectiveness for discouraging youth initiation was higher for the "brain" and "chemicals" warnings compared to the addiction warning. Warnings with the included RH statement were perceived as less believable and credible and were less frequently correctly recalled. Research should continue to investigate the impact of different e-cigarette warning themes and formats with priority audiences.

Indexed as

Electronic Nicotine Delivery SystemsProduct LabelingAdolescentAdultHealth CommunicationHumansSmokingTobacco Use DisorderUnited StatesYoung Adulte-cigaretteshealth communicationrisk communicationrisk perceptionstobacco warnings

Identifiers

PMID30634618
PMCPMC6352031
OpenAlexW2909208823

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.