Evidence map›Paper›PMID 31516484›Full record

ReviewTobacco induced diseases2019

Impact of tobacco-pack pictorial warnings on youth and young adults: A systematic review of experimental studies.

Diane B Francis, Nia Mason, Jennifer Cornacchione Ross, Seth M Noar

Abstract readReview
In one paragraph

Review in Tobacco induced diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

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

  1. Pooled it
  2. Relative Efficacy of Cigarillo Warning Statements in Text and Pictorial Formats: An Experimental Study Among a Sample of US Young Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  6. Identifying Promising Themes for Adolescent Vaping Warnings: A National Experiment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
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  7. 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
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  9. Optimizing Images for an E-Cigarette Messaging Campaign: Liking and Perceived Effectiveness.International journal of environmental research and public health · 2021
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  10. Waterpipe Tobacco Warnings: An Experimental Study Among a Nationally Representative Sample of US Young Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
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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

4 authors.

Diane B FrancisDepartment of Communication, University of Kentucky, Lexington, United States.
Nia MasonManship School of Mass Communication, Louisiana State University, Baton Rouge, United States.
Jennifer Cornacchione RossDepartment of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston Salem, United States.
Seth M NoarSchool of Media & Journalism, University of North Carolina at Chapel Hill, Chapel Hill, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe conducted a systematic review of the experimental literature on the impact of tobacco-pack pictorial warning labels (PWLs) on youth and young adults.

methodsWe systematically searched computerized databases and the reference lists of relevant articles. We included studies that used an experimental protocol to assess PWLs. Studies had to report findings for youth or young adult samples (aged <30 years). Thirty-one studies met the inclusion criteria, with a total sample size of 27506. Two coders independently coded all study characteristics and outcomes.

resultsTwenty-eight studies experimentally evaluated PWLs for cigarette packs while three studies evaluated PWLs for smokeless tobacco packs. Generally, PWLs led to higher attention, stronger cognitive and affective reactions, more negative pack attitudes and smoking attitudes, and increased intentions not to use tobacco products compared to text warnings. PWLs were perceived to be more effective than text warnings for both cigarette packs and smokeless tobacco packs.

conclusionsThe systematic review showed that PWLs on tobacco products are effective across a wide range of tobacco-related outcomes among young people. Gaps in the literature include a lack of research on tobacco initiation and cessation and a dearth of literature on non-cigarette tobacco products.

Indexed as

pictorial warning labelssystematic reviewtobacco controlyouth

Identifiers

PMID31516484
PMCPMC6662785

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.