Evidence map›Paper›PMID 32359056›Full record

Trial reportJournal of studies on alcohol and drugs2020

Testing Alcohol Labels as a Tool to Communicate Cancer Risk to Drinkers: A Real-World Quasi-Experimental Study.

Erin Hobin, Ashini Weerasinghe, Kate Vallance, David Hammond, Jonathan McGavock, Thomas K Greenfield, Nour Schoueri-Mychasiw, Catherine Paradis, Tim Stockwell

Abstract readPragmatic Clinical Trial
In one paragraph

Trial report in Journal of studies on alcohol and drugs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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

28 citing papers in PubMed.

  1. Trial
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  11. Harms and costs of proposed changes in how alcohol is sold in Ontario.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  12. Article
  13. Why Canadians deserve to have mandated health and standard drink information labels on alcohol containers.Canadian journal of public health = Revue canadienne de sante publique · 2023
    Article
  14. Response to letter by Alain Braillon.Canadian journal of public health = Revue canadienne de sante publique · 2023
    Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Alcohol Health Warning Labels: A Rapid Review with Action Recommendations.International journal of environmental research and public health · 2022
    Review
  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.

Erin HobinPublic Health Ontario, Toronto, Ontario, Canada.
Ashini WeerasinghePublic Health Ontario, Toronto, Ontario, Canada.
Kate VallanceCanadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada.
David HammondSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Jonathan McGavockChildren's Hospital Research Institute of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.
Thomas K GreenfieldAlcohol Research Group, Public Health Institute, Emeryville, California.
Nour Schoueri-MychasiwPublic Health Ontario, Toronto, Ontario, Canada.
Catherine ParadisCanadian Centre for Substance Use and Addiction, Ottawa, Ontario, Canada.
Tim StockwellCanadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada.

Funding

TREND &STRUCTURE OF ALCOHOL DEPENDENCE--GENERAL POPULATION 1990 SURVEY DATAP50AA005595 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI LUI, CAMILLIA K. · 1985 to 2025
$34.1M
NIAAA NIH HHS P50 AA005595
6 · The paper itself

Abstract

objectiveThis study tested the initial and continued effects of cancer warning labels on drinkers' recall and knowledge that alcohol can cause cancer.

methodA quasi-experiment was conducted to examine changes in the intervention versus comparison site for three outcomes: unprompted and prompted recall of the cancer warning, and knowledge that alcohol can cause cancer. The intervention site applied cancer warning labels to alcohol containers in its liquor store for 1 month, and the two liquor stores in the comparison site did not apply cancer labels. In total, 2,049 unique cohort participants (1,056 male) were recruited at liquor stores in the intervention and comparison sites to participate in surveys 4 months before labels were applied and 2 and 6 months after the cancer label was halted because of alcohol industry interference. Generalized estimating equations tested differences in outcomes between sites over time adjusting for socio-demographics and other covariates.

resultsTwo months after the cancer label, unprompted (+24.2% vs. +0.6%; adjusted odds ratio [AOR] = 32.7, 95% CI [5.4, 197.7]) and prompted (+35.7% vs. +4.1%; AOR = 6.2, 95% CI [3.6, 10.9]) recall increased to a greater extent in the intervention versus comparison site. There was a 10% greater increase in knowledge (+12.1% vs. +11.6%; AOR = 1.1, 95% CI [0.7, 1.5]) 2 months after the cancer label in the intervention versus comparison site. Similar results were found 6 months after the cancer label for all three outcomes.

conclusionsIn a real-world setting, cancer warning labels get noticed and increase knowledge that alcohol can cause cancer. Additional cancer label intervention studies are required that are not compromised by industry interference.

Indexed as

CommunicationAdultAlcohol DrinkingAlcoholic BeveragesFemaleHumansMaleMental RecallMiddle AgedNeoplasmsNorthwest TerritoriesProduct LabelingRisk FactorsSurveys and QuestionnairesYukon Territory

Identifiers

PMID32359056
PMCPMC7201213

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.