Evidence map›Paper›PMID 42054015›Full record

ArticleHealth education research2026

Effects of textual warnings and warning symbols on cannabis advertisements on product perceptions among US young adults.

Yuxian Cui, Shriya Thakkar, Rishika Chakraborty, Morgan B Speer, Cassidy R LoParco, Hermela Amdeta, Darby Mihelich, Diane Mukundwa Ndisebuye, Patricia A Cavazos-Rehg, Carla J Berg

Abstract read
In one paragraph

Article in Health education research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Yuxian CuiDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, USA.ORCID 0000-0003-4177-2050
Shriya ThakkarDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, USA.
Rishika ChakrabortyCenter for Health Policy and Media Engagement, School of Nursing, George Washington University, 1919 Pennsylvania Ave NW, Washington, DC 20006, USA.
Morgan B SpeerDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, USA.
Cassidy R LoParcoDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, USA.ORCID 0000-0003-4206-4179
Hermela AmdetaDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, USA.
Darby MihelichDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, USA.
Diane Mukundwa NdisebuyeDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, USA.
Patricia A Cavazos-RehgDepartment of Psychiatry, Washington University School of Medicine, 660 S. Euclid, St. Louis, MO 63110, USA.ORCID 0000-0003-3352-1198
Carla J BergDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, USA.

Funding

Recreational Marijuana Marketing and Young Adult Consumer Behavior - Administrative SupplementR01DA054751 · NIDA · GEORGE WASHINGTON UNIVERSITY · PI Carla J Berg, Patricia A Cavazos-Rehg · 2022 to 2026
$4.3M
National Science Foundation #2415890NIDA NIH HHS R01 DA054751US National Institute on Drug Abuse R01DA054751
6 · The paper itself

Abstract

States with legalized non-medical cannabis require different warnings on packages and advertisements; yet, studies examining effects of textual warnings and different warning symbols on young adults' perceptions are limited. In 2024, US young adults ages 18-34 (n = 3 579) completed an online survey-based experiment using a 2 × 4 factorial design (textual warning: no, yes; warning symbol: none, leaf, THC, leaf + THC), then reported on 5 perception outcomes: addictiveness, harm, cautiousness, appeal, and interest. Multivariable regressions assessed these conditions and their interactions in relation to outcomes, overall and by past-month cannabis use status. Among participants without past-month use, the THC symbol (versus none) was associated with higher perceived addictiveness (B = 0.32, SE = 0.12), harm (B = 0.23, SE = 0.12), and cautiousness (B = 0.31, SE = 0.13); the textual warning was associated with greater appeal (B = 0.18, SE = 0.09). No effects were found among participants reporting cannabis use. An interaction between textual warning × leaf symbol on perceived harm (B = 0.35, SE = 0.18) indicated that exposure to both the textual warning and leaf symbol decreased perceived harm; exposure to only one (i.e. not together) increased perceived harm. Regulatory bodies must understand effects of different warning requirements, consider requiring the THC symbol, assess potential confusion of the leaf symbol, and explore warnings targeting different subgroups.

Indexed as

AdvertisingCannabisProduct LabelingAdolescentAdultFemaleHumansMalePerceptionSurveys and QuestionnairesUnited StatesYoung Adult

Identifiers

PMID42054015
PMCPMC13287986

What OpenQuestion holds

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Registered trials

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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.