scholarly journals Health warning labels and alcohol selection: a randomised controlled experiment in a naturalistic shopping laboratory

Addiction ◽  
2021 ◽  
Author(s):  
Natasha Clarke ◽  
Anna K. M. Blackwell ◽  
Katie De‐loyde ◽  
Emily Pechey ◽  
Alice Hobson ◽  
...  
Keyword(s):  
Controlled Experiment ◽  
Warning Labels ◽  
Health Warning ◽  
Randomised Controlled

Impact of Image-and-text and Text-only Health Warning Labels on Selection and Consumption of Food and Alcohol Products: Systematic Review with Meta-analysis

2019 ◽  
Author(s):  
Natasha Clarke ◽  
Emily Pechey ◽  
Daina Kosīte ◽  
Laura M König ◽  
Eleni Mantzari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Experimental Studies ◽  
Control Group ◽  
Warning Labels ◽  
Health Warning ◽  
Alcoholic Drinks ◽  
Randomised Controlled ◽  
The Impact ◽  
Selection Of

Reducing harmful consumption of food (including non-alcoholic drinks) and alcoholic drinks would prevent much disease. Evidence from tobacco control shows that placing health warning labels (HWLs) on these products reduces their selection and consumption. A systematic review with meta-analysis was conducted using Cochrane methods to assess the impact on selection (including hypothetical selection) or consumption of food or alcoholic drinks with image-and-text (sometimes termed ‘pictorial’) and text-only HWLs placed on these products. Studies were required to be randomised or quasi-randomised controlled trials. Fourteen studies were included, three on alcohol, eleven on food. For our primary outcomes, eleven studies measured selection and one measured consumption (two measured only other secondary outcomes). Meta-analysis of twelve comparisons from nine studies (n=12,635) found HWLs reduced selection of the targeted product compared to a control group with no HWL (RR=0.74 (95% CI 0.68 to 0.80)), with participants 26% less likely to choose a product displaying a HWL. A planned subgroup analysis suggested a larger effect on selection of image-and-text HWLs (RR=0.65 (95% CI 0.54 to 0.80)) than text-only HWLs (RR=0.79 (95% CI 0.74 to 0.85)), but this difference was not statistically significant. These findings suggest significant potential for HWLs to reduce selection of food and alcohol, but all experimental studies to date were conducted in laboratory or online settings with outcomes assessed immediately after a single exposure. Studies in field and more naturalistic laboratory settings are urgently needed to estimate the potential effects of HWLs on food and alcohol.

scholarly journals Eye tracking outcomes in smoking health warning labels

2021 ◽  
Vol 1051 (1) ◽  
pp. 012018
Author(s):  
N A M Kheder ◽  
M.A M Kamal
Keyword(s):  
Eye Tracking ◽  
Warning Labels ◽  
Health Warning

scholarly journals Pictorial health warning labels on the waterpipe device are effective in reducing smoking satisfaction, puffing behaviour and exposure to CO: first evidence from a crossover clinical laboratory study

2019 ◽  
Vol 28 (e1) ◽  
pp. e37-e42 ◽  
Author(s):  
Wasim Maziak ◽  
Ziyad Ben Taleb ◽  
Mohammad Ebrahimi Kalan ◽  
Thomas Eissenberg ◽  
James Thrasher ◽  
...  
Keyword(s):  
Carbon Monoxide ◽  
Clinical Laboratory ◽  
Warning Labels ◽  
Health Warning ◽  
Before And After ◽  
Regulatory Approach ◽  
The Usa ◽  
Exhaled Carbon Monoxide ◽  
Positive Experiences ◽  
Harmful Effects

ObjectivesThis study examined the effect of pictorial health warning labels (HWLs) on the waterpipe (WP) device on smokers’ experience, puffing behaviour, harm perception and exposure to respiratory toxicants.MethodsThirty WP smokers completed two 45 min ad libitum smoking sessions (WP without HWL vs WP with HWL) in a crossover design study. Exhaled carbon monoxide (eCO) was measured before and after each smoking session. Puff topography was recorded throughout the smoking session, and participants completed survey questionnaires assessing subjective smoking experiences and harm perception.ResultsSignificant differences were observed in eCO levels between the two study conditions, with lower levels of eCO boost recorded following smoking the WP fitted with HWL (16 ppm) compared with WP without HWL (22.7 ppm). Participants had more puffs, shorter interpuff intervals and a higher total puff volume during smoking the WP without HWL relative to WP with HWL (p values <0.05). We documented enhanced reports of satisfaction, taste and puff liking following smoking the WP without HWL compared with the WP with HWL. WP harm perception was significantly higher among participants after smoking the WP with HWL compared with WP without HWL.ConclusionThis pilot study shows that placing HWL on the WP device is effective in reducing WP smoker’s positive experiences, puffing parameters and exposure to carbon monoxide. HWLs lead also to more appreciation of WP harmful effects, making them a promising regulatory approach for addressing the spread of WP smoking among young adults in the USA.

scholarly journals Smokers' Neurological Responses to Novel and Repeated Health Warning Labels (HWLs) From Cigarette Packages

2018 ◽  
Vol 9 ◽  
Author(s):  
Johann F. Fridriksson ◽  
Chris Rorden ◽  
Roger D. Newman-Norlund ◽  
Brett Froeliger ◽  
James F. Thrasher
Keyword(s):  
Warning Labels ◽  
Health Warning

scholarly journals Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability

2020 ◽  
Author(s):  
Emily Pechey ◽  
Natasha Clarke ◽  
Eleni Mantzari ◽  
Anna Blackwell ◽  
Katie De-loyde ◽  
...  
Keyword(s):  
Emotional Arousal ◽  
Field Studies ◽  
Tobacco Consumption ◽  
Bowel Cancer ◽  
Free Text ◽  
Label Free ◽  
Warning Labels ◽  
Potential Effectiveness ◽  
Health Warning ◽  
Alcoholic Drinks

Abstract Background Health warning labels (HWLs) using images and text to depict the negative health consequences of tobacco consumption are effective and acceptable for changing smoking-related outcomes. There is currently limited evidence concerning their potential use for reducing consumption of alcoholic drinks and energy-dense foods. The aim of this research was to describe the potential effectiveness and acceptability of image-and-text (also known as pictorial or graphic) HWLs applied to : i. alcoholic drinks and ii. energy-dense snack foods. Methods Two online studies were conducted using between-subjects designs with general population samples. Participants rated one of 21 image-and-text HWLs on alcoholic drinks (n=5528), or one of 18 image-and-text HWLs on energy-dense snacks (n=4618). HWLs comprised a graphic image with explanatory text, depicting, respectively, seven diseases linked to excess alcohol consumption, and six diseases linked to excess energy intake. Diseases included heart disease and various cancers. Outcomes were negative emotional arousal, desire to consume the labelled product, and acceptability of the label. Free-text comments relating to HWLs were content analysed. Results For both alcoholic drinks and energy-dense snacks, HWLs depicting bowel cancer generated the highest levels of negative emotional arousal and lowest desire to consume the product, but were the least acceptable. Acceptability was generally low for HWLs applied to alcohol, with 3 of 21 rated as acceptable, and was generally high for snacks, with 13 of 18 rated as acceptable. The majority of free-text comments expressed negative reactions to HWLs on alcohol or energy-dense snacks. Conclusions Image-and-text health warning labels depicting bowel cancer showed greatest potential for reducing selection and consumption of alcoholic drinks and energy-dense snacks, although they were the least acceptable. Laboratory and field studies are needed to assess their impact on selection and consumption.

scholarly journals Country Participation in the WHO Framework Convention on Tobacco Control Health Warnings Database

2021 ◽  
Vol 14 ◽  
pp. 1179173X2110642
Author(s):  
Christopher M. Seitz ◽  
Kenneth D. Ward ◽  
Zubair Kabir
Keyword(s):  
Tobacco Control ◽  
World Health ◽  
Warning Labels ◽  
Health Warnings ◽  
Tobacco Products ◽  
Health Warning ◽  
Pictorial Warnings ◽  
The World ◽  
Alternative Tobacco Products ◽  
Tobacco Packaging

Background The World Health Organization’s (WHO) Framework Convention on Tobacco Control (FCTC) Health Warnings Database is an online, publicly available resource created for countries to upload and share pictorial health warnings for tobacco packaging. The purpose of this study was to evaluate the extent to which the database is used by countries for the sharing of pictorial warnings. Methods The study’s sample included parties to the FCTC who required graphic health warning labels on cigarette packaging from. Those countries were categorized as having a low, middle, and high Socio-Demographic Index (SDI). The Health Warnings Database was then analyzed for those countries’ unique pictorial images, as well as the number of pictorials that were shared between countries. Results Of the 110 countries that required pictorial warnings on cigarette packaging, only 53 (48%) voluntarily contributed pictorials to the database, with most of those (53%) being high SDI-level countries. There were 342 unique pictorials on the database, with 62 images posted by seven countries that were used by 13 other countries. Conclusion While sharing was evident from the database, there remains a need for more countries to upload the pictorials to the database. There is also a need to expand the database to include alternative tobacco products, such as waterpipe tobacco and e-cigarettes.

scholarly journals Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability

2019 ◽  
Author(s):  
Emily Pechey ◽  
Natasha Clarke ◽  
Eleni Mantzari ◽  
Anna Katherine Mary Blackwell ◽  
Katie De-loyde ◽  
...  
Keyword(s):  
Emotional Arousal ◽  
Field Studies ◽  
Tobacco Consumption ◽  
Bowel Cancer ◽  
Free Text ◽  
Label Free ◽  
Warning Labels ◽  
Potential Effectiveness ◽  
Health Warning ◽  
Alcoholic Drinks

BackgroundHealth warning labels (HWLs) using images and text to depict the negative health consequences of tobacco consumption are effective and acceptable for changing smoking-related outcomes. There is currently limited evidence concerning their effectiveness and acceptability for reducing consumption of alcoholic drinks and energy-dense foods. AimTo describe potential effectiveness and acceptability of image-and-text (also known as pictorial or graphic) HWLs applied to: i. alcoholic drinks and ii. energy-dense snack foods.Methods Two online studies were conducted using between-subjects designs with representative UK samples. Participants rated one of 21 image-and-text HWLs on alcoholic drinks (n=5528), or one of 18 image-and-text HWLs on energy-dense snacks (n=4618). HWLs comprised a graphic image with explanatory text, depicting, respectively, seven diseases linked to excess alcohol consumption, and six diseases linked to excess energy intake. Diseases included heart disease and various cancers. Outcomes were negative emotional arousal, desire to consume the labelled product, and acceptability of the label. Free-text comments relating to HWLs were content analysed. ResultsFor both alcoholic drinks and energy-dense snacks, HWLs depicting bowel cancer generated the highest levels of negative emotional arousal and lowest desire to consume the product, but were the least acceptable. Acceptability was generally low for HWLs applied to alcohol, with 3 of 21 rated as acceptable, and was generally high for snacks, with 13 of 18 rated as acceptable. The majority of free-text comments expressed negative reactions to HWLs on alcohol or energy-dense snacks. Conclusions Image-and-text health warning labels depicting bowel cancer showed greatest potential for reducing selection and consumption of alcoholic drinks and energy-dense snacks, although they were the least acceptable. Laboratory and field studies are needed to assess their impact on selection and consumption.

Cigarette graphic health warning labels and information avoidance among individuals from low socioeconomic position in the U.S.

2017 ◽  
Vol 28 (4) ◽  
pp. 351-360 ◽  
Author(s):  
Rachel Faulkenberry McCloud ◽  
Cassandra Okechukwu ◽  
Glorian Sorensen ◽  
K. Viswanath
Keyword(s):  
Socioeconomic Position ◽  
Warning Labels ◽  
Low Socioeconomic ◽  
Health Warning ◽  
Information Avoidance ◽  
The U.S
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