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 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.

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 effectiveness and acceptability for reducing consumption of alcoholic drinks and energy-dense foods. Aim To 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 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 Health warning labels and alcohol selection: an experiment in a naturalistic shopping laboratory

2020 ◽  
Author(s):  
Natasha Clarke ◽  
Anna Katherine Mary Blackwell ◽  
Katie De-loyde ◽  
Emily Pechey ◽  
Alice Hobson ◽  
...  
Keyword(s):  
Bayes Factor ◽  
Emotional Arousal ◽  
Warning Labels ◽  
Health Consequences ◽  
Excessive Alcohol Consumption ◽  
Health Warning ◽  
Adverse Health ◽  
Alcoholic Drinks ◽  
Excessive Alcohol ◽  
The Impact

Background and aims Health warning labels (HWLs) on tobacco products reduce smoking. There is an absence of evidence concerning the impact of alcohol HWLs on selection or purchasing in naturalistic settings. Using a commercial-standard naturalistic shopping laboratory, this study aimed to estimate the impact on selection of alcoholic drinks of HWLs describing adverse health consequences of excessive alcohol consumption.DesignA between-subjects randomised experiment with three groups: Group 1: image-and-text HWL; Group 2: text-only HWL; Group 3: no HWL.SettingA commercial-standard naturalistic shopping laboratory. Participants Adults (n=399) over the age of 18, who purchased beer or wine weekly to drink at home. InterventionsParticipants were randomised to one of three groups varying in the HWL displayed on the packaging of the alcoholic drinks: i. image-and-text HWL; ii. text-only HWL; iii. no HWL. Participants completed a shopping task, selecting items from a range of alcoholic and non-alcoholic drinks, and snacks. MeasurementThe primary outcome was the proportion of alcoholic drinks selected. Secondary outcomes included HWL ratings on negative emotional arousal and label acceptability.FindingsThere was no clear evidence of a difference in the HWL groups for the percentage of drinks selected that were alcoholic compared to no HWL (44%): image-and-text HWL: 46% (OR=1.08, 95%CI=0.82,1.42); text-only HWL: 41% (OR=0.87, 95%CI=0.67,1.14). Concordant with there being no difference between groups, there was extreme evidence in favour of the null hypothesis (Bayes factor [BF] < 0.01). Negative emotional arousal was higher (p< 0.001) and acceptability lower (p< 0.001) in the image-and-text HWL group, compared to the text-only HWL group. ConclusionsIn a naturalistic shopping laboratory, health warning labels describing the adverse health consequences of excessive alcohol consumption did not change selection behaviour.

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

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Emily Pechey ◽  
Natasha Clarke ◽  
Eleni Mantzari ◽  
Anna K. M. Blackwell ◽  
Katie De-Loyde ◽  
...  
Keyword(s):  
Warning Labels ◽  
Potential Effectiveness ◽  
Health Warning ◽  
Food Potential

scholarly journals Impact of health warning labels communicating the risk of cancer on alcohol selection: An online experimental study

2019 ◽  
Author(s):  
Natasha Clarke ◽  
Emily Pechey ◽  
Eleni Mantzari ◽  
Anna Katherine Mary Blackwell ◽  
Katie De-loyde ◽  
...  
Keyword(s):  
Online Survey ◽  
Warning Labels ◽  
Health Warning ◽  
Alcoholic Drink ◽  
Cancer Breast ◽  
Increased Risk ◽  
Alcoholic Drinks ◽  
Consumption Change ◽  
Risk Of Cancer ◽  
Selection Of

Background and AimsEvidence from tobacco research suggests that health warning labels (HWLs) depicting the adverse consequences of consumption change smoking behaviours, with image-and-text (also known as ‘pictorial’ or ‘graphic’) HWLs most effective. There is an absence of evidence concerning the potential impact of HWLs placed on alcohol products on selection of those products. This study aimed to obtain a preliminary assessment of the possible impact of (a) image-and-text (b) text-only and (c) image-only HWLs on selection of alcoholic versus non-alcoholic drinks. DesignA between-subjects randomised experiment with a 2 (image: present vs absent) x 2 (text: present vs absent) factorial design. SettingThe study was conducted on the online survey platform Qualtrics.Participants Participants (n=6024) were adults over the age of 18 who consumed beer or wine regularly (i.e., at least once a week), recruited through a market research agency. Interventions Participants were randomised to one of four groups varying in the HWL displayed on the packaging of alcoholic drinks: i. image-and-text HWL; ii. text-only HWL; iii. image-only HWL; iv. no HWL. HWLs depicted bowel cancer, breast cancer and liver cancer, which were each displayed twice across six alcoholic drinks. Each group viewed six alcoholic and six non-alcoholic drinks and selected one drink that they would like to consume. MeasurementsThe primary outcome was the proportion of participants selecting an alcoholic versus a non-alcoholic drink.FindingsAlcoholic drink selection was lower for all HWL types compared with no HWL (image-and-text: 56%; image-only: 49%; text-only: 61%; no HWL: 77%), with selection lowest for HWLs that included an image. Image-and-text HWLs reduced the odds of selecting an alcoholic drink compared with text-only HWLs (OR = 0.80, 95% CI = 0.69, 0.92), but increased the odds of selecting an alcoholic drink compared with image-only HWLs (OR = 1.34, 95% CI = 1.16, 1.55).ConclusionsHealth warning labels communicating the increased risk of cancers associated with alcohol consumption reduced selection of alcoholic versus non-alcoholic drinks in a hypothetical choice task in an online setting; labels displaying images had the largest effect. Their impact in laboratory and real-world field settings using physical products awaits investigation.

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 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

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
Sign in / Sign up

Export Citation Format

Share Document