Severity and susceptibility: measuring the perceived effectiveness and believability of tobacco health warnings.

Severity and susceptibility: measuring the perceived effectiveness and believability of tobacco health warnings.
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DOI:
10.1186/s12889-018-5385-x
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发表时间:
2018-04-10
期刊:
影响因子:
4.5
通讯作者:
Munafò MR
Munafò MR
中科院分区:
医学2区
文献类型:
--
作者:
Maynard OM;Gove H;Skinner AL;Munafò MR

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图片烟草健康警示标签(HWL)已被证明比纯文本HWL更有效地改变吸烟态度和意图。然而,关于HWL内容的严重程度如何影响对它们的反应,存在相互矛盾的证据。我们在一项在线研究中使用非吸烟者(N = 437)和吸烟者(N = 436)的便利样本检查了HWL的感知可信度和有效性。HWL采用三种呈现格式之一:(纯文本、中度严重图像或高度严重图像),并侧重于三种疾病结局(肺癌、失明或牙齿和牙龈疾病)。参与者对每种HWL的有效性和可信度进行评分,并对他们对每种疾病的敏感性进行评分。对可信度和有效性评级进行2(吸烟状况)× 3(呈现格式)× 3(疾病结局)ANOVA。最严重的图片HWL获得了最高的可信度和有效性评级,正如预期的那样,纯文本HWL获得了最低的。肺癌HWL被评为最可信和最有效的,与失明HWL收到最低的分数。采用2(吸烟状况)× 3(疾病结局)方差分析对三种疾病的易感性进行评价。吸烟者认为自己更容易患上这三种疾病,在吸烟者中,对疾病的易感性与HWL的有效性和可信度呈正相关。我们的研究结果支持以前的证据表明,图形HWL被评为更有效和可信的纯文字警告,并提供了一些支持使用严重的或“怪诞”的HWL的烟草产品。我们的数据还表明,HWL的目标应该是增加对疾病的感知易感性,因为这与感知的信息有效性和可信度呈正相关。本文的在线版本(10.1186/s12889-018-5385-x)包含补充材料,可供授权用户使用。
Pictorial tobacco health warning labels (HWLs) have been shown to be more effective than text-only HWLs in changing smoking attitudes and intentions. However, there is contradictory evidence regarding how the severity of the content of HWLs influences responses to them. We examined the perceived believability and effectiveness of HWLs in an online study using a convenience sample of non-smokers (N = 437) and smokers (N = 436). HWLs were in one of three presentation formats: (text-only, a moderately severe image or highly severe image) and focussed on three disease outcomes (lung cancer, blindness or tooth and gum disease). Participants rated the effectiveness and believability of each HWL and also rated their perceived susceptibility to each disease. A 2 (smoking status) × 3 (presentation format) × 3 (disease outcome) ANOVA was run for both believability and effectiveness ratings. The most severe pictorial HWLs received the highest believability and effectiveness ratings and as expected, the text-only HWLs received the lowest. Lung cancer HWLs were rated most believable and effective, with the blindness HWLs receiving the lowest scores. A 2 (smoking status) × 3 (disease outcome) ANOVA was conducted on the ratings of perceived susceptibility to the three diseases. Smokers considered themselves to be more susceptible to all three diseases, and among smokers, perceived susceptibility to the diseases was positively correlated with effectiveness and believability ratings of the HWLs. Our findings support previous evidence that pictorial HWLs are rated as more effective and believable than text-only warnings, and provide some support for the use of severe or ‘grotesque’ HWLs on tobacco products. Our data also suggest that HWLs should aim to increase perceived susceptibility to disease, as this was positively related to perceived message effectiveness and believability. The online version of this article (10.1186/s12889-018-5385-x) contains supplementary material, which is available to authorized users.
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