Repository logo
 

Public support for pictorial warnings on cigarette packs: an experimental study of US smokers.

Accepted version
Peer-reviewed

No Thumbnail Available

Type

Article

Change log

Authors

Hall, Marissa G 
Marteau, Theresa M 
Sunstein, Cass R 
Ribisl, Kurt M 
Noar, Seth M 

Abstract

BACKGROUND: Understanding factors that influence public support for "nudging" policies, like pictorial cigarette pack warnings, may offer insight about how to increase such support. We sought to examine factors that influence smokers' support for requiring pictorial warnings on cigarette packs. METHODS: In 2014 and 2015, we randomly assigned 2149 adult US smokers to receive either pictorial warnings or text-only warnings on their cigarette packs for 4 weeks. The outcome examined in the current study was support for a policy requiring pictorial warnings on cigarette packs in the US. RESULTS: Support for pictorial warnings was high at baseline (mean: 3.2 out of 4). Exposure to pictorial warnings increased policy support at week 4 (β = .05, p = .03). This effect was explained by increases in perceived message effectiveness (p < .001) and reported conversations about policy support (p < .001). Message reactance (i.e., an oppositional reaction to the warning) partially diminished the impact of pictorial warnings on policy support (p < .001). CONCLUSIONS: Exposing people to a new policy through implementation could increase public support for that policy by increasing perceived effectiveness and by prompting conversations about the policy. Reactance may partially weaken the effect of policy exposure on public support.

Description

Keywords

Graphic warnings, Nudging, Pictorial warnings, Policy support, Public support, Reactance, Tobacco control, Adolescent, Adult, Female, Humans, Male, Product Labeling, Public Opinion, Public Policy, Random Allocation, Smokers, Smoking Prevention, United States, Young Adult

Journal Title

J Behav Med

Conference Name

Journal ISSN

0160-7715
1573-3521

Volume Title

41

Publisher

Springer Science and Business Media LLC