Introduction: Multiple U.S. localities have introduced legislation requiring sugar-sweetened beverage (SSB) warnings. This study effects of different warning designs on beverage selections and perceptions.
Study Design: The study was an RCT.
Setting/participants: An online virtual convenience store and survey were used with a nationally representative sample of primary caregivers of 6-11-year-olds (n=961). Data were collected in January 2020 and analyzed in May-July 2020.
Intervention: Participants were randomized to view SSBs with 1 of 4 front-of-package label designs: (1) no-warning control, (2) health-related text warning, (3) sugar pictorial warning (image of beverage sugar content in cubes/teaspoons/packets with health-related warning text), or (4) health pictorial warning (image of possible health consequences of overconsuming SSBs with health-related warning text).
Main Outcome Measures: Outcomes included participants' beverage choice for their child and perceptions of beverages, their assigned labels, and warning policies.
Results: Proportionally fewer participants chose a SSB in the sugar pictorial warning condition (-13.4 percentage points; 95% CI= -21.6 to -0.1 percentage points; p=0.007) and in the health pictorial warning condition (-14.7 percentage points; 95% CI= -22.8 to -0.1 percentage points; p=0.004) compared to the control. Sugar pictorial warnings led to more accurate added-sugar content estimates than all conditions and greater label trust and support for sugar-sweetened beverage warning policies than health pictorial warnings.
Conclusions: SSB warning policies may be most effective if they mandate images of beverages' added sugar content accompanied by warning text.
Trial Registration: This study is registered at www.
Clinicaltrials: gov NCT03648138.
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http://dx.doi.org/10.1016/j.amepre.2023.01.018 | DOI Listing |
PeerJ
December 2024
Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia.
Introduction: In 2003, the World Health Organization (WHO) recommended that pictorial warnings on tobacco products be used to educate consumers on the negative health impacts associated with tobacco use. This study aimed to assess the effectiveness of pictorial warnings on cigarette packaging among smokers and non-smokers.
Methods: A cross-sectional study using a self-administered questionnaire was conducted in Kuala Lumpur.
Health Commun
December 2024
Department of Mathematics and Statistics, Oakland University.
This study examined the potential role of binge drinking status in moderating the persuasive effects of narrative versus non-narrative pictorial warning labels (PWLs). In an online longitudinal experiment involving moderate and heavy drinkers, we found that the interaction between binge drinking status and PWL type was significant for intentions to reduce and stop drinking upon immediate PWL exposure ( = 649) and at two-week follow-up ( = 598). Among non-binge drinkers, narrative (vs.
View Article and Find Full Text PDFAddict Behav
December 2024
Department of Mathematics and Statistics, Oakland University, Rochester, MI, United States.
Background: Alcohol use is a preventable risk factor for cancer, but public awareness remains low. A promising approach to raising awareness is to include pictorial warning labels (PWLs) on alcohol-containing products, but the typical graphic images used in such warnings can cause inattention. This study investigated whether narrative PWLs (depicting the lived experiences) could lead to greater attention and higher risk perceptions than graphic, non-narrative PWLs (showing graphic health effects).
View Article and Find Full Text PDFEast Mediterr Health J
April 2024
Fatima Jinnah Dental College, Karachi, Pakistan.
Background: Tobacco control law is one of the most effective means of controlling the widespread use of tobacco. However, enforcement of this law in Pakistan is weak.
Aim: To analyse compliance to cigarette packaging laws by tobacco brands in Pakistan.
Nihon Koshu Eisei Zasshi
October 2024
Health promotion research center, Japan Association for Development of Community Medicine.
Objectives This study aimed to evaluate Japanese smokers' perceptions of health warnings on tobacco packaging by comparing text-only and pictorial warnings.Methods Data were sourced from the Japan Society and New Tobacco Internet Survey (JASTIS), an online, self-reported study conducted in February and March 2020. Participants included current smokers aged 15-74 years in Japan (n=2,372).
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!