Responses to Graphic Warning Labels among Low-income Smokers

Bibliographic Data

ID15330806
AuthorsToshali Katyal (0000-0003-2200-681X, University of California System, corresponding author), Arturo Durazo (0000-0003-1373-1446, University of California System), Marlena Hartman-Filson (University of California System), Maya Vijayaraghavan (0000-0002-3747-984X, Assistant Professor, Division of General Internal Medicine, University of California, San Francisco, CA;, Email: [email protected])
Year2020
Volume44
Issue5
Pages603-616
Publication date2020-09-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Health Behavior (JOURNAL)
Journal identifiersISSN: 1087-3244 • E-ISSN: 1945-7359
PublisherPNG Publications (PUBLISHER • US)
DOI10.5993/ajhb.44.5.5
PMID33121579
OpenAlexW3097308007
LanguageEN
Citations received1
References cited16

Objective: Graphic warning labels (GWLs) are effective in communicating tobacco-related harms. Methods: In this mixed-methods study, we used purposive sampling to recruit 100 low-income smokers in the San Francisco Bay Area between October 2017 and February 2018 to participate in an intervention promoting smoke-free homes. We presented the 2009 Food and Drug Administration-proposed GWLs and explored perceptions of affect, efficacy, and appeal using questionnaires at baseline, 3- and 6-months follow-up. Because of participants' interest in this topic, we subsequently conducted a qualitative sub-study among 20 participants exploring perceived efficacy of GWLs on smoking cessation. Results: In all, 87.3% and 59.2% agreed that GWLs were useful and would motivate cessation behaviors, respectively, at baseline. We found that the most common responses were shock (61.8%) and disgust (55.3%), whereas anger (29.0%) and annoyance (19.7%) were less common. Participants also reported that GWLs unequivocally illustrating smoking's harmful effects were more appealing than non-specific images, as were images that depicted positive cessation-related effects. Conclusions: GWLs appear to be an important health communication among low-income smokers. Future studies on GWLs should examine the association of negative affect and cessation among this population

Affect (linguistics · Environmental health · Population · Smoking cessation · Crime, Deviance, and Social Control · Media Influence and Health · Medicine · Psychology · Smoking Behavior and Cessation

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