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Tobacco package health warnings about product manipulations

An experimental study among Australian adults who smoke

Bibliographic Data

ID22945975
AuthorsEmily Brennan (0000-0001-9779-0210, Centre for Behavioural Research in Cancer, Cancer Council Victoria , Level 8, 200 Victoria Parade, Naarm, East Melbourne, Victoria, 3002 ,), Claudia Gascoyne (0000-0002-1241-4062, Centre for Behavioural Research in Cancer, Cancer Council Victoria , Level 8, 200 Victoria Parade, Naarm, East Melbourne, Victoria, 3002 ,), Kimberley Dunstone (0000-0001-5362-2805, Centre for Behavioural Research in Cancer, Cancer Council Victoria , Level 8, 200 Victoria Parade, Naarm, East Melbourne, Victoria, 3002 ,), Amanda Vittiglia (0000-0002-1603-3478, Australian Institute of Family Studies , Level 4, 40 City Road, Naarm, Southbank, Victoria, 3006), Gayathri Srinivasan (City of Port Phillip , 99a Carlisle Street, Naarm, St Kilda, Victoria, 3182), James F Thrasher (0000-0001-6418-4863, University of South Carolina), Janet Hoek (0000-0003-4362-1539, University of Otago), Michael Wakefield (0000-0002-6183-5699, Centre for Behavioural Research in Cancer, Cancer Council Victoria , Level 8, 200 Victoria Parade, Naarm, East Melbourne, Victoria, 3002 ,), Melanie Wakefield (Centre for Behavioural Research in Cancer, Cancer Council Victoria , Level 8, 200 Victoria Parade, Naarm, East Melbourne, Victoria, 3002), Sarah Durkin (0000-0002-2795-6454, Centre for Behavioural Research in Cancer, Cancer Council Victoria , Level 8, 200 Victoria Parade, Naarm, East Melbourne, Victoria, 3002 ,)
Year2025
Volume40
Issue2
Publication date2025-03-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daae210
PMID40177788
OpenAlexW4409145797
LanguageEN
Citations received1
References cited55

The tobacco industry manipulates cigarettes to provide sensory cues that mislead people who smoke. We assessed the effectiveness of health warnings (HWs) focussed on the impact of misleading product attributes, including filter ventilation, menthol, and roll-your-own tobacco, which were called Product Attribute HWs. Australian adults who smoke (n = 2544) were randomly assigned to view: control medication warnings; new Standard HWs with smoking harm images; Product Attribute HWs; or Product Attribute HWs plus a video. At baseline, participants were exposed to seven condition-specific warnings (+ video for those in the Product Attribute HWs + Video condition), then they were potentially re-exposed to one warning daily for 7 days (+ up to six video viewings). Participants (n = 1414) were followed-up at 8 days. Compared to controls, exposure to Product Attribute HWs elicited: greater increases in concern when inhaling smoke with misleading favourable (e.g. smooth) and unfavourable (e.g. harsh) sensory cues; greater knowledge of industry manipulation; greater self-centric and industry-centric negative emotions; higher product-specific smoking dissonance; and a higher likelihood of past-week rumination about HWs. Compared to Standard HWs, Product Attribute HWs elicited greater knowledge of product manipulation and industry-centric negative emotions, but similar self-centric negative emotions and past-week rumination about warnings. Only the Product Attribute HWs + Video condition resulted in greater discussion and online information-seeking about warnings. Product Attribute HWs that challenge long-standing myths fostered by tobacco companies yield many similar outcomes to Standard HWs but also provide unique beneficial outcomes. Nations should consider including Product Attribute HWs in their suites of tobacco HWs.

Advertising · Business · Cognition · Environmental health · Harm · Packaging and labeling · Product (mathematics) · Psychiatry · Rumination · Tobacco product · Behavioral Health and Interventions · Marketing · Media Influence and Health · Medicine · Psychology · Smoking Behavior and Cessation · Social Psychology

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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