Negative affect, message reactance and perceived risk: how do pictorial cigarette pack warnings change quit
Marissa G Hall1,2, Paschal Sheeran1,3, Seth M Noar1,4
1Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Pictorial cigarette pack warnings boost quit intentions by increasing negative emotions. However, message reactance slightly reduces this effect, while perceived risk remains unchanged. This research explores how smokers respond to graphic warning labels.
Area of Science:
- Public Health
- Behavioral Science
- Health Communication
Background:
- Graphic warning labels on cigarette packs are a key tobacco control strategy.
- Understanding the psychological mechanisms behind their effectiveness is crucial for optimizing public health campaigns.
Purpose of the Study:
- To investigate the mediating roles of negative affect, message reactance, and perceived risk in the relationship between pictorial warnings and quit intentions.
- To analyze how these psychological factors influence smokers' motivation to quit.
Main Methods:
- A randomized controlled trial involving 2149 adult US smokers.
- Smokers were assigned to receive either pictorial or text-only warnings on cigarette packs for 4 weeks.
- Structural equation modeling was used to test the proposed mediational model.
Main Results:
- Pictorial warnings significantly increased negative affect, message reactance, and quit intentions.
- Negative affect positively mediated the effect of pictorial warnings on quit intentions.
- Message reactance partially attenuated the positive impact of pictorial warnings on quit intentions.
- No significant direct effect of pictorial warnings on perceived risk was observed.
Conclusions:
- Pictorial cigarette pack warnings enhance quit intentions primarily through increased negative affect.
- Message reactance acts as a partial buffer against the effectiveness of pictorial warnings.
- The complex interplay between negative affect and reactance may explain the lack of significant changes in perceived risk.
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