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Defensive Reactions to Pictorial Warning Labels Featuring Narrative Versus Non-Narrative Content.

Zexin Ma1, Rong Ma2, Joshua Haworth3

  • 1Department of Communication, University of Connecticut.

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|July 1, 2026
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Summary
This summary is machine-generated.

Narrative pictorial warning labels (PWLs) for alcohol cancer risks reduce defensive reactions and boost policy support. Non-narrative labels increase reactance and avoidance, hindering behavior change.

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Area of Science:

  • Public Health
  • Health Communication
  • Cancer Prevention

Background:

  • Alcohol consumption is a significant risk factor for various cancers.
  • Pictorial warning labels (PWLs) are used to communicate health risks.
  • Understanding how different label formats affect audience response is crucial for effective health messaging.

Purpose of the Study:

  • To compare the impact of narrative versus non-narrative pictorial warning labels (PWLs) on alcohol-related cancer risks.
  • To examine the relationship between defensive reactions (reactance, avoidance) and persuasion outcomes.
  • To investigate the influence of PWL content type on behavioral intentions and policy support.

Main Methods:

  • An experiment was conducted with 649 participants.
  • Participants were exposed to either narrative or non-narrative PWLs regarding alcohol-cancer risks.
  • Defensive reactions and persuasion outcomes (behavior change, information seeking, policy support) were measured.

Main Results:

  • Narrative PWLs elicited lower reactance and avoidance compared to non-narrative PWLs.
  • Reactance negatively predicted persuasion outcomes, including behavior change, information seeking, and policy support.
  • Retrospective avoidance positively correlated with persuasion, while anticipated avoidance negatively correlated with policy support.
  • Narrative PWLs demonstrated a significant positive total effect on policy support.

Conclusions:

  • Narrative PWLs are more effective in mitigating defensive responses to alcohol-cancer risk information.
  • Defensive reactions play a critical role in mediating the impact of health warnings on persuasion.
  • Findings support the use of narrative strategies in designing public health messages for alcohol-related cancer prevention to enhance policy support and behavioral change.