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Eficacia percibida de las advertencias sobre cigarros entre los jóvenes en los Estados Unidos

Leah M Ranney¹, Rime Jebai², Micheal Jetsupphasuk³

¹Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599.

American journal of preventive medicine

|January 30, 2026

Abstracto

Introduction:

The effectiveness of warning size and format on cigar packaging in influencing youth and young adult (YYA) smoking behaviors is not well understood. This experiment tested these cigar warning characteristics among YYAs who use or are susceptible to using little cigars or cigarillos (LCCs).

Methods:

The study recruited 506 US YYAs, ages 15-20 years, between April-June 2023. Participants reported ever or past 30-day use of LCCs or were susceptible to using LCCs. A 2 × 2 between-subjects online experiment was conducted where YYAs were randomized to one of four conditions, with manipulations for cigar warning size (30% or 50% of the package) and format (FDA-proposed text-only or pictorial). YYAs viewed six warnings on a mock cigarillo package. The primary outcome was perceived message effectiveness (PME). A mixed-effects regression model was fit to examine the effects of warning size and format on outcomes in September 2023.

Results:

Most participants were female (50.0%), white (59.3%), and heterosexual (67.8%). Nearly half were susceptible to LCCs (47.4%), followed by past 30-day use (32%), and ever use (20.6%). Pictorial warnings significantly increased PME compared with text-only warnings. Similar effects were found for risk perceptions, cognitive and emotional reactions, and recognition. Warning size had no statistically significant effect on outcomes.

Conclusions:

Pictorial cigar warnings outperformed FDA-proposed text-only warnings on PME and secondary outcomes among YYAs who use or are susceptible to LCCs. These results suggest that a pictorial format will enhance the effectiveness of cigar warnings, as has been found for cigarettes.

Palabras clave:

Cigarros pequeños/puritos Advertencias adolescentes adultos jóvenes

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