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Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability

BACKGROUND: Health warning labels (HWLs) using images and text to depict the negative health consequences of tobacco consumption are effective and acceptable for changing smoking-related outcomes. There is currently limited evidence concerning their potential use for reducing consumption of alcoholi...

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Autores principales: Pechey, Emily, Clarke, Natasha, Mantzari, Eleni, Blackwell, Anna K. M., De-Loyde, Katie, Morris, Richard W., Marteau, Theresa M., Hollands, Gareth J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114781/
https://www.ncbi.nlm.nih.gov/pubmed/32238154
http://dx.doi.org/10.1186/s12889-020-8403-8
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author Pechey, Emily
Clarke, Natasha
Mantzari, Eleni
Blackwell, Anna K. M.
De-Loyde, Katie
Morris, Richard W.
Marteau, Theresa M.
Hollands, Gareth J.
author_facet Pechey, Emily
Clarke, Natasha
Mantzari, Eleni
Blackwell, Anna K. M.
De-Loyde, Katie
Morris, Richard W.
Marteau, Theresa M.
Hollands, Gareth J.
author_sort Pechey, Emily
collection PubMed
description BACKGROUND: Health warning labels (HWLs) using images and text to depict the negative health consequences of tobacco consumption are effective and acceptable for changing smoking-related outcomes. There is currently limited evidence concerning their potential use for reducing consumption of alcoholic drinks and energy-dense foods. The aim of this research was to describe the potential effectiveness and acceptability of image-and-text (also known as pictorial or graphic) HWLs applied to: i. alcoholic drinks and ii. energy-dense snack foods. METHODS: Two online studies were conducted using between-subjects designs with general population samples. Participants rated one of 21 image-and-text HWLs on alcoholic drinks (n = 5528), or one of 18 image-and-text HWLs on energy-dense snacks (n = 4618). HWLs comprised a graphic image with explanatory text, depicting, respectively, seven diseases linked to excess alcohol consumption, and six diseases linked to excess energy intake. Diseases included heart disease and various cancers. Outcomes were negative emotional arousal, desire to consume the labelled product, and acceptability of the label. Free-text comments relating to HWLs were content analysed. RESULTS: For both alcoholic drinks and energy-dense snacks, HWLs depicting bowel cancer generated the highest levels of negative emotional arousal and lowest desire to consume the product, but were the least acceptable. Acceptability was generally low for HWLs applied to alcohol, with 3 of 21 rated as acceptable, and was generally high for snacks, with 13 of 18 rated as acceptable. The majority of free-text comments expressed negative reactions to HWLs on alcohol or energy-dense snacks. CONCLUSIONS: Image-and-text health warning labels depicting bowel cancer showed greatest potential for reducing selection and consumption of alcoholic drinks and energy-dense snacks, although they were the least acceptable. Laboratory and field studies are needed to assess their impact on selection and consumption.
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spelling pubmed-71147812020-04-07 Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability Pechey, Emily Clarke, Natasha Mantzari, Eleni Blackwell, Anna K. M. De-Loyde, Katie Morris, Richard W. Marteau, Theresa M. Hollands, Gareth J. BMC Public Health Research Article BACKGROUND: Health warning labels (HWLs) using images and text to depict the negative health consequences of tobacco consumption are effective and acceptable for changing smoking-related outcomes. There is currently limited evidence concerning their potential use for reducing consumption of alcoholic drinks and energy-dense foods. The aim of this research was to describe the potential effectiveness and acceptability of image-and-text (also known as pictorial or graphic) HWLs applied to: i. alcoholic drinks and ii. energy-dense snack foods. METHODS: Two online studies were conducted using between-subjects designs with general population samples. Participants rated one of 21 image-and-text HWLs on alcoholic drinks (n = 5528), or one of 18 image-and-text HWLs on energy-dense snacks (n = 4618). HWLs comprised a graphic image with explanatory text, depicting, respectively, seven diseases linked to excess alcohol consumption, and six diseases linked to excess energy intake. Diseases included heart disease and various cancers. Outcomes were negative emotional arousal, desire to consume the labelled product, and acceptability of the label. Free-text comments relating to HWLs were content analysed. RESULTS: For both alcoholic drinks and energy-dense snacks, HWLs depicting bowel cancer generated the highest levels of negative emotional arousal and lowest desire to consume the product, but were the least acceptable. Acceptability was generally low for HWLs applied to alcohol, with 3 of 21 rated as acceptable, and was generally high for snacks, with 13 of 18 rated as acceptable. The majority of free-text comments expressed negative reactions to HWLs on alcohol or energy-dense snacks. CONCLUSIONS: Image-and-text health warning labels depicting bowel cancer showed greatest potential for reducing selection and consumption of alcoholic drinks and energy-dense snacks, although they were the least acceptable. Laboratory and field studies are needed to assess their impact on selection and consumption. BioMed Central 2020-04-02 /pmc/articles/PMC7114781/ /pubmed/32238154 http://dx.doi.org/10.1186/s12889-020-8403-8 Text en © The Author(s). 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Pechey, Emily
Clarke, Natasha
Mantzari, Eleni
Blackwell, Anna K. M.
De-Loyde, Katie
Morris, Richard W.
Marteau, Theresa M.
Hollands, Gareth J.
Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability
title Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability
title_full Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability
title_fullStr Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability
title_full_unstemmed Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability
title_short Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability
title_sort image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114781/
https://www.ncbi.nlm.nih.gov/pubmed/32238154
http://dx.doi.org/10.1186/s12889-020-8403-8
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