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Comparing Graphic to Text-Only Warning Labels to Discourage Cigarillo Smoking by Young Adults

Comparing Graphic to Text-Only Warning Labels to Discourage Cigarillo Smoking by Young Adults

Principal Investigator:  Jennifer Jane Cornacchione

Funding Mechanism: National Institutes of Health – Grant

ID number: 1R03CA206487-01A1

Award Date: 9/20/2016

Institution: Wake Forest University Health Sciences


Significant knowledge gaps exist regarding how to effectively communicate the risks of cigarillo smoking. The goal of this study is to test the effectiveness of possible warning labels that communicate cigarillo smoking risks. Study aims are: (1) to develop graphic cigarillo warning labels that effectively communicate the risks of cigarillo smoking by pairing existing images with the six FDA-required text warnings; and (2) to compare the relative effectiveness of text-only versus graphic cigarillo warning labels to discourage cigarillo smoking by young adult cigarillo users and at-risk nonusers. In Year 1, researchers will convene four focus groups, each with 7-10 young adults (ages 18-29) who are current users of or at risk of using cigarillos; focus groups will inform the development of the graphic warning labels by choosing images that represent the six text warnings in FDA’s Final Deeming Rule, which extends the agency’s regulatory authority over a variety of tobacco products, including cigarillos. Subsequently, researchers will conduct an experiment using a nationally-representative panel of 660 young adult cigarillo users and at-risk nonusers to assess the relative effectiveness of text-only versus graphic warnings in discouraging them from cigarillo smoking.