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Understanding Reactions to Graphic Warning Labels on Cigarettes in Diverse Populations of Youth and Young Adults at Increased Risk of Smoking

Principal Investigator: Matthew Kreuter

Funding Mechanism: National Institutes of Health - Grant

ID Number: 3P50CA095815-09S1

Award Date: 3/13/2012

Institution: Washington University, St. Louis


Existing research consistently supports that graphic warning labels (GWLs) have a stronger impact than text-only messages on smoking-related beliefs and behaviors; however, most GWL studies have included only adults and smokers. To inform the development of effective GWL awareness and promotion campaigns, investigators will conduct research activities among diverse groups of smokers, those at risk of smoking, and non-smokers. Specific aims are: (1) to recruit 875 youth (ages 13-17) smokers, young adult (ages 18-24) smokers, at-risk smokers, and non-smokers from diverse population subgroups with high smoking prevalence or smoking risk into research activities to evaluate a wide range of reactions to GWLs; (2) to conduct surveys, card sort exercises, interviews, and experiments to assess eight outcomes of interest (i.e., affective response, understanding, personal relevance, anticipated social reaction, perceived effectiveness, novelty, reactance, and action steps) that might follow GWL exposure; (3) to translate findings from these studies into recommendations that could inform and support GWLs; and (4) to adapt and conduct research activities from Aim 2 in a sample of 400 adults (ages 25+) from diverse population subgroups with high smoking prevalence or smoking risk. Findings may help inform regulatory activities related to GWLs. (Project completed in 2012.)