Effects on Smokers of Exposure to Graphic Warning Images
Version of Record online: 27 SEP 2012
Copyright © American Academy of Addiction Psychiatry
The American Journal on Addictions
Volume 21, Issue 6, pages 555–557, November/December 2012
How to Cite
Malouff, J. M., Schutte, N. S., Rooke, S. E. and MacDonell, G. (2012), Effects on Smokers of Exposure to Graphic Warning Images. The American Journal on Addictions, 21: 555–557. doi: 10.1111/j.1521-0391.2012.00284.x
- Issue online: 21 OCT 2012
- Version of Record online: 27 SEP 2012
- Received June 26, 2011; revised July 18, 2011; accepted September 26, 2011.
Background and Objectives: Several countries have introduced graphic warning images aimed at discouraging smoking. The objective of this study was to evaluate the impact on smokers of graphic warnings showing cosmetically important harm caused by smoking.
Methods: Fifty-six adult smokers were randomly assigned to view either written smoking warnings or the same written warnings with related graphic images. The smokers viewed the warnings at a rate of one per week for 4 weeks. The smokers were assessed before and after the warnings with regard to stage of change toward smoking cessation and level of smoking.
Results: The randomized control trial showed that the warnings with graphic images led to significantly more progress in stage of change toward smoking cessation than written warnings alone. However, the images did not lead to decreases in smoking rates.
Conclusions and Scientific Significance: The results indicate that written smoking warnings accompanied by images of cosmetically important harm caused by smoking have more potential than warnings alone in prompting changes in the direction of quitting. (Am J Addict 2012;21:555–557)