Cited by 1,162Smoking Behavior and CessationGlobal Public Health Policies and EpidemiologyBehavioral Health and Interventions

Health warning messages on tobacco products: a review

Open access
Hammond, David·2011·Tobacco Control

Abstract

OBJECTIVE: To review evidence on the impact of health warning messages on tobacco packages. DATA SOURCES: Articles were identified through electronic databases of published articles, as well as relevant 'grey' literature using the following keywords: health warning, health message, health communication, label and labelling in conjunction with at least one of the following terms: smoking, tobacco, cigarette, product, package and pack. STUDY SELECTION AND DATA EXTRACTION: Relevant articles available prior to January 2011 were screened for six methodological criteria. A total of 94 original original articles met inclusion criteria, including 72 quantitative studies, 16 qualitative studies, 5 studies with both qualitative and qualitative components, and 1 review paper: Canada (n=35), USA (n=29) Australia (n=16), UK (n=13), The Netherlands (n=3), France (n=3), New Zealand (n=3), Mexico (n=3), Brazil (n=2), Belgium (n=1), other European countries (n=10), Norway (n=1), Malaysia (n=1) and China (n=1). RESULTS: The evidence indicates that the impact of health warnings depends upon their size and DESIGN: whereas obscure text-only warnings appear to have little impact, prominent health warnings on the face of packages serve as a prominent source of health information for smokers and non-smokers, can increase health knowledge and perceptions of risk and can promote smoking cessation. The evidence also indicates that comprehensive warnings are effective among youth and may help to prevent smoking initiation. Pictorial health warnings that elicit strong emotional reactions are significantly more effective. CONCLUSIONS: Health warnings on packages are among the most direct and prominent means of communicating with smokers. Larger warnings with pictures are significantly more effective than smaller, text-only messages.

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  1. Review on August 12, 2023 by guest. Protected by copyright. http://tobaccocontrol.bmj.com/ Tob Control: first published as 10.1136/tc.2010.037630 on 23 May 2011. Downloaded from Review on August 12, 2023 by guest. Protected by copyright. http://tobaccocontrol.bmj.com/ Tob Control: first published as 10.1136/tc.2010.037630 on 23 May 2011. Downloaded from REFERENCES
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Authors
Hammond, D.
Affiliations
University of Waterloo (CA)
Corresponding author
Hammond, David
Venue
Tobacco Control
Publisher
BMJ
Published
2011-05-23
Volume
20
Issue
5
Pages
327-337
ISSN
  • 0964-4563 (ISSN-L)
  • 1468-3318
OpenAlex
W2100156519
Cited by
1,162
References
96
Citations by year
2026: 41 · 2025: 58 · 2024: 77 · 2023: 58 · 2022: 68 · 2021: 84 · 2020: 133 · 2019: 124 · 2018: 94 · 2017: 88 · 2016: 88 · 2015: 73 · 2014: 73 · 2013: 59 · 2012: 38
FWCI
5.94
Type
journal article
Language
en
Open access
Locations
  • Tobacco Control (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Waterloo
  • Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
tobacco packaging, pictorial warnings, text-only warnings, health communication, smoking cessation, smoking initiation prevention, youth, risk perception, health knowledge
MeSH terms
Humans, Health Knowledge, Attitudes, Practice, Product Labeling, Smoking, Smoking Cessation, Product Packaging, Health Communication

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