바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

메뉴

The Effects of Graphic Pictorial Health Warnings on Tobacco Packaging on Attitudes toward Stopping Smoking and Intention to Stop Smoking: The Gender Difference in the Moderating effect of Coping Styles

Abstract

The purpose of this study is to explore how interaction between gender and coping styles moderates the effects of graphic pictorial health warnings on packaging on smokers’ attitudes toward stopping smoking and intention to quit smoking. In this study, an experiment was conducted with 372 smokers including 194 men and 178 women using two different warning labels: a strong graphic pictorial health warning and a text-only warning. This study found that the three-way interaction among gender, coping styles and warning labels had significant effect on smokers’ attitudes toward quitting smoking. For men with high (vs. low) problem-focused coping style, the graphic warning (vs. text warning) had greater effect on their attitudes toward quitting smoking. However, the difference in the problem-focused coping style did not moderate the effect of warning label on the attitudes. On the other hand, the graphic warning was more effective for the attitudes for women with high (vs. low) social support seeking coping style, but made no difference in the effect between men with high and low social support seeking coping style This study also found that the attitude mediated the three-way interaction and intention to quit smoking. Based upon the result, this study provided theoretical and practical implications.

keywords
Graphic warning on tobacco packaging, gender, coping style, attitude toward quitting smoking, intention to quit smoking

Reference

1.

뉴시스 (2016. 6월 3일자). 흡연자 커뮤니티 “담뱃값 경고그림 부착 등 철회해야,” 뉴시스, http://www.newsis.com/ar_detailview.html?ar_id=NISX20160603_0014126755&cID=10201&pID=10200.

2.

박영숙, 전영민 (2004). 연령에 따른 방어기제 성숙도에서의 성차. 대한스트레스학회지, 12(4), 9-19.

3.

신윤정, 김부용, 현용진 (2007). 컨조인트 분석 방법론에 의한 담배 포장의 금연 인식 유발 효과 분석. 보건사회연구, 27(1), 27-51.

4.

연합뉴스 (2016. 3월 31일자). 경고그림 경제효과 3천억~4조원, 연합뉴스, http://www.yonhapnews.co.kr/bulletin/2016/03/30/0200000000AKR20160330194400017.

5.

이장호, 김정희 (1988). 지각된 스트레스, 인지세트 및 대처방식의 우울에 대한 작용. 한국심리학회지: 상담 및 심리치료, 1(1), 25-45.

6.

정민정, 탁진국 (2004). 성별과 직급에 따른 직무스트레스원에서의 차이. 한국심리학회지: 건강, 9(3), 729-741.

7.

최유진 (2014). 공포, 혐오감, 분노가 담뱃갑 경고그림 태도, 흡연 태도 및 금연의도에 미치는 영향. 홍보학 연구, 18(1), 151-187.

8.

Aiken, L. S. and S. G.. West (1991), Multiple Regression: Testing and Interpreting Interactions. Thousand Oaks: CA, Sage.

9.

Ajzen, I., & Fishbein, M. (1980). Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs: NY, Prentice Hall.

10.

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision processes, 50(2), 179-211.

11.

Andrews, J. C., Netemeyer, R. G., Kees, J., & Burton, S. (2014). How graphic visual health warnings affect young smokers’ thoughts of quitting. Journal of Marketing Research, 51(2), 165-183.

12.

Bansal-Travers, M., Hammond, D., Smith, P., & Cummings, K. M. (2011). The impact of cigarette pack design, descriptors, and warning labels on risk perception in the US. American Journal of Preventive Medicine, 40(6), 674-682.

13.

Bolger, N. (1990). Coping as a personality process: A prospective study. Journal of Personality and Social Psychology, 59(3), 525-537.

14.

Cameron, L. D., Pepper, J. K., & Brewer, N. T. (2015). Responses of young adults to graphic warning labels for cigarette packages. Tobacco Control, 24(e1), e14-e22.

15.

Carver, C. S. (1997). You want to measure coping but your protocol’too long: Consider the brief cope. International Journal of Behavioral Medicine, 4(1), 92-100.

16.

Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267-283.

17.

Collins, N. L., & Miller, L. C. (1994). Self-disclosure and liking: A meta-analytic review. Psychological Bulletin, 116(3), 457-475.

18.

Connor-Smith, J. K., & Flachsbart, C. (2007). Relations between personality and coping: A meta-analysis. Journal of Personality and Social Psychology, 93(6), 1080-1107.

19.

Copeland, E. P., & Hess, R. S. (1995). Differences in young adolescents' coping strategies based on gender and ethnicity. The Journal of Early Adolescence, 15(2), 203-219.

20.

Davis, C., & Burton, S. (2016). Understanding graphic pictorial warnings in advertising: A replication and extension. Journal of Advertising, 45(1), 33-42.

21.

Derlega, V. J., & Chaikin, A. L. (1976). Norms affecting self-disclosure in men and women. Journal of Consulting and Clinical Psychology, 44(3), 376-380.

22.

De Meulenaer, S., De Pelsmacker, P., & Dens, N. (2015). Have no fear: How individuals differing in uncertainty avoidance, anxiety, and chance belief process health risk messages. Journal of Advertising, 44(2), 114-125.

23.

Dickinson-Delaporte, S. J., & Holmes, M. D. (2011). Threat appeal communications: The interplay between health resistance and cognitive appraisal processes. Journal of Marketing Communications, 17(02), 107-125.

24.

Dijkstra, A., & Bos, C. (2015). The effects of repeated exposure to graphic fear appeals on cigarette packages: A field experiment. Psychology of addictive behaviors, Psychology of Addictive Behaviors, 29(1), 82-90.

25.

Eagly, A. H., & Crowley, M. (1986). Gender and helping behavior: A meta-analytic review of the social psychological literature. Psychological Bulletin, 100(3), 283-308.

26.

Emery, L. F., Romer, D., Sheerin, K. M., Jamieson, K. H., & Peters, E. (2014). Affective and cognitive mediators of the impact of cigarette warning labels. Nicotine & Tobacco Research, 16(3), 263-269.

27.

Erceg‐Hurn, D. M., & Steed, L. G. (2011). Does exposure to cigarette health warnings elicit psychological reactance in smokers?. Journal of Applied Social Psychology, 41(1), 219-237.

28.

Evans, A. T., Peters, E., Strasser, A. A., Emery, L. F., Sheerin, K. M., & Romer, D. (2015). Graphic warning labels elicit affective and thoughtful responses from smokers: Results of a randomized clinical trial. PloS One, 10(12), e0142879.

29.

Fishbein, M., & Ajzen, I. (1974). Attitudes towards objects as predictors of single and multiple behavioral criteria. Psychological Review, 81(1), 59-74.

30.

Fishbein, M., & Ajzen, I. (1975). Belief. Attitude, Intention and Behavior: An Introduction to Theory and Research Reading, Boston: MA, Addison-Wesley.

31.

Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 219-239.

32.

Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48(1), 150-170.

33.

Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50(5), 992-1003.

34.

Fong, G. T., Cummings, K. M., Borland, R., Hastings, G., Hyland, A., Giovino, G. A., ..., & Thompson, M. E. (2006). The conceptual framework of the International Tobacco Control (ITC) policy evaluation project. Tobacco Control, 15(suppl 3), iii3-iii11.

35.

Freeman, M. A., Hennessy, E. V., & Marzullo, D. M. (2001). Defensive evaluation of antismoking messages among college-age smokers: The role of possible selves. Health Psychology, 20(6), 424-433.

36.

Glock, S., & Kneer, J. (2009). Game over? The impact of knowledge about violent digital games on the activation of aggression-related concepts. Journal of Media Psychology, 21(4), 151-160.

37.

Hammond, D., Fong, G. T., McDonald, P. W., Cameron, R., & Brown, K. S. (2003). Impact of the graphic Canadian warning labels on adult smoking behaviour. Tobacco Control, 12(4), 391-395.

38.

Hammond, D., Fong, G. T., McNeill, A., Borland, R., & Cummings, K. M. (2006). Effectiveness of cigarette warning labels in informing smokers about the risks of smoking: Findings from the International Tobacco Control (ITC) Four Country Survey. Tobacco Control, 15(suppl 3), iii19-iii25.

39.

Hammond, D., Fong, G. T., Borland, R., Cummings, K. M., McNeill, A., & Driezen, P. (2007). Text and graphic warnings on cigarette packages: Findings from the international tobacco control four country study. American Journal of Preventive Medicine, 32(3), 202-209.

40.

Hammond, D., Thrasher, J., Reid, J. L., Driezen, P., Boudreau, C., & Santillán, E. A. (2012). Perceived effectiveness of pictorial health warnings among Mexican youth and adults: A population-level intervention with potential to reduce tobacco-related inequities. Cancer Causes & Control, 23(1), 57-67.

41.

Hardeman, W., Johnston, M., Johnston, D., Bonetti, D., Wareham, N., & Kinmonth, A. L. (2002). Application of the theory of planned behaviour in behaviour change interventions: A systematic review. Psychology and Health, 17(2), 123-158.

42.

Harris, P. R., Mayle, K., Mabbott, L., & Napper, L. (2007). Self-affirmation reduces smokers’ defensiveness to graphic on-pack cigarette warning labels. Health Psychology, 26(4), 437-446.

43.

Hayes, A. F. (2013). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-based Approach. New York: Guilford Press.

44.

Holbrook, M. B., & Batra, R. (1987). Assessing the role of emotions as mediators of consumer responses to advertising. Journal of Consumer Research, 14(3), 404-420.

45.

Kees, J., Burton, S., Andrews, J. C., & Kozup, J. (2010). Understanding how graphic pictorial warnings work on cigarette packaging. Journal of Public Policy & Marketing, 29(2), 265-276.

46.

LaVoie, N. R., Quick, B. L., Riles, J. M., & Lambert, N. J. (2015). Are graphic cigarette warning labels an effective message strategy? A test of psychological reactance theory and source appraisal. Communication Research, 0093650215609669-.

47.

Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: NY, Springer publishing company.

48.

Lipkus, I., & Shepperd, J. (2009). College smokers' estimates of their probabilities of remaining a smoker in the near future. Journal of Health Psychology, 14(4), 547-555.

49.

McCrae, R. R., & Costa, P. T. (1986). Personality, coping, and coping effectiveness in an adult sample. Journal of Personality, 54(2), 385-404.

50.

Magnan, R. E., & Cameron, L. D. (2015). Do young adults perceive that cigarette graphic warnings provide new knowledge about the harms of smoking?. Annals of Behavioral Medicine, 49(4), 594-604.

51.

Monarrez-Espino, J., Liu, B., Greiner, F., Bremberg, S., & Galanti, R. (2014). Systematic review of the effect of pictorial warnings on cigarette packages in smoking behavior. American Journal of Public Health, 104(10), e11-e30.

52.

Matud, M. P. (2004). Gender differences in stress and coping styles. Personality and Individual Differences, 37(7), 1401-1415.

53.

Nestler, S., & Egloff, B. (2010). When scary messages backfire: Influence of dispositional cognitive avoidance on the effectiveness of threat communications. Journal of Research in Personality, 44(1), 137-141.

54.

Netemeyer, R. G., Burton, S., Andrews, J. C., & Kees, J. (2016). Graphic health warnings on cigarette packages: The role of emotions in affecting adolescent smoking consideration and secondhand smoke beliefs. Journal of Public Policy & Marketing, 35(1), 124-143.

55.

Noar, S. M., & Zimmerman, R. S. (2005). Health behavior theory and cumulative knowledge regarding health behaviors: Are we moving in the right direction?. Health Education Research, 20(3), 275-290.

56.

Noar, S. M., Hall, M. G., Francis, D. B., Ribisl, K. M., Pepper, J. K., & Brewer, N. T. (2016). Pictorial cigarette pack warnings: A meta-analysis of experimental studies. Tobacco Control, 25(3), 341-354.

57.

Nonnemaker, J., Farrelly, M., Kamyab, K., Busey, A., & Mann, N. (2010). Experimental Study of Graphic Cigarette Warning Labels. Rockville, MD: Center for Tobacco Products. Food and Drug Administration.

58.

Ptacek, J. T., Smith, R. E., & Dodge, K. L. (1994). Gender differences in coping with stress: When stressor and appraisals do not differ. Personality and Social Psychology Bulletin, 20(4), 421-430.

59.

Rogers, R.W. (1983). Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation. In J. Cacioppo & R. Petty (Eds.), Social Psychophysiology (pp. 153-176). New York, NY: Guilford Press.

60.

Rosenfield, S., & Mouzon, D. (2013). Gender and mental health. In Handbook of The Sociology of Mental Health (pp. 277-296). Springer Netherlands.

61.

Ruiter, R. A., Verplanken, B., De Cremer, D., & Kok, G. (2004). Danger and fear control in response to fear appeals: The role of need for cognition. Basic and Applied Social Psychology, 26(1), 13-24.

62.

Sabbane, L. I., Lowrey, T. M., & Chebat, J. C. (2009). The effectiveness of cigarette warning label threats on nonsmoking adolescents. Journal of Consumer Affairs, 43(2), 332-345.

63.

Schüz, N., & Ferguson, S. G. (2015). Australian smokers’ and nonsmokers’ exposure to antismoking warnings in day-to-day life: A pilot study. Nicotine & Tobacco Research, 17(7), 876-881.

64.

Skinner, E. A., Edge, K., Altman, J., & Sherwood, H. (2003). Searching for the structure of coping: A review and critique of category systems for classifying ways of coping. Psychological Bulletin, 129(2), 216-269.

65.

Strasser, A. A., Tang, K. Z., Romer, D., Jepson, C., & Cappella, J. N. (2012). Graphic warning labels in cigarette advertisements: Recall and viewing patterns. American Journal of Preventive Medicine, 43(1), 41-47.

66.

Süssenbach, P., Niemeier, S., & Glock, S. (2013). Effects of and attention to graphic warning labels on cigarette packages. Psychology & Health, 28(10), 1192-1206.

67.

Tamres, L. K., Janicki, D., & Helgeson, V. S. (2002). Sex differences in coping behavior: A meta-analytic review and an examination of relative coping. Personality and Social Psychology Review, 6(1), 2-30.

68.

Thompson, M. E., Fong, G. T., Hammond, D., Boudreau, C., Driezen, P., Hyland, A., . . . Mackintosh, A. M. (2006). Methods of the International Tobacco Control (ITC) Four-Country Survey. Tobacco Control, 15(suppl 3), iii12-iii18.

69.

Vardavas, C. I., Connolly, G., Karamanolis, K., & Kafatos, A. (2009). Adolescents perceived effectiveness of the proposed European graphic tobacco warning labels. European Journal of Public Health, 19(2), 212-217.

70.

Varescon, I., Leignel, S., Poulain, X., & Gerard, C. (2011). Coping strategies and perceived stress in pregnant smokers seeking help for cessation. Journal of Smoking Cessation, 6(02), 126-132.

71.

van't Riet, J., & Ruiter, R. A. C. (2013). Defensive reactions to health-promoting information: An overview and implications for future research. Health Psychology Review, 7(S1), S104-S136.

72.

Washburn-Ormachea, J. M., Hillman, S. B., & Sawilowsky, S. S. (2004). Gender and gender-role orientation differences on adolescents' coping with peer stressors. Journal of Youth and Adolescence, 33(1), 31-40.

73.

White, V., Webster, B., & Wakefield, M. (2008). Do graphic health warning labels have an impact on adolescents’ smoking related beliefs and behaviours?. Addiction, 103(9), 1562-1571.

74.

Willemsen, M. C. (2005). The new EU cigarette health warnings benefit smokers who want to quit the habit: Results from the Dutch Continuous Survey of Smoking Habits. The European Journal of Public Health, 15(4), 389-392.

75.

Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communications Monographs, 59(4), 329-349.

76.

Witte, K., & Morrison, K. (2000). Examining the influence of trait anxiety/repression-sensitization on individuals' reactions to fear appeals. Western Journal of Communication, 64(1), 1-27.

77.

Zwicker, A., & DeLongis, A. (2010). Gender, stress, and coping. In Handbook of Gender Research in Psychology (pp. 495-515). Springer New York.

logo