View in EDS HTML Full Text PDF Full Text

Optimizing Little Cigar and Cigarillo Warnings for Youth: The Perceived Effectiveness of Pictorial Warning Image Characteristics.

Saved in:
Bibliographic Details
Title: Optimizing Little Cigar and Cigarillo Warnings for Youth: The Perceived Effectiveness of Pictorial Warning Image Characteristics.
Authors: Cornacchione Ross, Jennifer (AUTHOR), Jarman, Kristen L. (AUTHOR), Kowitt, Sarah D. (AUTHOR), Clark, Sonia A. (AUTHOR), Jebai, Rime (AUTHOR), Goldstein, Adam O. (AUTHOR), Thrasher, James F. (AUTHOR), Jenson, Desmond (AUTHOR), Ranney, Leah M. (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 10, p1702-1709. 8p.
Subjects: Labels, Smoking cessation, Cross-sectional method, Repeated measures design, Graphic arts, Research funding, Consumer attitudes, Statistical sampling, Descriptive statistics, Surveys, Tobacco products, Data analysis software, Confidence intervals
Geographic Terms: United States
Abstract: Background: Pictorial warnings are superior to text-only warnings for cigarettes. However, little research has examined the impact of cigar warnings among youth, including image characteristics that may increase their effectiveness. Methods: We conducted an online within-subjects experiment September-October 2022 among N = 680 youth ages 15–20 who reported little filtered cigar or cigarillo (LCC) use or susceptibility to LCCs. Participants evaluated six FDA-proposed warning statements with one of six randomly assigned images selected from an earlier study phase. We double-coded warning images based on presence/absence of image features, including wound depiction; internal organ depiction; smoking cues; and symbolic/metaphoric representations; and assessed level of graphicness. Outcomes were perceived message effectiveness (PME), negative affect, and believability for each warning. We used linear mixed models to assess associations between image characteristics and outcomes, controlling for participant characteristics and warning statements. Results: About half of the sample identified as a woman/girl (56.2%) and White (56.3%). Warning images with a wound or an internal organ (vs. not) resulted in higher PME, negative affect, and believability (ps < 0.05). Warning images that were "very" or "moderately" graphic versus "not" graphic elicited higher negative affect ratings but lower believability ratings (ps < 0.05); with no significant difference for PME. Symbolic representations (vs. not) and smoking cues (vs. not) resulted in lower PME and negative affect (ps < 0.05). Conclusions: LCC warnings with images depicting internal organs or wounds of the health effects may enhance the effectiveness of warnings, which could hold promise for deterring LCC use among youth. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 194999443
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Optimizing Little Cigar and Cigarillo Warnings for Youth: The Perceived Effectiveness of Pictorial Warning Image Characteristics.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cornacchione+Ross%2C+Jennifer%22&quot;&gt;Cornacchione Ross, Jennifer&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jarman%2C+Kristen+L%2E%22&quot;&gt;Jarman, Kristen L.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kowitt%2C+Sarah+D%2E%22&quot;&gt;Kowitt, Sarah D.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Clark%2C+Sonia+A%2E%22&quot;&gt;Clark, Sonia A.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jebai%2C+Rime%22&quot;&gt;Jebai, Rime&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Goldstein%2C+Adam+O%2E%22&quot;&gt;Goldstein, Adam O.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Thrasher%2C+James+F%2E%22&quot;&gt;Thrasher, James F.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jenson%2C+Desmond%22&quot;&gt;Jenson, Desmond&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ranney%2C+Leah+M%2E%22&quot;&gt;Ranney, Leah M.&lt;/searchLink&gt; (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Substance+Use+%26+Misuse%22&quot;&gt;Substance Use &amp; Misuse&lt;/searchLink&gt;. 2026, Vol. 61 Issue 10, p1702-1709. 8p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Labels%22&quot;&gt;Labels&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Smoking+cessation%22&quot;&gt;Smoking cessation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cross-sectional+method%22&quot;&gt;Cross-sectional method&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Repeated+measures+design%22&quot;&gt;Repeated measures design&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Graphic+arts%22&quot;&gt;Graphic arts&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+funding%22&quot;&gt;Research funding&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Consumer+attitudes%22&quot;&gt;Consumer attitudes&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Statistical+sampling%22&quot;&gt;Statistical sampling&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Descriptive+statistics%22&quot;&gt;Descriptive statistics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Surveys%22&quot;&gt;Surveys&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Tobacco+products%22&quot;&gt;Tobacco products&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Data+analysis+software%22&quot;&gt;Data analysis software&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Confidence+intervals%22&quot;&gt;Confidence intervals&lt;/searchLink&gt;
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22United+States%22&quot;&gt;United States&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Pictorial warnings are superior to text-only warnings for cigarettes. However, little research has examined the impact of cigar warnings among youth, including image characteristics that may increase their effectiveness. Methods: We conducted an online within-subjects experiment September-October 2022 among N = 680 youth ages 15–20 who reported little filtered cigar or cigarillo (LCC) use or susceptibility to LCCs. Participants evaluated six FDA-proposed warning statements with one of six randomly assigned images selected from an earlier study phase. We double-coded warning images based on presence/absence of image features, including wound depiction; internal organ depiction; smoking cues; and symbolic/metaphoric representations; and assessed level of graphicness. Outcomes were perceived message effectiveness (PME), negative affect, and believability for each warning. We used linear mixed models to assess associations between image characteristics and outcomes, controlling for participant characteristics and warning statements. Results: About half of the sample identified as a woman/girl (56.2%) and White (56.3%). Warning images with a wound or an internal organ (vs. not) resulted in higher PME, negative affect, and believability (ps &lt; 0.05). Warning images that were &quot;very&quot; or &quot;moderately&quot; graphic versus &quot;not&quot; graphic elicited higher negative affect ratings but lower believability ratings (ps &lt; 0.05); with no significant difference for PME. Symbolic representations (vs. not) and smoking cues (vs. not) resulted in lower PME and negative affect (ps &lt; 0.05). Conclusions: LCC warnings with images depicting internal organs or wounds of the health effects may enhance the effectiveness of warnings, which could hold promise for deterring LCC use among youth. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Substance Use &amp; Misuse is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194999443
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2026.2619022
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1702
    Subjects:
      – SubjectFull: Labels
        Type: general
      – SubjectFull: Smoking cessation
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Repeated measures design
        Type: general
      – SubjectFull: Graphic arts
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Consumer attitudes
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Tobacco products
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Optimizing Little Cigar and Cigarillo Warnings for Youth: The Perceived Effectiveness of Pictorial Warning Image Characteristics.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Cornacchione Ross, Jennifer
      – PersonEntity:
          Name:
            NameFull: Jarman, Kristen L.
      – PersonEntity:
          Name:
            NameFull: Kowitt, Sarah D.
      – PersonEntity:
          Name:
            NameFull: Clark, Sonia A.
      – PersonEntity:
          Name:
            NameFull: Jebai, Rime
      – PersonEntity:
          Name:
            NameFull: Goldstein, Adam O.
      – PersonEntity:
          Name:
            NameFull: Thrasher, James F.
      – PersonEntity:
          Name:
            NameFull: Jenson, Desmond
      – PersonEntity:
          Name:
            NameFull: Ranney, Leah M.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 15
              M: 08
              Text: 2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 10826084
          Numbering:
            – Type: volume
              Value: 61
            – Type: issue
              Value: 10
          Titles:
            – TitleFull: Substance Use & Misuse
              Type: main
ResultId 1