Apelaciones al miedo en advertencias sanitarias para la prevención del tabaquismo: ¿una imagen vale más que mil palabras?¿una imagen vale más que mil palabras?

  1. Laura Rodríguez Contreras
  2. Juan José Igartua Perosanz
Journal:
Revista Española de Comunicación en Salud

ISSN: 1989-9882 2444-6513

Year of publication: 2018

Volume: 9

Issue: 2

Pages: 138-151

Type: Article

DOI: 10.20318/RECS.2018.4492 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Española de Comunicación en Salud

Abstract

The warning labels placed on the cigarette packs are one of the more used methods to reduce the smoking habit among its population. The present study will try to establish whether or not the new images that were incorporated on the cigarette packs in Spain in 2016 are efficient, comprehensible and if they are impacting enough to stop the smoking behavior. On the experiment three questionnai­res were realized, one with the original combined pack (image and text), another one only with the pack image and another one only with the warning text. A total of 94 subjects participated on the ex­periment, they were randomly assigned one of the three experimental conditions. The results showed that the warning labels with just text and the ones that combined text and image were understood better by the subjects that the ones that only showed the threatening image. Therefore, it can be assessed that the image alone reduced the overall comprehension of the message, even distorting its meaning. The mediational analysis showed that negative emotions didn’t interfere with the results. On the contrary, the comprehension of the message worked as a mediating variable of the impact that the sanitary advice caused on the subjects.

Bibliographic References

  • Asociación Española Contra el Cáncer. (2015). Tabaco: Datos de interés: aeec.es. Recuperado el 10 de septiembre de 2016 de https://www.aecc.es/SOBREELCANCER/PREVENCION/TABACO/Paginas/Datosdeinteres.aspx
  • Borland, R., Wilson, N., Fong, G. T., Hammond, D., Cumming, K. M., Yong, H. H.,... McNeill, A. (2009). Impact of graphic and text warnings on cigarette packs: findings from four countries over five years. Tobacco Control, 18(5), 358-364. doi: 10.1136/tc.2008.028043
  • Cantrell, J., Vallone, D. M., Thrasher J. F., Nagler, R. H., Feirman, S. R., Muenz, L. R.,... Viswanath, K. (2013). Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment. PLoS ONE, 8(1). doi: 10.1371/journal.pone.0052206
  • Crespo, A., Barrio, A., Cabestrero, R., y Hernández, Ó. (2007). Procesamiento cognitivo y valoración de las nuevas advertencias combinadas antitabaco propuestas por la Comisión Europea: estudio empírico en una muestra española. Clínica y Salud, 18(2), 163-177.
  • 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. PLoS ONE 10(12). doi: 10.1371/journal.pone.0142879
  • Fong, G. T., Hammond, D., & Hitchman, S. (2009). The impact of pictures on the effectiveness of tobacco warnings. Bulleting of the World Health Organ, 87, 640-643. doi: 10.2471/BLT.09069575
  • Hammond, D., Fong, G. T., McDonald, P. W., Brown, S., & Cameron, R. (2004). Graphic Canadian cigarette warning labels and adverse outcomes: evidence from Canadian smokers. American Journal of Public Health, 94(8), 1442-1445. doi: 10.2105/AJPH.94.8.1442
  • Hammond, D., Fong, G. T., McDonald, P. W., Cameron, R., & Brown, K. S. (2003). Impact of the graphic Canadian warning labels on adult smoking behavior. Tobacco Control, 12(4), 391-395.
  • Hayes, A. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York, NJ: The Guilford Press.
  • Hayes, A., & Preacher, K. (2014). Statistical mediation analysis with a multicategorical independent variable. The British Psychological Society, 67(3), 451-470. doi: 10.1111/bmsp.12028
  • Hegarty, M., Pederson, L. L, Nelson, D. E., Mowery, P., Gable, J. M., & Wortley, P. (2006). Reactions of young adult smokers to warning labels on cigarette packages. American Journal of Preventive Medicine, 30(6). 467-473. doi: 10.1016/j.amepre.2006.01.018
  • Igartua, J. J. (2006). Métodos cuantitativos de investigación en comunicación. Barcelona: Bosch.
  • Igartua, J. J. (2011). Tabaco y publicidad: la eficacia persuasiva de las apelaciones al miedo. En U. Cuesta, T. Menéndez, y A. Ugarte (coords.), Comunicación y salud. Nuevos escenarios y tendencias (pp. 167-194). Madrid: Editorial Complutense.
  • Igartua, J. J., y Humanes, M. (2004). Teoría e investigación en comunicación social. Madrid: Síntesis.
  • Jung, M. (2016). Implications of graphic cigarette warning labels on smoking behavior: an international perspective. Journal of Cancer Prevention, 21(1), 21-25. doi: 10.15430/JCP.2016.21.1.21
  • 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. Communication Research, 44(3), 416-436. doi: 10.1177/0093650215609669
  • Leshner, G., Vultee, F., Bolls, P. D., & Moore, J. (2010). When a fear appeal isn ́t just a fear appeal: The effects of graphic anti-tobacco messages. Journal of Broadcasting & Electronic Media, 54(3), 485-507. doi: 10.1080/08838151.2010.498850
  • Marín, D. (2003). Empaquetado de tabaco: información de consumo versus imagen de marca. Prevención del Tabaquismo, 5(2), 100-107.
  • McQueen, A., Waters, E. A., Kaphingst, K. A., Caburnay, C. A., Sanders , V. L., Boyum, S., & Kreuter, M. W. (2016). Examing interpretations of graphic cigarette warning labels among U. S. youth and adults. Journal of Health Communication, 21, 855-867. doi: 10.1080/10810730.2016.1177142
  • Mutti, S., Hammond, D., Reid, J. L., & Thrasher, J. F. (2013). The efficacy of cigarette warning labels on health beliefs in the United States and Mexico. Journal of Health Communication: International Perspectives, 18(10), 1180-1192. doi: 10.1080/10810730.2013.778368O
  • Rey, J.M., Lacave, B., Viedma del Jesús, M. I., y Gallopel-Morvan, K. (2010). Una imagen vale más que mil palabras: efectos de las advertencias sanitarias visuales en el descenso del consumo de tabaco: un estudio desde la perspectiva del marketing social. Cuadernos de Gestión, 10, 149-165. doi: 10.5295/cdg.100195jr
  • Sangalang, A. L. (2015). Using stories to communicate electronic cigarette risk to young adults: explicating similarity in narrative persuasion. (Tesis doctoral). Universidad del Sur de California, Estados Unidos, California.
  • Thrasher, J. F., Allen, B., Reynales-Shigematsu, L. M., Anaya, R., Lazcano-Ponce, E., y Hernández-Ávila, M. (2006). Análisis del impacto en fumadores mexicanos de los avisos gráficos en las cajetillas de cigarros. Salud Pública de México, 48(suplemento 1), S65-S73. doi: 10.1590/S0036-36342006000700008
  • Thrasher, J. F. Hammond, D., Fong, G. F., & Arillo-Santillán, E. (2007). Smokers ́ reactions to cigarette package warnings with graphic imagery and with only text: A comparison between Mexico and Canada. Salud Pública de México, 49(suplemento 2), 233-240. doi: 10.1590/S0036-3634200700008000013
  • Unión Europea. Directiva 2014/40/UE de 3 de abril de 2014 relativa a la aproximación de las disposiciones legales, reglamentarias y administrativas de los Estados miembros en materia de fabricación, presentación y venta de los productos del tabaco y los productos relacionados y por la que se deroga la Directiva 2001/37/CE. Diario oficial de la Unión Europea, 24 de abril de 2014.
  • Unión Europea. (2015). Advertencias sanitarias combinadas. Productos del tabaco para fumar. Recuperado el 20 de diciembre de 2016 de: https://ec.europa.eu/health/sites/health/files/tobacco/docs/healthwarnings_spain.pdf
  • Wang, A., Romer, D., Elman, I., Turetsky B. I., Gur, R. C., & Langleben, D. D. (2013). Emotional graphic cigarette warning labels reduce the electrophysiological brain response to smoking cues. Addiction Biology, 20(2), 368-376. doi: 10.1111/adb.12117
  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070. doi: 10.1037/0022-3514.54.6.1063
  • Witte, K., & Allen, M. (2000). A meta-analysis of fear appeals: implications for effective public health campings. Health Education & Behavior, 27(5), 591-615. doi: 10.1177/1090198100027005060