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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Non-smoking adolescents' perceptions of dissuasive cigarettes
Author(s): van Mourik, Dirk Jan A
Nagelhout, Gera E
Poole, Nikita L
Willemsen, Marc C
Candel, Math J J M
Moodie, Crawford
van den Putte, Bas
Thrasher, James F
de Vries, Hein
Keywords: Dissuasive cigarette
Health warning
Non-smoking adolescents
Issue Date: Jun-2022
Date Deposited: 10-Jun-2022
Citation: van Mourik DJA, Nagelhout GE, Poole NL, Willemsen MC, Candel MJJM, Moodie C, van den Putte B, Thrasher JF & de Vries H (2022) Non-smoking adolescents' perceptions of dissuasive cigarettes. Addictive Behaviors Reports, 15, Art. No.: 100433.
Abstract: Introduction Dissuasive cigarettes, cigarettes with an unappealing colour or displaying a health warning label, may deter young people from smoking uptake. Methods Two online surveys were conducted with non-smokers aged 12–17 to explore perceptions of cigarette appeal, harm and product trial. Study 1 was a within-subject study which examined perceptions of four cigarettes with different coloured paper, and four cigarettes displaying a warning. Study 2 was a between-subject study (with limited power), in which respondents were randomized to one of four cigarettes: (1) regular cigarette; (2) least favourable warning from Study 1; (3) least favourable colour from Study 1; or (4) a combination of the least favourable warning and colour from Study 1. Warnings or colours were considered least favourable when they had lower scores on appeal, harm, and product trial. Results In Study 1, a cigarette featuring the warning ‘cancer, heart disease, stroke’ and a drab dark brown cigarette were rated lowest on appeal and trial intentions, and highest on perceived harm. In Study 2, there were no significant differences in perceptions of appeal, harm or trial intentions between the regular and dissuasive cigarettes. Conclusions Findings from our within-subject study suggest that a cigarette displaying the text ‘cancer, heart disease, stroke’ and a drab dark brown coloured cigarette are most dissuasive for Dutch non-smoking adolescents. Whether dissuasive cigarettes reduce appeal, reduce product trial, or increase perceptions of harm compared to a regular cigarette should be further examined in larger between-subject studies.
DOI Link: 10.1016/j.abrep.2022.100433
Rights: This is an open access article distributed under the terms of the Creative Commons CC-BY license (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. You are not required to obtain permission to reuse this article.
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