Enyioha Chineme, Clark Sonia A, Jarman Kristen L, Philips Remi, Kleber Selena, Thrasher James F, Goldstein Adam O
Department of Family Medicine, University of North Carolina at Chapel Hill, 590 Manning Drive, Chapel Hill, NC, 27599, USA.
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
BMC Public Health. 2024 Dec 19;24(1):3535. doi: 10.1186/s12889-024-21097-1.
Communication campaigns for health warning labels (HWLs) are an evidence-based strategy to reduce tobacco use. No research has examined campaign messages to support graphic HWLs for little cigars and cigarillos (LCCs).
We developed four message types for graphic LCC HWLs: (1) Explanatory (2) Testimonial (3) Inquisitive and (4) Recommendation, depicting colon, lung, and esophageal cancer. Online focus groups with Black and White young adults (18-25 years old) who reported current LCC use were conducted. Participants were shown graphic HWLs on LCCs and then four message types corresponding to the HWLs. Participants discussed persuasive communication features for each message type.
Thirty-six young adults who use LCCs participated. Four central themes were revealed. (1) Perceived credibility of message and messenger impacted effectiveness. (2) Personally relevant messages were emotionally engaging and made people think about their health, (3) Succinct, factual messages with new information were perceived as believable, and (4) Language perceived to be "Marketing," was deemed insincere.
For communication campaigns to support graphic HWLs for LCCs, messages perceived as credible, relatable, and messages that convey new information are more likely to be received positively and may increase campaign effectiveness.
健康警示标签宣传活动是一种基于证据的减少烟草使用的策略。尚无研究考察支持小雪茄和小烟（LCC）图形健康警示标签的宣传信息。
我们为LCC图形健康警示标签开发了四种信息类型：（1）解释性（2）推荐性（3）探究性（4）建议性，描绘结肠癌、肺癌和食管癌。对报告当前使用LCC的黑人和白人青年（18 - 25岁）进行了在线焦点小组访谈。向参与者展示LCC上的图形健康警示标签，然后展示与这些警示标签对应的四种信息类型。参与者讨论了每种信息类型的说服性沟通特征。
36名使用LCC的年轻人参与了研究。揭示了四个核心主题。（1）信息和传达者的可信度影响效果。（2）与个人相关的信息在情感上具有吸引力，会让人思考自身健康，（3）简洁且包含新信息的事实性信息被认为可信，（4）被认为是“营销”性质的语言被视为不真诚。
对于支持LCC图形健康警示标签的宣传活动，被认为可信、相关且能传达新信息的信息更有可能被积极接受，并可能提高宣传活动的效果。
