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The emotional impact of the text of cigarette package health warning on older school age and adolescent children


Authors: M. Světlák 1,2,4;  R. Hodoval 1;  A. Damborská 1,3;  M. Pilát 4;  R. Roman 1,3;  M. Černík 1;  R. Obereignerů 5;  P. Bob 1,2,3
Authors place of work: Lékařská fakulta, Fyziologický ústav, Masarykova univerzita, Brnopřednostka prof. MUDr. N. Honzíková, CSc. 1;  Psychiatrická klinika, 1. lékařská fakulta, Univerzita Karlova, Prahapřednosta prof. MUDr. J. Raboch, DrSc. 2;  Středoevropský technologický institut (CEITEC), Masarykova univerzita, Brnokoordinátor projektu prof. MUDr. M. Brázdil, Ph. D. 3;  Ambulance dětské psychiatrie a klinické psychologie, Dětská nemocnice, FN Brnovedoucí oddělení MUDr. K. Janhuba 4;  Katedra psychologie, Filozofická fakulta, Univerzita Palackého, Olomoucvedoucí PhDr. M. Šucha, Ph. D. 5
Published in the journal: Čes-slov Pediat 2013; 68 (2): 78-91.
Category: Original Papers

Summary

Background:
The cigarette text warnings are considered as one of the most effective ways to convey information on the health consequences of smoking. The aim of our study was to assess the emotional impact of cigarette text warnings used in the Czech Republic on a sample of basic schoolchildren.

Method:
The children’s emotional response to the warnings was assessed by means of the Self-Assessment Manikin Method (SAM). The nine-point pen and paper version of SAM was used. The research sample consisted of 328 basic schoolchildren (182 boys, mean age 13.02±1.46 and 146 girls; mean age 12.95±1.48; 58 current smokers were identified). Each child completed a questionnaire where all the sentences with the SAM were presented (24 text warnings and 24 neutral sentences).

Results:
The majority of children assessed the warning texts as very unpleasant (valence for all warning texts 2.58±1.53) and above-average exciting (arousal 5.52±1.87). Smokers in comparison with non-smokers assessed the warning texts as less unpleasant (smokers 3.40±1.84; non-smokers 2.88±1.44; p<0.02) but equally arousing. A significant association was found between arousal and valence (smokers r=-0.50; non-smokers r=-0.34; p<0.01) and in smokers between arousal and level of nicotine dependence (r=0.31; p<0.02). Girls in comparison with boys assessed the warning texts as significantly more unpleasant (p<0.01). No gender differences were found in arousal levels.

Summary:
Our results showed that the existing text warnings are assessed by children and adolescents as arousing and very unpleasant; thus they could greatly support both the primary and secondary preventions of smoking. However, to intensify avoidance of smoking, the future text warnings should generate a more negative valence and arousal.

Key words:
basic schoolchildren, cigarette package health warning, smoking, valence, arousal


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Štítky
Neonatology Paediatrics General practitioner for children and adolescents

Článok vyšiel v časopise

Czech-Slovak Pediatrics

Číslo 2

2013 Číslo 2
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