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Considerations and Future Research Directions for E-Cigarette Warnings—Findings from Expert Interviews

Author

Listed:
  • Olivia A. Wackowski

    (Center for Tobacco Studies, Rutgers School of Public Health, Piscataway, NJ 08854, USA)

  • David Hammond

    (School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Richard J. O’Connor

    (Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA)

  • Andrew A. Strasser

    (Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA)

  • Cristine D. Delnevo

    (Center for Tobacco Studies, Rutgers School of Public Health, Piscataway, NJ 08854, USA)

Abstract

Tobacco warning labels are important sources of risk information but research historically has been cigarette-centric. This qualitative study aimed to inform future direction and research on warnings for e-cigarettes. Between June and August 2016, we conducted interviews with 10 researchers with expertise in tobacco warning label research. Interviewees were registrants of a 2016 National Cancer Institute grantee meeting on tobacco warnings. Several participants agreed that the Food and Drug Administration’s new nicotine addiction warning for e-cigarettes could be informative but that it might not resonate with young people. Many agreed that more than one warning would be important as e-cigarette science evolves and that research on additional warning themes (e.g., nicotine exposure, harmful constituents) and execution styles (including use of pictorials) was important. Participants were somewhat mixed about the use of reduced-risk messages within e-cigarette warnings, but agreed that research on how to communicate about cigarette/e-cigarette relative risks was needed. Overall, more research is needed on tobacco warnings for non-cigarette products, including on the message content, placement, execution and potential impact on audiences’ product knowledge, risk perceptions and use intentions. This is particularly needed for products such as e-cigarettes which may have harm-reduction potential relative to cigarettes and require unique considerations.

Suggested Citation

  • Olivia A. Wackowski & David Hammond & Richard J. O’Connor & Andrew A. Strasser & Cristine D. Delnevo, 2017. "Considerations and Future Research Directions for E-Cigarette Warnings—Findings from Expert Interviews," IJERPH, MDPI, vol. 14(7), pages 1-10, July.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:7:p:781-:d:104763
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    References listed on IDEAS

    as
    1. Jinsong Chen & Chris Bullen & Kim Dirks, 2017. "A Comparative Health Risk Assessment of Electronic Cigarettes and Conventional Cigarettes," IJERPH, MDPI, vol. 14(4), pages 1-10, April.
    2. Ce Shang & Frank J. Chaloupka, 2017. "The Trend of Voluntary Warnings in Electronic Nicotine Delivery System Magazine Advertisements," IJERPH, MDPI, vol. 14(1), pages 1-12, January.
    3. Noar, Seth M. & Francis, Diane B. & Bridges, Christy & Sontag, Jennah M. & Ribisl, Kurt M. & Brewer, Noel T., 2016. "The impact of strengthening cigarette pack warnings: Systematic review of longitudinal observational studies," Social Science & Medicine, Elsevier, vol. 164(C), pages 118-129.
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    Cited by:

    1. Olivia A. Wackowski & Jennah M. Sontag & David Hammond & Richard J. O’Connor & Pamela A. Ohman-Strickland & Andrew A. Strasser & Andrea C. Villanti & Cristine D. Delnevo, 2019. "The Impact of E-Cigarette Warnings, Warning Themes and Inclusion of Relative Harm Statements on Young Adults’ E-Cigarette Perceptions and Use Intentions," IJERPH, MDPI, vol. 16(2), pages 1-14, January.
    2. Jennifer R. Mendel & Marissa G. Hall & Sabeeh A. Baig & Michelle Jeong & Noel T. Brewer, 2018. "Placing Health Warnings on E-Cigarettes: A Standardized Protocol," IJERPH, MDPI, vol. 15(8), pages 1-14, July.
    3. Ce Shang & Scott R. Weaver & Nahleen Zahra & Jidong Huang & Kai-Wen Cheng & Frank J. Chaloupka, 2018. "The Association between Potential Exposure to Magazine Ads with Voluntary Health Warnings and the Perceived Harmfulness of Electronic Nicotine Delivery Systems (ENDS)," IJERPH, MDPI, vol. 15(4), pages 1-12, March.

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