Abstract

IntroductionAntismoking television advertisements that depict the graphic health harms of smoking are increasingly considered best practices, as exemplified by the Centers for Disease Control and Prevention’s current national campaign. Evaluation of responses to these widely used advertisements is important to determine advertisements that are most effective and their mechanisms of action. Our study tested the hypothesis that advertisements rated highest in fear- and disgust-eliciting imagery would be rated as the most effective.MethodsOur laboratory study included 144 women and men aged 18 to 33; 84% were current nonsmokers. All participants viewed 6 antismoking television advertisements that depicted the health harms of smoking; they rated their responses of fear and disgust and the effectiveness of the advertisements. We used multilevel modeling to test the effects of the following in predicting effectiveness: fear, disgust, the fear–disgust interaction, the advertisement, and the participant’s sex and smoking status. Follow-up analyses examined differences in ratings of fear, disgust, and effectiveness.ResultsAdvertisement, fear, disgust, and the fear–disgust interaction were each significant predictors of effectiveness. Smoking status and sex were not significant predictors. The 3 advertisements that elicited the highest ratings of fear and disgust were rated the most effective.ConclusionOur findings support the hypothesis that antismoking advertisements of health harms that elicit the greatest responses of fear or disgust are the most effective. When advertisements elicit high ratings of both fear and disgust, advertisements with graphic imagery are effective, whereas advertisements without graphic imagery are not.

Highlights

  • Antismoking television advertisements that depict the graphic health harms of smoking are increasingly considered best practices, as exemplified by the Centers for Disease Control and Prevention’s current national campaign

  • Our findings support the hypothesis that antismoking advertisements of health harms that elicit the greatest responses of fear or disgust are the most effective

  • Advertisements that graphically depict the health harms of smoking are increasingly considered best practices, as exemplified by the recent antismoking campaign launched by the Centers for Disease Control and Prevention (CDC) [7]

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Summary

Introduction

Antismoking television advertisements that depict the graphic health harms of smoking are increasingly considered best practices, as exemplified by the Centers for Disease Control and Prevention’s current national campaign. Advertisements that graphically depict the health harms of smoking are increasingly considered best practices, as exemplified by the recent antismoking campaign launched by the Centers for Disease Control and Prevention (CDC) [7]. Researchers have theorized that the mechanism of action of graphic antismoking advertisements is the elicitation of negative emotional responses, which leads to greater awareness and greater impact, as measured directly by smoking-related behaviors and more often indirectly through recall of advertisements and perceived effectiveness ratings [8,9,10,11,12,13]. Evaluation of viewers’ emotional and cognitive–intellectual appraisal of graphic advertisements of health harms are needed to further test mechanisms of action and understand advertisements that are most effective for use in state and national campaigns

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