Can a health warning label diminish the persuasive effects of health-oriented nutrition advertising on ready-to-drink alcohol product packaging? A randomized experiment.

Journal: Addiction (Abingdon, England)

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Affiliated Institutions:  Public Health Ontario, Toronto, Canada. Department of Information and Communication, Université Laval, Québec, Canada. Centre NUTRISS-Nutrition, santé et société, Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, Québec, Canada. Centre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Australia. Canadian Centre for Substance Use and Addiction, Ottawa, Canada. Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. Public Health Institute, Faculty of Health, Liverpool John Moores University, Liverpool, UK.

Abstract summary 

A health warning label (HWL) cautioning about the link between alcohol and cancer may be able to communicate alcohol risks to consumers and potentially counter health-oriented nutrition advertising on ready-to-drink alcoholic beverages. This study aimed to examine the independent and combined effects of nutrient content claims (e.g. 0 g sugar) and a HWL on perceived product characteristics and intentions to consume, and whether these effects differed by gender and age.A between-subjects randomized experiment. Participants were randomized to view one of six experimental label conditions: nutrient content claims plus nutrition declaration (NCC + ND), ND only, NCC + ND + HWL, ND + HWL, HWL only and no NCC, ND or HWL, all on a ready-to-drink (RTD) vodka-based soda container.Alcohol consumers (n = 5063; 52% women) in Canada aged 18-64 recruited through a national online panel.Participants completed ratings of perceived product characteristics, perceived product health risks, and intentions to try, buy, binge and drink the product.Compared with the reference condition NCC + ND (current policy scenario in Canada), the other five experimental label conditions were associated with lower ratings for perceiving the product as healthy. All experimental conditions with a HWL were associated with lower product appeal, higher risk perceptions and reduced intentions to try, buy and binge. The experimental condition with a HWL only was associated with intentions to consume fewer cans in the next 7 days (β = -0.72, 95% confidence interval [CI] = -1.37,-0.08) versus the reference. Few interactions were observed, suggesting that label effects on outcomes were similar by gender and age.Health warning labels on alcohol packaging appear to be associated with lower product appeal, higher perceived health risks and reduced consumption intentions, even in the presence of nutrient content claims.

Authors & Co-authors:  Hobin Thielman Forbes Poon Bélanger-Gravel Demers-Potvin Haynes Li Niquette Paradis Provencher Smith Wells Atkinson Vanderlee

Study Outcome 

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Statistics
Citations :  Zhao J, Xu L, Sun J, Song M, Wang L, Yuan S, et al. Global trends in incidence, death, burden and risk factors of early‐onset cancer from 1990 to 2019. BMJ. 2023;2(1):e000049. https://doi.org/10.1136/bmjonc-2023-000049
Authors :  15
Identifiers
Doi : 10.1111/add.16475
SSN : 1360-0443
Study Population
Male,Female
Mesh Terms
Other Terms
RCT;alcohol;alcohol advertising;alcohol policy;cancer;health warning label
Study Design
Study Approach
Country of Study
Publication Country
England