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The influence of threat perception and psychological reactance to cigarette warning labels on intention to quit smoking among smoking adolescents -with focus on industrial specialized high school students

특성화 고등학교 흡연 청소년의 담뱃갑 경고그림 위협인식, 심리적 저항이 금연의도에 미치는 영향

  • Received : 2021.05.20
  • Accepted : 2021.08.18
  • Published : 2021.08.31

Abstract

Purpose: The aim of this study was to investigate the influence of threat perception and psychological reactance to graphic health warnings on cigarette packages on intention to quit smoking among smoking adolescents. Methods: The participants were 185 smoking adolescents attending two industrial specialized high schools, who had witnessed graphic health warnings on cigarette packages within the previous 30 days. Collected data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN Ver. 25.0. Results: The results showed that participant threat perception (𝛽=.14, p=.037) after witnessing a cigarette warning message had a positive influence on intention to quit smoking. On the other hand, psychological reactance (𝛽=-.23, p=.001) showed a negative influence on intention to quit smoking. Conclusion: When designing and developing a message for smoking adolescents, customized messages are required to reflect teenagers' characteristics and raise threat perception and lower psychological reactance. In addition, we propose a future study be conducted to determine the influences of various psychological determinants, including self-efficacy and skills, on threat perception and psychological reactance to graphic health warnings on cigarette packages among smoking adolescents.

Keywords

References

  1. Bugoon, M., Alvaro, E. M., Broneck, K., Miller, C., Grandpre, J. R., & Hall, J. R. (2002). Using interactive media tools to test substance abuse prevention messages. Mass media and drug prevention. Classic and contemporary theories and research, 67-87.
  2. Brehm, S. S., & Brehm, J. W. (2013). Psychological reactance: A theory of freedom and control. London: Academic Press.
  3. Cohen, E., Shumate, M. D., & Gold, A. (2007). Anti-smoking media campaign message: Theory and practice. Health Communication, 22, 91-102. https://doi.org/10.1080/10410230701453884
  4. Choi, S. H., Kim, Y. J., & Oh, K. W. (2016). Tobacco control policy and smoking trends in Korea. Weekly Health and Disease, 10(21), 530-533.
  5. Choi, Y. A., & Kim, H. H. (2011). The mediating effects of self-control on the relationship between adolescent's psychological reactance and school adjustment. Korean Journal of Youth Studies, 18(9), 285-308.
  6. Choi, Y., Chun S., & Park, J. W. (2018). Moderated mediation effects of negative affects and self-efficacy on pictorial cigarette warning evaluations and quit intentions: Focus on comparison of guilt, fear, and disgust. Korean Journal of Journalism & Communication Studies, 62(1), 199-232. https://doi.org/10.20879/kjjcs.2018.62.1.007
  7. Ha, J. H., Kim, M. K. (2018). The effect of felt emotions from graphic cigarette warning labels on smoker's quitting intention. Journal of Public Relations, 22(2), 101-124. https://doi.org/10.15814/jpr.2018.22.2.101
  8. Hammond, D. (2011). Health warning messages on tobacco products: a review. Tobacco Control, 20(5), 327-337. http://dx.doi.org/10.1136/tc.2010.037630
  9. Hur, T. K., Han, M., & Kim, Y. S. (2004). Gender differences of risk-taking decisions in sexual behaviors: Condom use and theory of planned behavior. The Korean Journal of Woman Psychology, 9(3), 69-87.
  10. Hong, S. M., Kim, S. J., & Lee, M. Y. (1994). Validation of hong's psychological reactance scale and its relationship with some personality construct in the context of Korean culture. Korean Journal of Psychology, 13(1), 153-166.
  11. Hong, S. M., & Page, S. (1989). A psychological reactance scale: Development, factor structure and reliability. Psychological Reports, 64(3_suppl), 1323-1326. https://doi.org/10.2466/pr0.1989.64.3c.1323
  12. Hyun, J. H. (2008). Factors Affecting of Smoking Cessation Intention by Smoking Adolescents. Unpublished master's thesis, Seoul National University, Seoul.
  13. Hwang, J. E., & Cho, S. I. (2018). The impact of graphic health warning labels on cigarette packs on smoking attitude among Korean adolescents. Korea Public Health Research, 44(3), 1-15. https://doi.org/10.22900/kphr.2018.44.3.001
  14. Kim, B. R., & Kwon, Y. J. (2019). The effect cigarette warning picture on youth smoking behavior. Korea Association for Public Management, 33(1), 129-153.
  15. Kim, H. O., & Jeon, M. S. (2007). The relationship between smoking, drinking and the mental health in adolescents. Journal of Korean Public Health Nursing, 21(2), 217-229.
  16. Kim, H. S. (2015). Effect on the public service advertising campaign with the rebellious personality and message framing(focused the psychological reactance theory and prospect theory). Journal of Public Relations, 19(1), 85-121. https://doi.org/10.15814/jpr.2015.19.1.85
  17. Kim, H. S., & Lee, H. O. (2012). A study on psychological reactance in adolescent anti-smoking public service advertising campaign. The Korean Journal of Advertising and Public Relations, 14(3), 5-32.
  18. Kim, J. Y., & Lee, K. Y. (2010). The influence of adolescent's drinking and smoking on school violence: Moderating effect of parent-child interaction. Journal of Youth Welfare, 12(2), 53-74.
  19. Korea Center Disease Control. (2018, December). 14th The Korea Youth Risk Behavior Web-based Survey (Issue Brief No. 2005-2456). Chungcheongbukdo: Author.
  20. Korea Health Promotion Institute. (2017, December). Tobacco Control Issue Report(Issue Brief No. 2508-8742). Seoul: Author.
  21. Netemeyer, R., Burton, S., Andrews J. C., & Kees, J. (2016). Graphic health warnings on cigarette packages: The role of emotions in affecting adolescent smoking consideration and secondhand smoke beliefs. Journal of Public Policy & Marketing, 35(1), 124-143. https://doi.org/10.1509/jppm.15.008
  22. Organization for Economic Cooperation and Development. (2018, February). Health at a Glance 2017(Issue Brief No. 19991312). Paris: Author.
  23. Park, N., Jeong, J. Y., Moon, J., Jeong, J. H., & Park, A. H. (2018). Effects of pictorial cigarette pack warnings on smokers and nonsmoker's perceptions of treat appeal and willingness to quit smoking. Journal of Communication Research, 55(4), 252-291. https://doi.org/10.22174/jcr.2018.55.4.252
  24. Popova, L., Owusu, D., Jenson, D., & Neilands, T. B. (2017). Factual text and emotional pictures: Overcoming a false dichotomy of cigarette warning labels. Tobacco Control 2018, 27(3), 250-253. http://dx.doi.org/10.1136/tobaccocontrol-2016-053563
  25. Schuz, N., Ferguson, S. G. (2015). Australian smokers' and nonsmokers' exposure to antismoking warnings in day-to-day life: A pilot study. Nicotine & Tobacco Research, 17(7), 876-881. https://doi.org/10.1093/ntr/ntu253
  26. U. S. Department of Health and Human Services, Office of the Surgeon General. (2012). Preventing tobacco use among youth and young adults: a report of the Surgeon General. Atlanta: US Department of Health and Human Services, CDC.
  27. Witte, K. (1996). Predicting risk behaviors: development and validation of a diagnostic scale. Journal of health communication, 1(4), 317-342. https://doi.org/10.1080/108107396127988
  28. Yang, Y. S. (2017). The effects of expression of disgust used in cigarette graphic health warnings on smoking craving and disgust. Unpublished doctoral dissertation, Catholic University, Seoul.
  29. Yeom, K. H. (2017). Sales are up again... 'cigarette warning picture' with no effects of anti-smoking. Retrieved May 2, 2021, from https://imnews.imbc.com/replay/2017/nwtoday/article/4305620_31369.html
  30. Yoon, K. B. (2016). Psychological reactance on anti-smoking campaigns by message types: Focus on moderating effects of health locus of control. Unpublished master's thesis, Sungkyunkwan University, Seoul.