How do tobacco power walls influence adolescents? A study of mediating mechanisms.

Setodji, Claude Messan; Martino, Steven C.; Gong, Min; Dunbar, Michael Stephen; Kusuke, Daniela; Sicker, Angela; Shadel, William G.

doi:10.1037/hea0000558

Cited by 19 publications

(15 citation statements)

References 30 publications

(49 reference statements)

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“…The current study advances our understanding of how exposure to the tobacco power wall—in its current, minimally-regulated form—may affect adolescents’ susceptibility to smoke in the future. Although prior studies had demonstrated a causal association between exposure to the tobacco power wall and adolescents’ risk for smoking (Shadel et al, 2016) and established perceived smoking norms as mediator of that association (Setodji et al, 2018), it was unclear until now whether those associations depend on youth paying a minimum amount of attention to the power wall or if the mere presence of the power wall is sufficient for it to impact susceptibility. That attention to the tobacco power wall was positively associated with susceptibility to future smoking susceptibility in this study suggests that policies aimed at decreasing the salience of power walls in retail outlets, e.g., locating the power wall elsewhere in the POS environment or reducing the size or volume of displayed products, should be given strong consideration as strategies for mitigating the impact of in-store displays on adolescent smoking.…”

Section: Discussionmentioning

confidence: 99%

“…Exposure to POS tobacco displays is known to be associated with both adolescent smoking and susceptibility to future smoking (Paynter & Edwards, 2009; Robertson, McGee, Marsh, & Hoek, 2015; Shadel, Martino, Setodji, Scharf, Kusuke, Sicker, & Gong, 2016). Studies that have attempted to identify the mechanisms by which exposure to POS tobacco displays might affect young people’s susceptibility for use have focused on perceptions of the attractiveness of cigarette packs, smoking-related norms, and the perceived accessibility of cigarettes (McNeill et al, 2011; Setodji, Martino, Gong, Dunbar, Kusuke, Sicker, & Shadel, 2018; Wakefield, Germain, Durkin, & Henriksen, 2006), all factors that are known to increase the likelihood of smoking (Doubeni, Li, Fouayzi, & DiFranza, 2008; Germain, Wakefield, & Durkin, 2010; Olds, Thombs, & Tomasek, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Increased attention to the tobacco power wall predicts increased smoking risk among adolescents

Martino

Setodji

Dunbar

et al. 2019

Addictive Behaviors

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The purpose of this correlational study was to evaluate the association between attention paid by adolescents to the tobacco power wall and their susceptibility to future smoking. The study was conducted in the RAND Store Lab (RSL), a life-sized replica of a convenience store designed to investigate how tobacco advertising displays in retail point-of-sale environments relate to tobacco use risk and behaviors. In this study, middle and high school students (N = 80) shopped in the RSL while their attention to the tobacco power wall was measured covertly. Before and after shopping in the RSL, participants completed a measure of susceptibility to smoking in the future. Controlling for baseline cigarette smoking susceptibility and other potential confounders, attention toward the tobacco power wall was found to be significantly associated with future smoking susceptibility, p = .046. This finding suggests that policies aimed at decreasing the prominence of power walls in retail outlets should be given careful consideration as ways to reduce the impact of point-of-sale tobacco advertising and promotion on youth smoking susceptibility.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Increased attention to the tobacco power wall predicts increased smoking risk among adolescents

Martino

Setodji

Dunbar

et al. 2019

Addictive Behaviors

Self Cite

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“…Another limitation of this investigation is that the calculation for SAV did not incorporate product displays, which have been shown to influence adolescent smoking. 50 Similarly, the calculation was restricted to the SAV among tobacco products rather than the SAV among all products. It is also important to remember that the sample was limited to at-risk adolescents in southern California who were predominantly Hispanic (75.6%).…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Share of Advertising Voice at the Point-of-Sale and Its Influence on At-Risk Students’ Use of Alternative Tobacco Products

Beleva

Pike

Miller

et al. 2018

Nicotine &Amp; Tobacco Research

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“…Naturalistic settings-such as bar laboratories-are frequently used in alcohol consumption research to mimic typical drinking environments [26]. Recently, artificial shopping laboratories have been used to study tobacco [27,28] and sugar-sweetened beverage purchasing behaviour, with HWLs reducing the likelihood of purchasing these drinks [29]. Such settings provide greater ecological validity than studies conducted online.…”

Section: Introductionmentioning

confidence: 99%

Health warning labels and alcohol selection: a randomised controlled experiment in a naturalistic shopping laboratory

Clarke¹,

Blackwell²,

De-loyde³

et al. 2020

Preprint

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Background and aims Health warning labels (HWLs) on tobacco products reduce smoking. There is an absence of evidence concerning the impact of alcohol HWLs on selection or purchasing in naturalistic settings. Using a commercial-standard naturalistic shopping laboratory, this study aimed to estimate the impact on selection of alcoholic drinks of HWLs describing adverse health consequences of excessive alcohol consumption.DesignA between-subjects randomised experiment with three groups: Group 1: image-and-text HWL; Group 2: text-only HWL; Group 3: no HWL.SettingA commercial-standard naturalistic shopping laboratory. Participants Adults (n=399) over the age of 18, who purchased beer or wine weekly to drink at home. InterventionsParticipants were randomised to one of three groups varying in the HWL displayed on the packaging of the alcoholic drinks: i. image-and-text HWL; ii. text-only HWL; iii. no HWL. Participants completed a shopping task, selecting items from a range of alcoholic and non-alcoholic drinks, and snacks. MeasurementThe primary outcome was the proportion of alcoholic drinks selected. Secondary outcomes included HWL ratings on negative emotional arousal and label acceptability.FindingsThere was no clear evidence of a difference in the HWL groups for the percentage of drinks selected that were alcoholic compared to no HWL (44%): image-and-text HWL: 46% (OR=1.08, 95%CI=0.82,1.42); text-only HWL: 41% (OR=0.87, 95%CI=0.67,1.14). Concordant with there being no difference between groups, there was extreme evidence in favour of the null hypothesis (Bayes factor [BF] < 0.01). Negative emotional arousal was higher (p< 0.001) and acceptability lower (p< 0.001) in the image-and-text HWL group, compared to the text-only HWL group. ConclusionsIn a naturalistic shopping laboratory, health warning labels describing the adverse health consequences of excessive alcohol consumption did not change selection behaviour.

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How do tobacco power walls influence adolescents? A study of mediating mechanisms.

Abstract: The tobacco power wall increases adolescents' smoking risk, and this effect is partly explained by the effect of the power wall on adolescents' perceptions of how normative smoking is. (PsycINFO Database Record

Cited by 19 publications

References 30 publications

Increased attention to the tobacco power wall predicts increased smoking risk among adolescents

Increased attention to the tobacco power wall predicts increased smoking risk among adolescents

Share of Advertising Voice at the Point-of-Sale and Its Influence on At-Risk Students’ Use of Alternative Tobacco Products

Health warning labels and alcohol selection: a randomised controlled experiment in a naturalistic shopping laboratory

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