Informing drinkers: Can current UK alcohol labels be improved?

Blackwell, Anna; Drax, Katie; Attwood, Angela; Munafò, Marcus R.; Maynard, Olivia

doi:10.1016/j.drugalcdep.2018.07.032

Cited by 57 publications

(70 citation statements)

References 24 publications

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“…Targeted messaging for different groups is also supported by the importance of personal relevance which in our logistic regression had the highest adjusted odds ratio for all seven labels. Our analyses confirm that the determinants of a positive responses to health label are complex and that in some cases personal relevance (and believability) of the messages are more important predictors of the message effectiveness than individual differences (Blackwell et al, 2018;Pettigrew et al, 2016).…”

Section: Discussionsupporting

confidence: 63%

“…While our analysis of global drinkers support the use of cancer messages that are positively framed (drinking less reduces your risk), it is likely that there are differences across cultures. For example while an Australian study found that positive frames appeared to be more effective, a UK sample found negatively framed messages to be more effective (Blackwell et al, 2018). Future research should assess these potential regional differences.…”

Section: Discussionmentioning

confidence: 96%

“…Experimental studies have shown that negatively framed messages (e.g. 'alcohol increases your risks of cancer') appear to be more effective in changing drinking intentions (Blackwell, Drax, Attwood, Munafò, & Maynard, 2018), particularly for higher risk drinkers (Jarvis & Pettigrew, 2013). Hence, there is a need to further explore the potential impacts of different kinds of health warning labels in different groups of drinkers.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perceptions of Alcohol Health Warning Labels in a Large International Cross-Sectional Survey of People Who Drink Alcohol

Winstock

Holmes

Ferris

et al. 2019

Alcohol and Alcoholism

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Aims This paper aimed to explore perceptions of alcohol health warning labels amongst a large international sample of people who drink alcohol. Methods The Global Drug Survey (GDS) is the world’s largest annual cross sectional survey of drug use. Seven health warning labels were presented (relating to heart disease, liver, cancer, calories, violence, taking two days off and the myth of benefits to moderate drinking). People were asked if they were aware of the information, believed it, if it was personally relevant, and if it would change their drinking. This paper included data from 75,969 respondents from 29 countries/regions who reported the use of alcohol in the last 12 months, collected during November–December 2017 (GDS2018). Results The fact that drinking less can reduce the risk of seven types of cancer was the least well known, and yet was demonstrated to encourage almost 40% of drinkers to consider drinking less. Women and high risk drinkers were more likely to indicate they would reduce their drinking in response to all labels. Personal relevance was identified as a key predictor of individual responses. Conclusion Findings highlight the potential of a range of health messages displayed on alcoholic beverages to raise awareness of alcohol-related harms and potentially support a reduction in drinking. Further research should explore what influences personal relevance of messages as this may be a barrier to effectiveness.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perceptions of Alcohol Health Warning Labels in a Large International Cross-Sectional Survey of People Who Drink Alcohol

Winstock

Holmes

Ferris

et al. 2019

Alcohol and Alcoholism

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“…As shown in Figure 1, the alcohol labelling intervention consisted of three rotating labels: (1) a cancer warning including specific references to breast and colon cancers-two prevalent, often fatal cancers in Canada [48], (2) Canada's low-risk drinking guidelines, and (3) standard drink information (four separate labels were developed for wine, spirits, coolers, and beer). Consistent with previous studies examining effective product label design, the intervention labels were relatively large in size to make them easily noticed and read, were full colour with a bright yellow background and red border so that they stand out on the container, and had messages providing new information and were rotated to avoid wear out [41,47,[49][50][51][52][53][54][55]. A recent evaluation of the label intervention conducted by Hobin et al, on which the analyses of this paper are also based, found that participant knowledge of the link between alcohol and cancer was approximately 25% before the alcohol labelling intervention [56].…”

Section: Introductionmentioning

confidence: 87%

Improving Knowledge that Alcohol Can Cause Cancer is Associated with Consumer Support for Alcohol Policies: Findings from a Real-World Alcohol Labelling Study

Weerasinghe

Schoueri-Mychasiw

Vallance

et al. 2020

IJERPH

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Knowledge that alcohol can cause cancer is low in Canada. Alcohol labels are one strategy for communicating alcohol-related harms, including cancer. Extending existing research observing an association between knowledge of the alcohol–cancer link and support for alcohol policies, this study examined whether increases in individual-level knowledge that alcohol is a carcinogen following an alcohol labelling intervention are associated with support for alcohol polices. Cancer warning labels were applied to alcohol containers at the intervention site, and the comparison site did not apply cancer labels. Pre-post surveys were conducted among liquor store patrons at both sites before and two-and six-months after the intervention was stopped due to alcohol industry interference. Limiting the data to participants that completed surveys both before and two-months after the cancer label stopped, logistic regression was used to examine the association between increases in knowledge and support for policies. Support for pricing and availability policies was low overall; however, increases in individual-level knowledge of the alcohol-cancer link was associated with higher levels of support for pricing policies, specifically, setting a minimum unit price per standard drink of alcohol (OR = 1.86, 95% CI: 1.11–3.12). Improving knowledge that alcohol can cause cancer using labels may increase support for alcohol policies. International Registered Report Identifier (IRRID): RR2-10.2196/16320

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“…Incrementando el tamaño y usando un semáforo nutricional, las etiquetas del volumen de alcohol serían capaces de atraer mayores niveles de atención. Investigaciones previas apoyan estos resultados (Blackwell et al, 2018;Farke, 2011;Graham et al, 2012;Kersbergen y Field, 2017). En España, como en la mayoría de los países europeos, las bebidas alcohólicas no están obligadas a incluir advertencias sanitarias acerca de los riesgos del consumo de alcohol (Farke, 2011), a pesar de su potencial para comunicar los perjuicios asociados al consumo de alcohol y para disuadir patrones de consumo de riesgo entre los consumidores (Blackwell et al, 2018).…”

Section: Discussionunclassified

Atención visual hacia el etiquetado de bebidas alcohólicas: un estudio exploratorio basado en eye-tracking

2019

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Current alcohol labelling goes unnoticed by consumers. In addition, EU legislation does not obligate the alcohol industry to include any health warning labels on alcohol packagings. This study aims to explore how the size and design of alcohol by volume (ABV) labels, along with the alcohol strength presented on these labels, influence visual attention toward them. We also examine how label size and alcohol strength influence visual attention toward a health warning label on alcoholic beverages. Using an experimental human laboratory design, we tracked the eye-movements of 64 participants while they viewed beers with different ABV (0.4%, 4.6% vs. 15%). We measured the number of fixations toward ABV labelling which varied in size and design (text-only vs. traffic light). A health warning label was also included on the beers for half of the participants and size was manipulated as a between-subject factor. Results showed strong evidence that the number of fixations was higher when the ABV labels were larger and used a traffic light system. Likewise, we found a higher number of fixations toward larger health warning labels and differences in visual attention depending on the ABV content presented. In conclusion, this study indicates that current alcohol labelling is insufficient to draw the attention of consumers and suggests that future alcohol labelling must be larger and with a graphic design to attract attention.

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Informing drinkers: Can current UK alcohol labels be improved?

Abstract: HighlightsDrinkers underestimated the number of drinks that constituted 14 units.Unit understanding was greater for novel unit labels compared to industry labels.Motivation to drink less was higher for cancer and negatively-framed messages.

Cited by 57 publications

References 24 publications

Perceptions of Alcohol Health Warning Labels in a Large International Cross-Sectional Survey of People Who Drink Alcohol

Perceptions of Alcohol Health Warning Labels in a Large International Cross-Sectional Survey of People Who Drink Alcohol

Improving Knowledge that Alcohol Can Cause Cancer is Associated with Consumer Support for Alcohol Policies: Findings from a Real-World Alcohol Labelling Study

Atención visual hacia el etiquetado de bebidas alcohólicas: un estudio exploratorio basado en eye-tracking

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