This paper attempts to present an insight into studies of fear-inducing and positive image health education campaigns. The paper reviews existing theoretical issues relevant to the topic and examines the findings of studies that compare fear-inducing and positive image health education campaigns. Available evidence from literature highlights some of the shortcomings of fear-inducing health education campaigns and suggests the need to employ strategies which emphasise positive and attractive lifestyle images. How ever, there is evidence that fear-inducing advertisements could have an important role, especially in terms of influencing certain people, and in certain health-related communications. Finally, it is concluded that a) there is a great deal of potential to develop comparative studies to find what type of images would work best, and b) there is a need to understand more of the process behind the effect of positive and negative appeals.