TY - JOUR
T1 - The Influence of E-cigarette Warning Labels on Youths’ Use Intentions–A Mediation Analysis of Role of Perceived Harm
AU - Nguyen, Tran
AU - Shah, Gulzar
AU - Barefield, Amanda C.
N1 - Publisher Copyright:
© 2023 Taylor & Francis Group, LLC.
PY - 2023
Y1 - 2023
N2 - Background: Electronic cigarettes (e-cigarettes) were introduced to the United States marketplace in 2007 and had dominated all other tobacco products used by youth by 2014. In May 2016, the Food and Drug Administration extended the final rule to include e-cigarettes in implementing text-based health warnings on cigarette packs and advertising, as required by the 2009 Tobacco Control Act. This study tested the hypothesis that youth’s perceived harm of using e-cigarettes mediates the impact of seeing warning labels on their use intentions. Methods: We used a cross-sectional quantitative research design to analyze the 2019 National Youth Tobacco Survey data from 12,563 students in middle schools (grades 6–8) and high schools (grades 9–12) in the U.S. We conducted the 4-step Baron and Kenny Mediation Analysis using IBM SPSS® Hayes’ PROCESS macro analysis. Results: Our study revealed a mediational process’s presence, confirming the mediational role of youth’s perceived harm of e-cigarettes on the relationship between seeing a warning label and their use intentions. Conclusion: This study provided insights into the relationship between seeing warning labels and the intention to use e-cigarettes among youth. Through the Tobacco Control Act, influential warning labels potentially increase youth’s perception of harm in e-cigarettes, lowering their intention to use.
AB - Background: Electronic cigarettes (e-cigarettes) were introduced to the United States marketplace in 2007 and had dominated all other tobacco products used by youth by 2014. In May 2016, the Food and Drug Administration extended the final rule to include e-cigarettes in implementing text-based health warnings on cigarette packs and advertising, as required by the 2009 Tobacco Control Act. This study tested the hypothesis that youth’s perceived harm of using e-cigarettes mediates the impact of seeing warning labels on their use intentions. Methods: We used a cross-sectional quantitative research design to analyze the 2019 National Youth Tobacco Survey data from 12,563 students in middle schools (grades 6–8) and high schools (grades 9–12) in the U.S. We conducted the 4-step Baron and Kenny Mediation Analysis using IBM SPSS® Hayes’ PROCESS macro analysis. Results: Our study revealed a mediational process’s presence, confirming the mediational role of youth’s perceived harm of e-cigarettes on the relationship between seeing a warning label and their use intentions. Conclusion: This study provided insights into the relationship between seeing warning labels and the intention to use e-cigarettes among youth. Through the Tobacco Control Act, influential warning labels potentially increase youth’s perception of harm in e-cigarettes, lowering their intention to use.
KW - harm reduction
KW - perceive harm
KW - warning label
KW - Youth e-cigarette use intention
UR - http://www.scopus.com/inward/record.url?scp=85149517962&partnerID=8YFLogxK
U2 - 10.1080/10826084.2023.2184205
DO - 10.1080/10826084.2023.2184205
M3 - Article
C2 - 36861946
AN - SCOPUS:85149517962
SN - 1082-6084
VL - 58
SP - 709
EP - 716
JO - Substance Use and Misuse
JF - Substance Use and Misuse
IS - 5
ER -