Health Psychology Research / HPR / Volume 8 / Issue 1 / DOI: 10.4081/​hpr.2020.8652
GENERAL

 The role played by health resistance, coping response, and smoke damage  perceptions in smoking threat appeal campaigns 

Concetta Pirrone1 Silvia Maria Platania1 Sabrina Castellano1 Shari Hrabovsky2 Pasquale Caponnetto3,4* Elena Commodari1
Show Less
1 Department of Education Science, Catania, Italy
2 Pennsylvania State University, PA, USA
3 Center of Excellence for the acceleration of Harm Reduction – CoEHAR, University of Catania, Italy
4 University of Stirling, UK
Submitted: 1 November 2019 | Accepted: 7 April 2020 | Published: 27 May 2020
© 2020 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Threat appeal campaigns have been widely used to induce people to change their bad smoking habits by adopting a better approach in favor of a healthier lifestyle. Social marketers who create this kind of messages tend to believe in the persuasive power of fear arousal. For most people, fear has an important consequence on behavior, leading them to search for means of deleting or coping with the unhealthy behavior. As demonstrated by the Ordered Protection Motivation Model, individual differences such as health resistance play an important role in determining, or not, a change of behavior when faced with the threat. This study explores the relationship between health resistance and attitude towards smoking behavior and examines the mediating impact of coping response and smoke damage perception in a sample of 260 university students, smokers and non-smokers. Results highlight that health resistance has an important direct effect on smoking attitude, but, it seems to be mitigated by the smoke severity of the damage shown in graphic images. The comparison between smokers and non smokers allowed us to understand the role of reactance in these two groups, and the significance that anti-smoking campaigns assume. Our results offer important suggestions for future decisions about social threat appeals campaigns.

Keywords
Threat Appeal Campaigns; Smoking Damage; Health Resistance
References

[1] Arbuckle, J.L., & Wothke, W. (1999). AMOS 4.0 User’s Guide. Chicago, IL: Smallwaters Corp.
[2] Arnett, J.J. (2007). Emerging adulthood: What is it, and what is it good for? Childhood Development Perspectives, 1, 68-73. 
[3] Beaudoin, C.E. (2002). Exploring antismoking ads: Appeals, themes, and consequences. Journal of Health Communication, 7(2), 123–137. 
[4] Buscemi A., Rapisarda A., Platania, S., Maida F., Brancat D., Petralia M.C., Di Nuovo S., Giustiniani S., Caldarella L., Blandino M.G., Grillo G., Barbagallo G., Coco O., Perciavalle Va., Perciavalle V., Armenia G., & Coco M. (2016). The Woman In Pregnancy: Body Care By Knowing Of Alternative Medicine. In Acta Medica Mediterranea, 32(4), 953-958. 
[5] Byrne, B.M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah, NJ: Lawrence Erlbaum.
[6] Chen, L.J., & Hung, H.C. (2016). The indirect effect in multiple mediators model by structural equation modeling. European Journal of Business, Economics and Accountancy, 4(3), 36–43.
[7] Crossley, M.L. (2002). Resistance to health promotion: A preliminary comparative investigation of British and Australian students. Health Education, 102, 289–299.
[8] Dickinson-Delaporte, S.J., & Holmes, M. D. (2011). Threat appeal communications: The interplay between health resistance and cognitive appraisal processes. Journal of Marketing Communications, 17(2), 107–125.
[9] Erceg-Hurn DM, Steed LG. (2011). Does exposure to cigarette health warnings elicit psychological reactance in smokers? Journal of Applied Social Psychology; 41, 219–237.
[10] Farber, H.J., Groner, J., Walley, S., & Nelson, K. (2015). Protecting children from tobacco, nicotine, and tobacco smoke. Pediatrics, 136,1439–1467.
[11] Germain, D., Wakefield, M.A., & Durkin, S.J. (2010). Adolescents’ perceptions of cigarette brand image: does plain packaging make a difference?. Journal of Adolescent health, 46(4), 385-392.
[12] Guttman, N., & Ressler, W.H. (2001). On being responsible: Ethical issues in appeals to personal responsibility in health campaigns. Journal of Health Communication, 6(2), 117–136.
[13] Hammond, D., Fong, G.T., Borland, R., Cummings, K.M., McNeill, A., & Driezen, P. (2007). Text and graphic warnings on cigarette packages: findings from the international tobacco control four country study. American journal of preventive medicine, 32(3), 202-209.
[14] Hammond, D., McDonald, P. W., Fong, G.T., Brown, K.S., & Cameron, R. (2004). The impact of cigarette warning labels and smoke-free bylaws on smoking cessation. Canadian Journal of Public Health, 95(3), 201-204.
[15] Hayes, A. F., & Scharkow, M. (2013). The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis. Psychological Science, 24, 1918–1927.
[16] Hu, L.T, & Bentler, P.M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.
[17] Griffin, D., & O’Cass, A. (2004). Social marketing: Who really gets the message? Journal of Nonprofit & Public Sector Marketing, 12(2), 129–147.
[18] Kang, J., & Lin, C.A. (2015). Effects of message framing and visual-fear appeals on smoker responses to antismoking ads. Journal of Health Communication, 20, 647–655.
[19] Kline, R.B. (2005). Principle and practice of structural equation modeling. New York, NY: Guilford Press.
[20] LaVoie, N.R., Quick, B.L., Riles, J.M., & Lambert, N.J. (2017). Are graphic cigarette warning labels an effective message strategy? A test of psychological reactance theory and source appraisal. Communication Research, 44, 416–436.
[21] Manyiwa, S., & Brennan, R. (2012). Fear appeals in anti-smoking advertising: How important is self-efficacy? Journal of Marketing Management, 28(11-12), 1419-1437.
[22] McCrae, R.R. (1984). Situational determinants of coping responses: Loss, threat, and challenge. Journal of Personality and Social Psychology, 46, 919–928.
[23] Miller, C.H., & Quick, B.L. (2010). Sensation seeking and psychological reactance as health risk predictors for an emerging adult population. Health Communication, 25, 266–275.
[24] Ministry of Health. (2018). La nostra salute [Ministry of health, our health] Retrieved from http://www.salute.gov.it/portale/salute/p1_5.jsp?id=53&area=Vivi_sano
[25] Ministry of Health. (2017). Prevenzione e controllo del tabagismo: Rapporto anno 2017 [Ministry of health, prevention and control of smoking: report 2017]. Retrieved from http://www.salute.gov.it/portale/temi/p2_6.jsp?lingua=italiano&id=467& area=stiliVita&menu=fumo
[26] Moodie, C., & Ford, A. (2011). Young adult smokers’ perceptions of cigarette pack innovation, pack colour and plain packaging. Australasian Marketing Journal (AMJ), 19(3), 174-180. 
[27] O’Hegarty, M., Pederson, L.L., Nelson, D.E., Mowery, P., Gable, J.M., & Wortley, P. (2006). Reactions of young adult smokers to warning labels on cigarette packages. American journal of preventive medicine, 30(6), 467-473.
[28] Pacifici, R. (2017). Rapporto nazionale sul fumo, Roma. Retrieved from http://www.iss.it/fumo/index.php?lang=1&id=371&tipo=4
[29] Paek, H.J., Kim, S., Hove, T., & Huh, J.Y. (2014). Reduced harm or another gateway to smoking? Source, message, and information characteristics of e-cigarette videos on youtube. Journal of Health Communication, 19, 545–560.
[30] Pechmann, C. & Goldberg, M. (1998) Evaluation of Ad Strategies for Preventing Youth Tobacco Use. Berkeley, CA: California Tobacco-Related Disease Research Program.
[31] Perloff, P. (2003). The dynamics of persuasion: Communication and attitudes in the 21th century. Mahwah, NJ: Lawrence Erlbaum Associates.
[32] Peters, E., Romer, D., Slovic, P., Jamieson, K. H., Wharfield, L., Mertz, C.K., & Carpenter, S.M. (2007). The impact and acceptability of Canadian-style cigarette warning labels among US smokers and nonsmokers. Nicotine & Tobacco Research, 9(4), 473-481.
[33] Platania S., Gruttadauria, S., Citelli, G., Giambrone L., Di Nuovo, S. (2017) Associations of Thalassemia Major and satisfaction with quality of life: The mediating effect of social support, In Health Psychology Open, July-December 2017: 1–9. DOI: 10.1177/2055102917742054.
[34] Platania S., Morando M., Santisi G., (2017). The Phenomenon Of Brand Hate: Analysis Of Predictors And Outcomes, In Quality Access to Success 18(S2), pp.342-347 . ISSN 1582-2559.
[35] Preacher, K.J., & Hayes, A.F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
[36] Rayner, E., Baxter, S. M., & Ilicic, J. (2015). Smoker’s recall of fear appeal imagery: Examining the effect of fear intensity and fear type. Australasian Marketing Journal (AMJ), 23(1), 61–66.
[37] Rippetoe, P.A., & Rogers, R.W. (1987). Effects of components of protection-motivation theory on adaptive and maladaptive coping with a health threat. Journal of Personality and Social Psychology, 52, 596–604.
[38] Rogers, R.W. (1983). Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation. In J. Capioppo & R. Petty (Eds.), Social psychology (pp. 153–176). New York, NY: Guilford Press.
[39] Schoenbachler, D.D., & Whittler, T.E. (1996). Adolescent processing of social and physical threat communications. Journal of Advertising, 25(4), 37–54.
[40] Shore, T.H., Tashchian, A., & Adams, J.S. (2000). Development and validation of a scale measuring attitudes toward smoking. The Journal of Social Psychology, 140, 615–623.
[41] Smith, K.H., & Stutts, M.A. (2006). The Influence of Individual Factors on the Effectiveness of Message Content in Antismoking Advertisements Aimed at Adolescents. Journal of Consumer Affairs, 40, 261-293. 
[42] Tabachnick, B.G., & Fidell, L.S. (2007). Using multivariate statistics. Boston, MA: Allyn & Bacon.
[43] Tanner, J.F., Hunt, J.B., & Eppright, D.R. (1991). The protection motivation model: A normative model of fear appeals. Journal of Marketing, 55(3), 36–45.
[44] World Health Organization. (2017). WHO report on the global tobacco epidemic, 2017: enforcing bans on tobacco advertising, promotion and sponsorship. Geneva: WHO
[45] World Health Organization. (2013). The World Health Report 2013. World Health Organization.

Conflict of interest
The authors declare no conflict of interest.
Share
Back to top
Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research