Fear or Knowledge: The Impact of Graphic Cigarette Warnings on Tobacco Product Choices

Working Paper: NBER ID: w31534

Authors: Donald S. Kenkel; Alan D. Mathios; Grace N. Phillips; Revathy Suryanarayana; Hua Wang; Sen Zeng

Abstract: Requiring graphic warning labels (GWLs) on cigarette packaging has become a highly contentious unresolved legal battle. The constitutionality depends, in part, on the likely impact of GWLs on smoking decisions, and whether they generate knowledge as opposed to emotional reactions against smoking. Using an online discrete choice stated preference experiment we compare tobacco choices (cigarettes, e-cigarettes, quitting) for those presented with a GWL versus the currently existing label. We find the fraction of individuals choosing cigarettes to be lower and quitting higher for the GWL group. Our findings reveal that the differences between groups were primarily driven by the evocation of fear and disgust rather than an improvement in health knowledge related to the GWL. The discrete choice experiment also provides new evidence on how cigarette prices, e-cigarette prices, and policy-manipulable e-cigarette attributes such as e-cigarette warning labels, and flavor availability influence tobacco product choices.

Keywords: graphic warning labels; tobacco product choices; smoking cessation; e-cigarettes

JEL Codes: I12


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
Graphic Warning Labels (GWLs) (Y90)Choice of Cigarettes (L66)
Graphic Warning Labels (GWLs) (Y90)Likelihood of Quitting Tobacco Use (J26)
Graphic Warning Labels (GWLs) (Y90)Choice of Cigarettes (6 months from now) (L66)
Graphic Warning Labels (GWLs) (Y90)Likelihood of Quitting Tobacco Use (6 months from now) (C41)
Graphic Warning Labels (GWLs) (Y90)Choice of E-cigarettes (L66)
Cigarette Tax (H29)Choice of Cigarettes (L66)
E-cigarette Tax and Flavor Bans (H26)Choice of Cigarettes (L66)

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