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Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Research

How health warning labels on wine and vodka bottles influence perceived risk, rejection, and acceptance

Authors: Cornelia Staub, Michael Siegrist

Published in: BMC Public Health | Issue 1/2022

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Abstract

Background

Wine consumption has a particular place in the culture of many European countries, and beliefs that wine offers health benefits are widespread. High consumption of wine and other alcoholic beverages among many Europeans correlates with alcohol-related accidents and disease burdens. Health warning labels (HWLs) on alcohol containers have been increasingly recommended to deter consumers from drinking. However, findings on the impact of HWLs on consumers’ behavior have been mixed. Moreover, many European consumers have been found to reject the use of warning labels as a policy intervention, especially for wine, perhaps due to its cultural and economic importance.

Methods

An online study with a between-subjects design was conducted in Switzerland (N = 506) to assess whether HWLs can influence the perceived risk associated with drinking wine and vodka, a beverage insignificant to Swiss culture. Participants were presented an image of either a wine or vodka bottle with or without an HWL presenting a liver cancer warning statement. They were then asked to indicate their perceived risk of regularly consuming the depicted beverage. Acceptance and rejection of HWLs were also assessed.

Results

The perceived risk of vodka consumption exceeded the corresponding risk for wine but was unaffected by an HWL. Perceived health benefits were the main, negative predictor of perceived consumption risk. Participants mainly rejected HWLs due to their perceived effectiveness, perceived positive health effects, social norms, and individualistic values.

Conclusions

Perceived risk is an important determinant of drinking behavior, and our results suggest that HWLs may be unable to alter risk perceptions. Furthermore, a strong belief in the health benefits of alcohol consumption, particularly wine consumption, reduce risk perceptions and may be unaffected by HWLs.
Footnotes
1
A standard drink or unit of alcohol (100–120 ml red wine or 30–40 ml of high strength spirit like vodka) contains roughly 10–12 grams of pure alcohol [32].
 
2
Since the experimental groups differed by average age, a univariate analysis of covariance (ANCOVA) was conducted using age as a covariate. The variable age was significant, F(1, 501) = 6.25, p = 0.013, partial η2 = 0.012, but the results for the main and interaction effects were the same as without the covariate. Therefore, we reported our ANOVA results. Additionally, univariate ANOVAs were conducted separately for each of the three risk items. The main and interaction effects, or the lack thereof, were the same as for the mean risk perception variable.
 
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Metadata
Title
How health warning labels on wine and vodka bottles influence perceived risk, rejection, and acceptance
Authors
Cornelia Staub
Michael Siegrist
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-12564-8

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