Analysis of Health Warning Signs on Alcoholic Beverage Packaging Using the Eye-Tracking Method

• Autorzy: Agnieszka Cholewa-Wójcik , Agnieszka Kawecka , Małgorzata Jarossová , Joanna Wiażewicz
• Języki publikacji: EN

Abstrakty

EN

Producers must mark packaging with various warning signs, including the harm of alcohol consumption. The most popular warnings inform about the required consumer age (e.g., "alcohol only for adults"), consequences of drunk driving (e.g., "don't drink and drive"), and advisable abstaining from drinking during pregnancy. The study's main objective was to analyse the perception of warning signs on alcoholic beverage packaging using the eye-tracking method, which allows the observation and measurement of the focus of study participants. The research positively verified the ability to use the eye-tracking method to assess the perception of warning signs. The obtained research results were used to investigate the perception of warning signs placed on glass beer bottles. The study showed that the presence of pictograms (i.e., graphic symbols) does not guarantee the focus of potential buyers' attention. The obtained results clearly indicated that the efficiency of perception results from many elements, including the sign's placement, size and colours, a connection between graphic and textual information, and the colour of the packaging material and label. The study's results can be useful for non-profit organisations and other entities responsible for the social marketing of alcoholic beverages. Moreover, the study could be seen as a starting point for researchers, beverage packaging industry representatives, and policymakers to test, introduce and promote packaging innovation solutions. The research filled the gap by providing a better understanding of the effectiveness of warning signs on alcoholic beverage packaging and furnished clues as to how alcohol stakeholders and public institutions should react to enhance alcohol health literacy in society. (original abstract)

Słowa kluczowe

EN

Eye tracking; Food labeling; Alcoholic drinks; Product perception

PL

Okulografia; Oznakowanie produktów spożywczych; Napoje alkoholowe; Percepcja produktu

• Czasopismo: Engineering Management in Production and Services
• Rocznik: 2024
• Numer: nr 2
• Strony: 104--117

Twórcy

autor

Agnieszka Cholewa-Wójcik

• Krakow University of Economics

autor

Agnieszka Kawecka

• Krakow University of Economics

autor

Małgorzata Jarossová

• University of Economics in Bratislava, Slovakia

autor

Joanna Wiażewicz

• Rzeszow University of Technology

Bibliografia

• Agostinelli, G., & Grube, J.W. (2002). Alcohol counter advertising and the media: A review of recent research. Alcohol Research and Health, 26, 15-21.
• Al-Hamdani, M., & Smith, S. (2015). Alcohol warning label perceptions: Emerging evidence for alcohol policy. Canadian Journal of Public Health, 106(6), 395-400. doi: 10.17269/CJPH.106.5116
• Anderson, P., & Baumberg, B. (2006). Alcohol in Europe. London: Institute of Alcohol Studies.
• Annunziata, A., Agnoli, L., Vecchio, R., Charters, S., & Mariani, A. (2019). Health warnings on wine labels: a discrete choice analysis of Italian and French Generation Y consumers. Wine Economics and Policy, 8(1), 81-90. doi: doi.org/10.1016/j.wep.2019.03.001
• Australia New Zealand Food Standards Code. (2020). Food Standards (Proposal P1050 - Pregnancy warning labels on alcoholic beverages). Retrieved from https://www.legislation.gov.au/Details/F2020L00952
• Bergstromm, J.R., & Schall, A.J. (2014) Eye tracking in user experience design. Elsevier.
• Brennan, E., Dunstone, K., Vittiglia, A., Mancuso, S., Durkin, S., Slater, M.D., Hoek, J., Pettigrew, S., & Wakefield, M. (2022). Testing the effectiveness of alcohol health warning label formats: An online experimental study with Australian adult drinkers. PLoS ONE, 17(12). doi: 10.1371/journal.pone.0276189
• Brunk E., Becker M.W., & Bix L. (2020). Empirical evaluation of the presence of a label containing standard drinks on pour accuracy among US college students. PLoSOne, 15(11). doi: 10.1371/journal.pone.0241583
• Campden & Chorleywood Food Research Association Group (CCFRA) (2008). Monitoring implementation of alcohol labelling regime (including advice to women on alcohol and pregnancy'. Retrieved from http://www.dh.gov.uk/en/Publichealth/Healthimprovement/Alcoholmisuse/DH_085390/
• Carter, B.T., & Luke, S.G. (2020). Best practices in eye tracking research. International Journal of Psychophysiology, 155, 49-62. doi: 10.1016/j.ijpsycho.2020.05.010
• Cholewa-Wójcik, A. (2016). Weryfikacja możliwości wykorzystania nieparametrycznego testu niezależności do analizy postrzegania wybranych elementów komunikacji wizualnej opakowań. Humanities and Social Sciences, 23(3), 9-21. doi: 10.7862/rz.2016.hss.38
• Cholewa-Wójcik, A., & Kawecka, A. (2015). The influence of effectiveness of packaging elements on the consumer's preferences with the use of marketing eye-tracking technique. Modern Management Review, XX, 22(1), 49-62. doi: 10.7862/rz.2015.mmr.4
• Clarke, N., Blackwell, A.K.M., De-Loyde, K., Pechey, E., Hobson, A., Pilling, M., Morris, R.W., Marteau, T.M., & Hollands, G.J. (2021). Health warning labels and alcohol selection: a randomised controlled experiment in a naturalistic shopping laboratory. Addiction, 116(12), 3333-3345. doi: 10.1111/add.15519
• Cortes, M.T., Gimenez, J.A., Motos, P., & Sancerni, M.D. (2016). Different versions of the Alcohol Use Disorders Identification Test (AUDIT) as screening instruments for underage binge drinking. Drug and Alcohol Dependence, 158, 52-59.
• Critchlow, N., Crawford, M., & Jones, D. (2022). Health information and warnings on alcohol packaging in Ireland: it is time to progress the Public Health (Alcohol) Act 2018. Irish Journal of Medical Science, 191, 1461-1463. doi: 10.1007/s11845-021-02719-8
• Duchowski, A. (2007). Eye Tracking Methodology. Theory and Practice, London: Springer-Verlag. doi: 10.1007/978-1-84628-609-4
• Escandon-Barbosa, D., & Rialp-Criado, J. (2019). The Impact of the Content of the Label on the Buying Intention of a Wine Consumer. Frontiers in Psychology, 9, 2761. doi: 10.3389/fpsyg.2018.02761
• Espejo, B., Cortes, M., Del Rho, B., Gimenez, J., & Gómez, C. (2012). Traits that Define the Different Alcohol Intensive Consume Type during the Practice of "Botellon". The Spanish Journal of Psychology, 15(1), 256-264. doi: 10.5209/rev_SJOP.2012.v15.n1.37318
• European Commission and CRIOC. (2011). Protect. Health warnings and responsibility messages on alcoholic beverages - a review of practices in Europe. WP5 Report - Member State experiences. Retrieved from https://webgate.ec.europa.eu/chafea_pdb/assets/files/pdb/20081205/20081205_oth-03_en_ps_health_warnings_and_responsibility_messages_on_alcoholic_beverages.pdf
• European Commission. (2006). Communication from the Commission to the Council, the European Parliament, the European Economic and Social Committee and the Committee of the Regions, An EU strategy to support Member States in reducing alcohol related harm. Retrieved from https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex%3A52006DC0625
• European Commission. (2021). European Communication from the commission to the European Parliament and the Council: Europe's Beating Cancer Plan. Retrieved from https://health.ec.europa.eu/system/files/2022-02/eu_cancer-plan_en_0.pdf
• European Parliament and of the Council. (2011). Regulation (EU) No 1169/2011 of the European Parliament and of the Council of 25 October 2011 on the provision of food information to consumers, amending Regulations (EC), Dz.U. L 304 z 22.11.2011.
• European Parliament. (2023). Parliamentary question E-003729/2022(ASW). Retrieved from https://www.europarl.europa.eu/doceo/document/E-9-2022-003729-ASW_EN.html
• European Research Council. (2016). Qualitative Evaluation of Completed Projects.
• Federal Centre for Health Education. (2005). Development of Alcohol Consumption Among Young People. A Survey by the Federal Centre for Health Education. Cologne: BZgA.
• Glińska, E., & Siemieniako, D. (2018). Binge drinking in relation to services - bibliometric analysis of scientific research directions. Engineering Management Production and Services, 10(1), 45-54.
• Gold, N., Egan, M., Londakova, K., Mottershaw, A., Harper, H., Burton, R., Henn, C., Smolar, M., Walmsley, M., Arambepola, R., Watson, R., Bowen, S., & Greaves, F. (2021). Effect of alcohol label designs with different pictorial representations of alcohol content and health warnings on knowledge and understanding of low-risk drinking guidelines: a randomized controlled trial. Addiction, 116, 1443-1459. doi: 10.1111/add.15327
• Greenfield, T. (1997). Warning labels: evidence on harm reduction from long-term American surveys. In M. Plant, E. Single, & T. Stockwell (Eds.), Alcohol: minimizing the harm (pp. 105-125). London: Free Association Books.
• Grube, J.W., & Nygaard, P. (2001). Adolescent drinking and alcohol policy. Contemporary Drug Problems, 28, 87-132.
• Grummon, A.H., Ruggles, P.R., Greenfield, T.K., & Hall, M.G. (2023). Designing Effective Alcohol Warnings: Consumer Reactions to Icons and Health Topics. American Journal of Preventive Medicine, 64(2), 57-166. doi: 10.1016/j.amepre.2022.09.006
• Guillemont, J., & Leon, C. (2008). Alcohol et grossesse: connaissances du grand public en 2007 et evolutions en trios ans. Evolutions. Retrieved from http://www.inpes.sante.fr/CFESBases/catalogue/pdf/1117.pdf/
• Hassan, L.M., & Shiu, E. (2018). A systematic review of the efficacy of alcohol warning labels: Insights from qualitative and quantitative research in the new millennium. Journal of Social Marketing, 8(3), 333-352. doi: 10.1108/JSOCM-03-2017-0020
• Hassan, L.M., Parry, S., & Shiu, E. (2022). Exploring responses to differing message content of pictorial alcohol warning labels. International Journal of Consumer Studies, 46(6), 2200-2219. doi: 10.1111/ijcs.12779
• Hobin, E., Shokar, S., Vallance, K., Hammond, D., McGavock, J., Greenfield, T.K., Schoueri-Mychasiw, N., Paradis, C., & Stockwell, T. (2020). Communicating risks to drinkers: testing alcohol labels with a cancer warning and national guidelines in Canada. Canadian Journal of Public Health, 111(5), 716-725. doi: 10.17269%2Fs41997-020-00320-7
• Jones, D., Moodie, C., Purves, R.I., Fitzgerald, N., & Crockett, R. (2021). Health information, messaging and warnings on alcohol packaging: a focus group study with young adult drinkers in Scotland. Addiction Research and Theory, 29(6), 469-478. doi: 10.1080/16066359.2021.1884229
• Jones, D., Moodie, C., Purves, R.I., Fitzgerald, N., & Crockett, R. (2022). The role of alcohol packaging as a health communications tool: An online cross-sectional survey and experiment with young adult drinkers in the United Kingdom. Drug and Alcohol Review, 41(5), 1206-1215. doi: 10.1111/dar.13469
• Jones, S., & Gregory, P. (2009). The impact of more visible standard drink labeling on youth alcohol consumption: Helping young people drink (ir)responsibly? Drug and Alcohol Review, 28, 230-234.
• Kerr W.C., & Stockwell W. (2012). Understanding standard drinks and drinking guideline. Drug and Alcohol Review, 31(2), 200-205. doi: 10.1111/j.1465-3362.2011.00374.x
• Kersbergen, I., & Field, M. (2017). Visual attention to alcohol cues and responsible drinking statements within alcohol advertisements and public health campaigns: Relationships with drinking intentions and alcohol consumption in the laboratory' Psychology of Addictive Behaviors, 31(4), 435-446. doi: 10.1037/adb0000284
• Kessels, L.T., & Ruiter, R.A. (2012). Eye movement responses to health messages on cigarette packages. BMC Public Health, 12(1), 352-360. doi: 10.1186/1471-2458-12-352
• Keyser, A.D., Bart, Y., Gu, X., Liu, S.Q., Robinson, S.G., & Kannan, P.K. (2021). Opportunities and challenges of using biometrics for business: Developing a research agenda. Journal of Business Research, 136, 52-62. doi: 10.1016/j.jbusres. 2021.07.028
• Kokole, D., Anderson, P., & Jané-Llopis, E. (2021). Nature and potential impact of alcohol health warning labels: A scoping review. Nutrients, 13(9), 3065. doi: 10.3390/nu13093065
• Kuntsche, E., Rehm, J., & Gmel, G., (2004). Characteristics of binge drinkers in Europe. Social Science &Medicine, 59, 113-127. doi: 10.1016/j.socscimed.2003.10.009
• Lacoste-Badie, S., Droulers, O., Dossou, G., & Gallopel-Morvan, K. (2022) Improving the effectiveness of pregnancy warning labels displayed on alcohol containers: a French eye-tracking study, Public Health, 212, 22-27. doi: 10.1016/j.puhe.2022.08.010
• Laughery, K.R., Paige, D.L., Laughery, B.R., Wogalter, M.S., Kalsher, M.J., & Leonard, S.D. (2002). Guidelines for warnings design: Do they matter?. Proc. of Human Factors and Ergonomics Society, 46(19), 1708-1712.
• Loxley, W., Toumbourou, J., Stockwell, T., Haines, B., Scott, K., Godfrey, C., Waters, E., Patton, G., Fordham, R., Gray, D., Marshall, J., Ryder, D., Saggers, S., Sand, L., & Williams, J. (2004). The Prevention of Substance use, Risk and Harm. In A. Kirsner (ed.), Australia: A Review of Evidence. Canberra: Australian Government Department of Health and Ageing.
• Mackey, M.A., & Metz, M. (2007). Readability of Food Product Labels. Final Report. Toronto: Office of Consumer Affair, Industry Canada.
• MacKinnon, D., & Nohre, L. (2006). Alcohol and Tobacco Earnings. In M.S. Wogalter (Ed.), Handbook of Warnings. Mahwah, New Jersey: Lawrence Erlbaum Associates Publisher.
• MacKinnon, D., Nohre, L., Pentz, M.A., & Stacy, A. (2000). The alcohol warning and adolescents: 5-year effects. American Journal of Public Health, 90(10), 1589-1594.
• Maynard, O.M., Munafo, M.R., & Leonards, U. (2013). Visual attention to health warnings on plain tobacco packaging in adolescent smokers and non-smokers. Addiction, 108(2), 413-419.
• Measham, F., & Ostergaard, J. (2009). The public face of binge drinking: British and Danish young women, recent trends in alcohol consumption and the European binge drinking debate. Probation Journal, 56(4), 415-434.
• Miller, E.R., Ramsey, I.J., Baratiny, G.Y., & Olver, I.N. (2016). Message on a bottle: Are alcohol warning labels about cancer appropriate? Health behavior, health promotion and society. BMC Public Health, 16, 139. doi: 10.1186/s12889-016-2812-8
• Monk, R.L., Westwood, J., Heim, D., & Qureshi, A.W. (2017). The effect of pictorial content on attention levels and alcohol-related beliefs: An eye-tracking study. Journal of Applied Social Psychology, 47(3), 158-164. doi: 10.1111/jasp.12432
• Pham, C., Rundle-Thiele, S., Parkinson, J., & Li, S. (2018). Alcohol Warning Label Awareness and Attention: A Multi-method Study. Alcohol and Alcoholism, 53(1), 39-45. doi: 10.1093/alcalc/agx087
• Popova, S., Rehm, J., Patra, J., & Zatonski, W. (2007). Comparing alcohol consumption in central and eastern Europe to other European countries. Alcohol and Alcoholism, 42(5), 465-473. doi: 10.1093/alcalc/agl124
• Rundle-Thiele, S., Siemieniako, D., Kubacki, K., & Deshapnde, S. (2013). Benchmarking alcohol literacy: a multi country study. Modern Management Review, 20(1), 99-111. doi: 10.7862/rz.2013.mmr.9
• Rüütel, E., Sisask, M., Värnik, A., Värnik, P., Carli, V., Wasserman, C., Hoven, C.W., Sarchiapone, M., Apter, A., Balazs, J., Bobes, J., Brunner, R., Corcoran, P., Cosman, D., Haring, C., Iosue, M., Kaess, M., Kahn, J.P., Poštuvan, V., Sáiz, P.A., & Wasserman, D. (2014). Alcohol consumption patterns among adolescents are related to family structure and exposure to drunkenness within the family: Results from the SEYLE project. International Journal of Environmental Research and Public Health, 11, 12700-12715.
• Siemieniako, D., & Kubacki, K. (2013). Female students' drinking seen through collages and diaries. Qualitative Market Research: An International Journal, 16(3), 296-314. doi: 10.1108/13522751311326116
• Staub, C., & Siegrist, M. (2022). How health warning labels on wine and vodka bottles influence perceived risk, rejection, and acceptance. BMC Public Health, 22, 157. doi: 10.1186/s12889-022-12564-8
• Stewart, B., & Wild, C.P. (Ed.). (2014). World Cancer Report. WHO, International Agency for Research on Cancer.
• Stockwell, T. (2006). A Review of Research into the impacts of Alcohol Warning Labels on attitudes and behaviour. Centre for Addiction research of BC University of Victoria British Columbia, Canada.
• Sussenbach, P., Niemeier, S., & Glock, S. (2013). Effects of and attention to graphic warning labels on cigarette packages. Psychol. Health, 28(10), 1192-1206.
• Thomsen, S.R., & Fulton K. (2007). 'Adolescents' Attention to Responsibility Messages in Magazine Alcohol Advertisements: An Eye-Tracking Approach. Journal of Adolescent Health, 41(1), 27-34. doi: 10.1016/j.jado-health.2007.02.014
• Velleman, R. (2011). Counselling for Alcohol Problems. 3rd edition. London: SAGE.
• Victorian Health Promotion Foundation. (2009). Alcohol health information labels: Report of qualitative research into health information labels on alcoholic beverages. Carlton South, Australia.
• Viner, R.M., & Taylor, B. (2007). Adult outcomes of binge drinking in adolescence: findings from a UK national birth cohort. Journal of Epidemiology & Community Health, 61, 902-907.
• Wigg, S., & Stafford, L.D. (2016). Health Warnings on Alcoholic Beverages: Perceptions of the Health Risks and Intentions towards Alcohol Consumption. Plos ONE, 11(4), e0153027. doi: 10.1371/journal.pone.0153027
• Wilkenson, C., & Room, R. (2009). Warnings on alcohol containers and advertisements: International experience and evidence on effects. Drug and Alcohol Review, 28(4), 426-435.
• Winstock, A.R., Holmes, J., Ferris, J.A., & Davies, E.L. (2020). Perceptions of Alcohol Health Warning Labels in a Large International Cross-Sectional Survey of People Who Drink Alcohol. Alcohol and Alcoholism, 55(3), 315-322. doi: 10.1093/alcalc/agz099
• Wright, R.D., Ward, L.M. (2008) Orienting of Attention, New York: Oxford University Press.

Identyfikatory

DOI

https://doi.org/10.2478/emj-2024-0016