Defensive Reactions to Pictorial Warning Labels Featuring Narrative Versus Non-Narrative Content

This study examined pictorial warning labels (PWLs) about alcohol-related cancer risks, comparing the effects of narrative and non-narrative content on different types of defensive reactions, as well as investigating the relationships between defensive reactions and behavioral outcomes through an experiment (N = 649). Findings showed that narrative (vs. non-narrative) PWLs evoked lower levels of reactance and avoidance (both retrospective and anticipated). Defensive reactions were differently associated with persuasion outcomes after two weeks: Reactance consistently predicted less persuasion, as evidenced by diminished desired behavior change, lower information seeking, and decreased policy support. Retrospective avoidance was positively associated with persuasion outcomes, whereas anticipated avoidance was negatively associated with policy support. Narrative (vs. non-narrative) PWLs also had a significant positive total effect on policy support. Theoretical and practical implications of the findings are discussed.

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Publication Details

Journal
Health Communication
Published
2026-06-30
DOI
https://doi.org/10.1080/10410236.2026.2684305
Primary Topic
Behavioral Health and Interventions
Type
article
Field-Weighted Citation Impact
0.00
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article

Defensive Reactions to Pictorial Warning Labels Featuring Narrative Versus Non-Narrative Content

Hu Jun, Joshua Haworth, Zexin Ma, Rong Ma
Health Communication
Behavioral Health and Interventions
article

Defensive Reactions to Pictorial Warning Labels Featuring Narrative Versus Non-Narrative Content

Hu Jun, Joshua Haworth, Zexin Ma, Rong Ma
article en

Abstract

This study examined pictorial warning labels (PWLs) about alcohol-related cancer risks, comparing the effects of narrative and non-narrative content on different types of defensive reactions, as well as investigating the relationships between defensive reactions and behavioral outcomes through an experiment (N = 649). Findings showed that narrative (vs. non-narrative) PWLs evoked lower levels of reactance and avoidance (both retrospective and anticipated). Defensive reactions were differently associated with persuasion outcomes after two weeks: Reactance consistently predicted less persuasion, as evidenced by diminished desired behavior change, lower information seeking, and decreased policy support. Retrospective avoidance was positively associated with persuasion outcomes, whereas anticipated avoidance was negatively associated with policy support. Narrative (vs. non-narrative) PWLs also had a significant positive total effect on policy support. Theoretical and practical implications of the findings are discussed.

Health Communication
Oakland University (US), Xi’an Jiaotong-Liverpool University (CN)
Openalex Percentile: Top 6%
Behavioral Health and Interventions
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