A total of 120 18- to 56-year-olds, divided into six groups containing equal numbers of men and women, were shown a textual message and associated photograph featuring alcohol-related behaviour. Subsequently, questions were answered about intentions to reduce consumption, to drink moderately and how positive and negative the messages made participants feel. Loss-framed messages, in particular those featuring health-related disgust, were the most effective for increasing intentions to reduce alcohol intake. In conclusion, studies have over-focused on fear-loss frames, neglecting the utility of disgust-loss frames in health messages. This study suggests that disgust-loss frames deserve equivalent attention.
BarbosaCTaylorBGodfreyC. (2010) Modelling lifetime QALYs and health care costs from different drinking patterns over time: A Markov model. International Journal of Methods in Psychiatric Research19(2): 97–109.
2.
BazzoSBattistellaGRiscicaP. (2012) Evaluation of the impact of the image used in a communication campaign to raise awareness about the effects of alcohol use during pregnancy. Alcohol and Alcoholism47(6): 657–662.
3.
BennettR (1998) Shame, guilt & responses to non profit and public sector ads. International Journal of Advertising17: 483–499.
4.
BurrT (2008) Reducing Alcohol Harm: Health Services in England for Alcohol Misuse. London: The Stationary Office.
5.
CesarioJCorkerKSJelinekS (2013) A self-regulatory framework for message framing. Journal of Experimental Social Psychology49: 238–249.
6.
ChoiHChoiJ (2010) Predictors and the role of attitude toward the message and perceived message quality in gain- and loss-frame antidrug persuasion of adolescents. Health Communication25(4): 303–311.
7.
CoveyJ (2014) The role of dispositional factors in moderating message framing effects. Health Psychology33(1): 52–65.
8.
CurtisVAungerRRabieT (2004) Evidence that disgust evolved to protect from risk of disease. Proceedings of the Royal Society B: Biological Sciences271(Suppl. 4): S131–S133.
9.
CurtisVDe BarraMAungerM (2011) Disgust as an adaptive system for disease avoidance behaviour. Philosophical Transactions of the Royal Society B: Biological Sciences366: 389–401.
10.
DarwinC (1872) The Expression of the Emotions in Man and Animals. London: John Murray.
11.
DaveyGCL (2011) Disgust: The disease-avoidance emotion and its dysfunctions. Philosophical Transactions of the Royal Society B: Biological Sciences366: 3453–3465.
12.
DetweilerJBBedellBTSaloveyP. (1999) Message framing and sunscreen use: Gain-framed messages motivate beach-goers. Health Psychology18(2): 189–196.
13.
DillardJPNabiRL (2006) The persuasive influence of emotion in cancer prevention and detection messages. Journal of Communication56(1): S123–S139.
14.
DillardJPPlotnickCAGodboldLC. (1996) The multiple affective outcomes of AIDS PSAs: Fear appeals do more than scare people. Communication Research23: 44–72.
FinneyA (2004) Alcohol and intimate partner violence: Key findings from the research. Home Office Findings no. 216. London: Home Office.
17.
GallagherKMUpdegraffJA (2012) Health message framing effects on attitudes, intentions, and behavior: A meta-analytic review. Annals of Behavioral Medicine43(1): 101–116.
18.
GallagherKMUpdegraffJARothmanAJ. (2011) Perceived susceptibility to breast cancer moderates the effect of gain- and loss-framed messages on use of screening mammography. Health Psychology30(2): 145–152.
19.
GerendMAManerJK (2011) Fear, anger, fruits, and veggies: Interactive effects of emotion and message framing on health behavior. Health Psychology30(4): 420–423.
20.
IzardCE (1977) Human Emotions. New York: Plenum Press.
21.
KahnemanD (2012) Thinking, Fast and Slow. London: Penguin Books.
22.
KurzbanRLearyMR (2001) Evolutionary origins of stigmatization: The functions of social exclusion. Psychological Bulletin127: 187–208.
23.
LeshnerGBollsPThomasE (2009) Scare ’em or disgust ’em: The effects of graphic and health promotion messages. Health Communication24: 447–458.
24.
LeshnerGBollsPWiseK (2011) Motivated processing of fear appeal and disgust images in televised anti-tobacco ads. Journal of Media Psychology23(2): 77–89.
25.
LeshnerGVulteeFBollsPD. (2010) When a fear appeal isn’t just a fear appeal: The effects of graphic anti-tobacco messages. Journal of Broadcasting & Electronic Media54(3): 485–507.
26.
MaloneyEKLapinskiMKWitteK (2011) Fear appeals and persuasion: A review and update of the extended parallel process model. Social and Personality Psychology Compass5(4): 206–219.
27.
MeyerowitzBEChaikenS (1987) The effect of message framing on breast self-examination attitudes, intentions, and behavior. Journal of Personality and Social Psychology52(3):500–510.
28.
MoralesACWuECFitzsimonsGJ (2012) How disgust enhances the effectiveness of fear appeals. Journal of Marketing Research49: 383–393.
29.
MoscatoSBlackDRBlueCL. (2001) Evaluating a fear appeal message to reduce alcohol use among ‘Greeks’. American Journal of Health Behavior25(5): 481–491.
30.
NabiRL (1999) A cognitive-functional model for the effects of discrete negative emotions on information processing, attitude change, and recall. Communication Theory9: 292–320.
31.
NabiRL (2002) Anger, fear, uncertainty, and attitudes: A test of the cognitive-functional model. Communication Monographs69: 204–216.
32.
NeubergSLSmithDMAsherT (2000) Why people stigmatize: Toward a biocultural framework. In: HeathertonTKleckRHullJG. (eds) The Social Psychology of Stigma. New York: Guilford Press, pp. 31–61.
33.
OatenMStevensonRJCaseTI (2009) Disgust as a disease-avoidance mechanism. Psychological Bulletin135(2): 303–321.
34.
O’KeefeDJJensenJD (2007) The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease prevention behaviors: A meta-analytic review. Journal of Health Communication12: 623–644.
35.
OlsonALGaffneyCAStarrP. (2008) The impact of an appearance-based educational intervention on adolescent intention to use sunscreen. Health Education Research23(5): 763–769.
36.
ParkJHFaulknerJSchallerM (2003) Evolved disease-avoidance processes and contemporary anti-social behavior: Prejudicial attitudes and avoidance of people with physical disabilities. Journal of Nonverbal Behavior27(2): 65–87.
37.
PintoMBPriestS (1991) Guilt appeals in advertising: An exploratory study. Psychological Reports69: 375–385.
38.
RothmanAJSaloveyP (1997) Shaping perceptions to motivate healthy behavior: The role of message framing. Psychological Bulletin121: 3–19.
39.
RothmanAJBartelsRDWlaschinJ. (2006) The strategic use of gain- and loss-framed messages to promote healthy behavior: How theory can inform practice. Journal of Communication56: S202–S220.
40.
RozinPHaidtJMcCauleyCR (2000) Disgust. In: LewisMHaviland-JonesJM (eds) Handbook of Emotions (2nd edn). New York: Guilford Press, pp. 637–653.
41.
RumseyNHarcourtD (2004) Body image and disfigurement: Issues and interventions. Body Image1: 83–97.
42.
RyanW (1971) Blaming the Victim. New York: Pantheon Books.
43.
StockwellT (2006) A Review of Research into the Impacts of Alcohol Warning Labels on Attitudes and Behaviour. Vancouver, BC, Canada: Centre for Addictions Research of British Columbia.
44.
ThomasKHeveyDPertlM. (2011) Appearance matters: The frame and focus of health messages influences beliefs about skin cancer. British Journal of Health Psychology16: 418–429.
45.
TomkinsSS (1962) Affect Imagery Consciousness: The Positive Affects, vol. 1, ch. 9. New York: Springer.
46.
ToomeyTLEricksonDJCarlinBP. (2012) The association between density of alcohol establishments and violent crime within urban neighborhoods. Alcoholism: Clinical and Experimental Research36(8): 1468–1473.
47.
TverskyAKahnemanD (1979) Prospect theory: An analysis of decision under risk. Econometrica47(2): 263–291.
48.
TverskyAKahnemanD (1981) The framing of decisions and the psychology of choice. Science (New Series) 211(4481): 453–458.
49.
WitteK (1992) Putting the fear back into fear appeals: The extended parallel process model. Communication Monographs59: 329–349.
50.
WitteKAllenM (2000) A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Education & Behavior27(5): 591–615.
51.
WoolfJR (2007) The effects of disgust eliciting persuasive messages on physical activity. Doctoral Dissertation, University of Texas at Austin, Austin, TX.
