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Many smokers view these types of messages as old information and several noted that they contribute to a sense of fatalism.62 Warnings on addiction may also meet with some resistance from youth and young adults, many of whom do not perceive themselves to be addicted.67 Potential adverse outcomes from health warnings Graphic, fear-arousing warnings have been criticised on the grounds that they may arouse excessive levels of fear among smokers, leading to defensive reactions such as rejection of the message, avoidance of the warnings or even increases in smoking as an act of defiance.101106 One study conducted among US youth reported an association between increased smoking and increased knowledge of health warningsa finding characterised by the authors as paradoxical and evidence that US health warnings were ineffective.107 However, because exposure to health warnings is tied to exposure of cigarette packs, one might expect such an association during the period of smoking initiation among youth: as the intensity of smoking behaviour increases, so also does the familiarity with packages

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