Objective: To document socio-economic differences in exposure to food advertising, including advertisements for foods high in fat, salt and sugar (HFSS) as defined by the UK Food Standards Agency's Nutrient Profiling Model. Design: A cross-sectional survey. Information (including product advertised and viewing figures) on all advertisements broadcast in one UK region over one week (6-12 July 2009) was obtained. Food advertisements were identified and linked to nutritional information on the content of advertised foods. Setting: UK Tyne-Tees television region. Subjects: Data were sourced from a UK-wide television viewing panel.Results: Eleven per cent of advertising seen was for food and 63 % of food advertising seen was for HFSS foods. The proportion of all advertising seen that was for food was smaller among viewers in the least v. most affluent social grade (OR 5 0?98, 99 % CI 0?95, 1?00). There was no difference in the proportion of food advertising seen that was for HFSS food between viewers in the most and least affluent social grades. Total exposure to both all food advertising and HFSS food advertising was 2?1 times greater among the least v. the most affluent viewers. Conclusions: While the least affluent viewers saw relatively fewer food advertisements, their absolute exposure to all food and HFSS food advertisements was higher than that of the most affluent viewers. Current UK restrictions prohibit advertisements for HFSS foods during programmes with a high proportion of child viewers. Extending these to all programming may reduce socio-economic inequalities in exposure to these advertisements and in diet and obesity.
Keywords
Media Advertisements Socio-economic DietConcern about food advertising has increased in recent years (1)(2)(3)(4) . Numerous content analyses have documented that the foods promoted on television, in magazines and in outdoor public spaces are strongly biased towards foods that are not considered to make a major contribution to a healthful diet, particularly those that tend to be high in fat, salt and sugar (HFSS) (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) . Two large reviews have now concluded that food promotion influences children's food preferences, purchasing requests and consumption (16,17) . Less information on the effect of food advertising on the preferences and consumption of adults is available. However, recent work has found that the eating behaviour of adults is also affected by exposure to food advertisements (18) , suggesting that advertising for less healthy foods is a threat to the health of the whole population, and not just that of children. Food advertising is, therefore, thought to be part of the causal web responsible for the increasing prevalence of overweight and obesity in children, and adults, in high-income countries (19) . In response to these findings, regulation of television food advertising has now been introduced in a number of countries (20) . In the UK, regulations on the scheduling and content of television food advertising to children were...