Recall of government healthy eating campaigns by consumers in five countries

Goodman, Samantha; Armendariz, Gabriela; Corkum, Adele; Arellano, L.M; Jáuregui, Alejandra; Keeble, Matthew; Marshall, Josephine; Sacks, Gary; Thrasher, James F.; Vanderlee, Lana; White, Christine M.; Hammond, David

doi:10.1017/s1368980021001415

Cited by 8 publications

(9 citation statements)

References 37 publications

(46 reference statements)

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“…", with response options 'Very easy' , 'Easy' and 'Neither easy nor difficult' categorized as "High", and 'Difficult' and 'Very difficult' categorized as "Low" f Participants were shown a 500 mL bottle of regular soda and asked, "In your opinion, how unhealthy or healthy is this type of drink? ", with response options 'Very healthy' , 'Healthy' , 'A little healthy' and 'Neither healthy nor unhealthy' categorized as "Healthy", and 'A little unhealthy' , 'Unhealthy' and 'Very unhealthy' categorized as "Unhealthy" may be partially explained the introduction of more recent nutrition efforts in Mexico (e.g., new front-ofpackage nutrition labels, television-based healthy eating campaigns [66,67]), which may have detracted attention from the tax over time, and may also explain some of the differences in magnitude of awareness observed between the UK and Mexico. Given that tax awareness appears to be consistently decreasing in Mexico, and the policy does rely in part on consumer awareness, education campaigns that help to enhance a 'signalling effect' and awareness of the tax may be warranted.…”

Section: Table 3 Binary Logistic Regression Models Investigating Awar...mentioning

confidence: 99%

Tax awareness and perceived cost of sugar-sweetened beverages in four countries between 2017 and 2019: findings from the international food policy study

Acton

Vanderlee

Adams

et al. 2022

Int J Behav Nutr Phys Act

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Background The public health benefits of sugar-sweetened beverage (SSB) taxes often rely on, among other things, changes to consumer purchases. Thus, perceived cost of SSBs and signalling effects—via awareness of the tax—may impact the effectiveness of SSB taxes on consumer purchases. Objective The study sought to examine perceived cost of SSBs, tax awareness, and changes in beverage purchasing over time and across four countries with and without SSB taxes. Methods The study used data from the 2017, 2018 and 2019 waves of the International Food Policy Study. Annual cross-sectional online surveys were conducted in Australia, Mexico, UK and US, which captured perceived cost of SSBs relative to non-SSBs in all countries (with Australia as a no-tax comparator), and measures of tax awareness and participants’ reported changes in beverage purchasing in response to SSB taxes in Mexico (tax implemented in 2014), UK (tax implemented in 2018) and US (subnational taxes since 2015). Logistic regression models evaluated the measures across years and socio-demographic groups. Results Perceived cost of SSBs relative to non-SSBs was higher in Mexico (all three years) and the UK (2018 and 2019 following tax implementation) than Australia and the US. Tax awareness was higher in UK than Mexico, and decreased over time among Mexican respondents. Patterns of reported beverage purchasing changes in response to the tax were similar across Mexico, UK and US, with the largest changes reported by Mexican respondents. Respondents with characteristics corresponding to lower socioeconomic status were less likely to be aware of an SSB tax, but more likely to perceive SSBs to cost more than non-SSBs and report changes in purchasing in response to the tax, where there was one. Conclusions This study suggests that in countries where a national SSB tax was present (Mexico, UK), perceived cost of SSBs and tax awareness were higher compared to countries with no SSB tax (Australia) or subnational SSB taxes (US), respectively, and suggests that perceived cost and tax awareness represent distinct constructs. Improving the ‘signalling effect’ of existing SSB taxes may be warranted, particularly in tax settings where consumer behaviour change is a policy objective.

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Section: Table 3 Binary Logistic Regression Models Investigating Awar...mentioning

confidence: 99%

Tax awareness and perceived cost of sugar-sweetened beverages in four countries between 2017 and 2019: findings from the international food policy study

Acton

Vanderlee

Adams

et al. 2022

Int J Behav Nutr Phys Act

Self Cite

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“…The public especially referred to C4L campaign as a perceived unadvertised policy, whose name was familiar but they were often unaware of its purpose. A recent cross-sectional study of 5,466 adults in the UK [ 68 ] showed that 18% of participants indicated awareness of public health campaigns and only 3% mentioned C4L as one such campaign, mainly people from higher education backgrounds. Policymakers focused on the role of media and how it can enhance or thwart policy perceptions and highlighted incorrect and inconsistent messages.…”

Section: Discussionmentioning

confidence: 99%

Exploring views of members of the public and policymakers on the acceptability of population level dietary and active-travel policies: a qualitative study

Toumpakari

Valerino-Perea

Willis

et al. 2023

Int J Behav Nutr Phys Act

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Background There is limited evidence on what shapes the acceptability of population level dietary and active-travel policies in England. This information would be useful in the decision-making process about which policies should be implemented and how to increase their effectiveness and sustainability. To fill this gap, we explored public and policymakers’ views about factors that influence public acceptability of dietary and active-travel policies and how to increase public acceptability for these policies. Methods We conducted online, semi-structured interviews with 20 members of the public and 20 policymakers in England. A purposive sampling frame was used to recruit members of the public via a recruitment agency, based on age, sex, socioeconomic status and ethnicity. Policymakers were recruited from existing contacts within our research collaborations and via snowball sampling. We explored different dietary and active-travel policies that varied in their scope and focus. Interviews were transcribed verbatim and analysed using thematic reflexive analysis with both inductive and deductive coding. Results We identified four themes that informed public acceptability of dietary and active-travel policies: (1) perceived policy effectiveness, i.e., policies that included believable mechanisms of action, addressed valued co-benefits and barriers to engage in the behaviour; (2) perceived policy fairness, i.e., policies that provided everyone with an opportunity to benefit (mentioned only by the public), equally considered the needs of various population subgroups and rewarded ‘healthy’ behaviours rather than only penalising ‘unhealthy’ behaviours; (3) communication of policies, i.e., policies that were visible and had consistent and positive messages from the media (mentioned only by policymakers) and (4) how to improve policy support, with the main suggestion being an integrated strategy addressing multiple aspects of these behaviours, inclusive policies that consider everyone’s needs and use of appropriate channels and messages in policy communication. Conclusions Our findings highlight that members’ of the public and policymakers’ support for dietary and active-travel policies can be shaped by the perceived effectiveness, fairness and communication of policies and provide suggestions on how to improve policy support. This information can inform the design of acceptable policies but can also be used to help communicate existing and future policies to maximise their adoption and sustainability.

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“…In addition, historically and culturally, women traditionally provide food in the household, potentially explaining the overall higher nutrition knowledge [ 36 ]. Higher scores in the dietary guidelines and knowledge of food choices sections may have resulted from government campaigns [ 26 , 27 , 37 ]. However, lower knowledge in the food choices and the diet–disease relationship sections suggests that carers experienced difficulty in understanding more complex nutrition information compared with basic guidelines and general information [ 26 , 27 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

An Exploratory Study of Nutrition Knowledge and Challenges Faced by Informal Carers of Community-Dwelling People with Dementia: Online Survey and Thematic Analysis

Lahiouel,

Kellett,

Isbel

et al. 2023

Geriatrics

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Nutrition knowledge is a primary factor influencing food choices and the ability to identify nutritional risk for carers of people with dementia. Acquiring nutrition knowledge helps carers monitor changes in food intake and micronutrient intake, and whether a healthy and balanced diet is being consumed. This study aimed to assess the nutrition knowledge of carers in the Australian community and their experiences with nutrition education. Using a mixed-methods approach, the nutrition knowledge of informal carers was assessed using the revised General Nutrition Knowledge Questionnaire (AUS-R-NKQ), and interviews of informal carers were used to explore the perspectives in a sub-sample. A total of 57 carers (44 females; mean age of 63.0 ± 13.1) completed the survey, and 11 carers participated in follow-up interviews. The total sample scored 22.9 (±4.57) out of 38 on the AUS-R-NKQ, suggesting basic nutrition knowledge. The interviewed carers acknowledged the importance of healthy nutrition but viewed the provision of a healthy diet for a person with dementia as challenging. In both the survey and interviews, carers reported limited use and availability of dementia-specific nutrition resources. Carers were unsatisfied with the advice and number of referrals provided to improve the nutrition of the person with dementia and desired less confusing nutrition education materials adapted to their level of knowledge. The present study highlights the need for informal carers to be supported to acquire adequate nutrition knowledge.

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Recall of government healthy eating campaigns by consumers in five countries

Cited by 8 publications

References 37 publications

Tax awareness and perceived cost of sugar-sweetened beverages in four countries between 2017 and 2019: findings from the international food policy study

Tax awareness and perceived cost of sugar-sweetened beverages in four countries between 2017 and 2019: findings from the international food policy study

Exploring views of members of the public and policymakers on the acceptability of population level dietary and active-travel policies: a qualitative study

An Exploratory Study of Nutrition Knowledge and Challenges Faced by Informal Carers of Community-Dwelling People with Dementia: Online Survey and Thematic Analysis

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