Disparities in Obesity-Related Outdoor Advertising by Neighborhood Income and Race

Cassady, Diana L; Liaw, Karen Ron-Li; Miller, Leonard E.

doi:10.1007/s11524-015-9980-1

Cited by 46 publications

(56 citation statements)

References 16 publications

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“…And the majority of those food and beverages that are advertised feature energy dense foods such as processed foods, sugary drinks and fast‐food restaurants, from both Jamaican brands and global brands. These findings are congruent with those found with respect to outdoor advertising in other countries (e.g., U.S.: Cassady et al, ). Further, the majority of in‐store and in‐restaurant signage and point‐of‐purchase displays promoted these less healthy foods.…”

Section: Discussionsupporting

confidence: 91%

“…For example, an examination of food advertising in transit stops near Melbourne, Australia revealed that, overall, about 30% of the advertising featured foods (Settle, Cameron, & Thornton, ), with more economically challenged neighbourhoods likely to be exposed to advertising for fast‐food restaurants, flavoured milks and juice and more affluent neighbourhoods exposed to advertising for diet soft drinks, coffee and tea. Within the United States, in Los Angeles, a study showed similar findings with respect to socio‐economic status of the area and the types of healthier or unhealthier foods advertised (Cassady, Liaw, & Miller, ). Further, although both healthier beverage and unhealthier beverages were featured in advertising, the prevalence of unhealthy foods (four times as much space) was noted.…”

Section: Study 2: Content Analysis Of Out‐of‐home Advertisingmentioning

confidence: 74%

“…In addition, we were interested in examining the extent of global or local advertising strategies and the amount of information available in the advertisements. Therefore, for Study 2, we captured and analysed OOH advertising, including billboards, posters and transit advertising (Cassady et al, ) with a focus on these research questions:

RQ3: What is the prevalence of food and beverage advertising within out‐of‐home advertising?RQ3a: To what extent are unhealthy and healthy food advertisements available outside of home?RQ3b: To what extent are the outdoor advertisements localized to the Jamaican market?RQ3c: What types of information cues are used in the outdoor food and beverage advertisements?…”

Section: Study 2: Content Analysis Of Out‐of‐home Advertisingmentioning

confidence: 99%

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Consumer exposure to food and beverage advertising out of home: An exploratory case study in Jamaica

Nelson

Ahn

Ferguson

et al. 2020

Int J Consumer Studies

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Consumers are inundated with messages about food and beverages in their daily lives. Research has shown that television advertising contains frequent low‐nutrient food and beverage messages which are thought to influence consumers’ food consumption. Yet, consumption decisions are often made out of the home. We systematically capture and describe food and beverage consumer communications at or near the point of purchase through observation of messages in food environments (Study 1: retail, restaurant) and content analysis of out‐of‐home advertising (Study 2: billboards). To do so, we focus on Jamaica, a ‐middle‐income country that is experiencing a nutrition transition from a traditional to a Westernized diet featuring refined carbohydrates, sugars, fats, sodium and processed foods. Globalization of food and beverage brands is one of the contributory factors to dietary changes and the prevalence of obese and overweight Jamaican consumers is a serious health issue. However, there is no research on advertising in Jamaica to help inform the understanding of its influence on consumers' health. Therefore, we gauge the prevalence and persuasion techniques across two forms of local and global food and beverage advertising that are rarely investigated (retail/restaurant, outdoor). Findings reveal that fast food and sugary beverages, mostly of U.S. origin, were predominantly promoted. Observations in grocery stores and fast‐food restaurants included point‐of‐purchase displays, posters and sales promotion tactics, most typically for low‐nutrient foods. Content analysis results revealed that one in four outdoor advertisements was for a food or beverage. The most frequently advertised foods were energy‐dense processed foods, sodas and fast‐food restaurants. These advertisements typically featured the brand name and a visual. As a whole, this study presents a unique descriptive snapshot which suggests that consumers in Kingston, Jamaica are exposed to multiple messages for low‐nutrient foods in their everyday lives and near the point of purchase.

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Section: Discussionsupporting

confidence: 91%

Section: Study 2: Content Analysis Of Out‐of‐home Advertisingmentioning

confidence: 74%

Section: Study 2: Content Analysis Of Out‐of‐home Advertisingmentioning

confidence: 99%

See 1 more Smart Citation

Consumer exposure to food and beverage advertising out of home: An exploratory case study in Jamaica

Nelson

Ahn

Ferguson

et al. 2020

Int J Consumer Studies

View full text Add to dashboard Cite

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“…In Queens, there was a surprising inverse association observed with the percentage of Latino residents, which is the opposite of what previous research has found. 20,33 As there is considerable diversity within Latino communities (e.g., country of origin, years of acculturation, income, and education levels) and where Latinos reside in NYC, 34 further research may provide additional context to these findings. It is also meaningful that although the percentage of white, non-Latino residents was excluded from adjusted analysis owing to issues of multicollinearity, its significant inverse association at the city level and in 3 of 5 boroughs suggests a protective effect in neighborhoods with large white, non-Latino populations.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Sugary Drink Advertising on New York City Streets

Dowling

Roberts

Adjoian

et al. 2020

American Journal of Preventive Medicine

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Introduction: Studies show that outdoor advertisements for unhealthy, consumable products are associated with increased intake and often target youth, low-income neighborhoods, and neighborhoods of color. Despite evidence that overconsumption of sugary drinks contributes to obesity and other chronic conditions, little is known specifically regarding the patterns of outdoor sugary drink advertising. Methods: The number of outdoor, street-level advertisements featuring sugary drinks was assessed in a random sample of retail-dense street segments (N=953) in low, medium, and high-poverty neighborhoods in each of New York City's 5 boroughs in 2015. Negative binomial regression was used to determine associations between sugary drink ad density, poverty level, and other census tract-level demographics (2009−2013 estimates) in each borough and New York City overall. Data were analyzed in 2017−2019. Results: In New York City and in 3 of 5 boroughs, sugary drink ad density was positively associated with increased percentages of black, non-Latino residents (New York City: incidence rate ratio=1.20, p<0.001; Bronx: incidence rate ratio=1.30, p=0.005; Brooklyn: incidence rate ratio=1.18, p<0.001; Manhattan: incidence rate ratio=1.20, p<0.05). Positive associations were also observed with poverty level in Brooklyn (low versus medium poverty: incidence rate ratio=2.16, p=0.09; low versus high poverty: incidence rate ratio=2.17, p=0.02) and Staten Island (low versus medium poverty: incidence rate ratio=3.27, p=0.03). Conclusions: This study found a consistent positive association between the density of outdoor sugary drink advertisements and the presence of non-Latino black residents in New York City and, in some boroughs, evidence of a positive association with neighborhood poverty. These findings highlight the inequities where sugary drinks are advertised in New York City.

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“…Chronic exposure to poorer dietary options may contribute to dietary choices. Indeed, environmental cues for sugar consumption in low-income neighborhoods and/or in food pantries, where these cues may be more pervasive 40 and healthier dietary options less available, 39 may supersede messaging from the health care setting to avoid these unhealthy options.…”

Section: Discussionmentioning

confidence: 99%

Diabetes-Related Health Care Utilization and Dietary Intake Among Food Pantry Clients

et al. 2019

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Purpose: Consuming a diet appropriate for management of diabetes mellitus (DM) is challenging, particularly for adults with food insecurity (FI). DM-related health care services are thought to support better dietary intake. In this study, we explored associations between DM-related health care utilization and dietary intake among FI adults with DM. Methods: We used cross-sectional, baseline data (collected 2015-2016) from a trial designed to improve glycemic control among adult food pantry clients with DM. We examined intake of vegetables, fruit, sugar-sweetened beverages (SSBs), and desserts using the California Health Interview Survey dietary screener. We then examined adjusted associations between dietary intake and two components of DM-related health care utilization (<12 months vs. ‡12 months ago): self-reported visit to a health care provider for DM management and DM selfmanagement education. Results: Among 523 participants (mean hemoglobin A1c 9.8%; body mass index 34.6 kg/m 2 ; 17.0% uninsured), vegetable intake was more frequent in those reporting recent utilization of health care providers for DM management and DSME-related services (p < 0.01), compared with those with less recent use. There was no association between intake frequency of fruit or SSBs and utilization of either DM-related service. Participants more recently utilizing DSME-related services consumed desserts more frequently (p = 0.02). Relationships persisted after controlling for DM duration, race/ethnicity, education, health insurance, location, medication adherence, and depression. Conclusions: Among FI patients, DM-related services offered in clinical settings may more effectively increase vegetable consumption than decrease consumption of food and beverage items that can worsen glycemic control. Food pantry settings may provide an opportunity to reinforce dietary messaging.

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Disparities in Obesity-Related Outdoor Advertising by Neighborhood Income and Race

Cited by 46 publications

References 16 publications

Consumer exposure to food and beverage advertising out of home: An exploratory case study in Jamaica

Consumer exposure to food and beverage advertising out of home: An exploratory case study in Jamaica

Disparities in Sugary Drink Advertising on New York City Streets

Diabetes-Related Health Care Utilization and Dietary Intake Among Food Pantry Clients

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