Abstract:Food marketing to children is a powerful factor in the health of young people. In Canada, one proposed measure to protect young people is to ban all food and beverage marketing to children under age 13. Since policy initiatives should consider the voices of those directly impacted, we conducted focus groups with teenagers aged 12-14 -precisely those individuals who would be directly impacted by, or just over, the age threshold proposed. The majority of teenagers consulted were opposed to a ban on food marketin… Show more
“…Adolescents in our study commented on the imbalance between unhealthy and healthy food marketing and advertising and shared their concerns on this issue. These were comparable to qualitative work by Elliot (2017) among regular-weight adolescents who affirmed that advertisers deliberately try to mislead consumers [43]. This study, however, differs from ours in that adolescents expressed concern for younger children, and not themselves, as being a target of these manipulations [43].…”
Section: Discussionsupporting
confidence: 84%
“…These were comparable to qualitative work by Elliot (2017) among regular-weight adolescents who affirmed that advertisers deliberately try to mislead consumers [43]. This study, however, differs from ours in that adolescents expressed concern for younger children, and not themselves, as being a target of these manipulations [43]. Although much of the research is descriptive in nature, studies have suggested a positive link between advertisements for unhealthy food on the Internet and in advergames and children’s desire for and consumption of the foods promoted [44, 45].…”
Background: Lifestyle modifications represent the first line of treatment in obesity management; however, many adolescents with obesity do not meet lifestyle recommendations. Given that adolescents are rarely consulted during health policy development and in the design of lifestyle interventions, their first-hand experiences, preferences, and priorities may not be represented. Accordingly, our purpose was to explore adolescents' lifestyle treatment recommendations to inform policy and program decisions. Methods: Conducted from July 2017 to January 2018, this study adhered to a qualitative, crosslanguage, patientoriented design. We recruited 19 13-17-year-old adolescents (body mass index [BMI] ≥85th percentile) seeking multidisciplinary treatment for obesity in geographically and culturally diverse regions of Canada. Adolescents participated in one-on-one, in-person, semi-structured interviews in English or French. Interviews were audiorecorded, transcribed verbatim, managed using NVivo 11, and analyzed using quantitative and qualitative content analysis by two independent researchers. Results: Adolescents' recommendations were organized into five categories, each of which denotes health as a collective responsibility: (i) establish parental support within limits, (ii) improve accessibility and availability of 'healthy foods', (iii) limit deceptive practices in food marketing, (iv) improve accessibility and availability of varied physical activity opportunities, and (v) delay school start times. Respect for individual autonomy and decisionmaking capacity were identified as particularly important, however these were confronted with adolescents' partial knowledge on nutrition and food literacy. Conclusions: Adolescents' recommendations highlighted multi-level, multi-component factors that influenced their ability to lead healthy lifestyles. Uptake of these recommendations by policy-makers and program developers may be of added value for lifestyle treatment targeting adolescents with obesity.
“…Adolescents in our study commented on the imbalance between unhealthy and healthy food marketing and advertising and shared their concerns on this issue. These were comparable to qualitative work by Elliot (2017) among regular-weight adolescents who affirmed that advertisers deliberately try to mislead consumers [43]. This study, however, differs from ours in that adolescents expressed concern for younger children, and not themselves, as being a target of these manipulations [43].…”
Section: Discussionsupporting
confidence: 84%
“…These were comparable to qualitative work by Elliot (2017) among regular-weight adolescents who affirmed that advertisers deliberately try to mislead consumers [43]. This study, however, differs from ours in that adolescents expressed concern for younger children, and not themselves, as being a target of these manipulations [43]. Although much of the research is descriptive in nature, studies have suggested a positive link between advertisements for unhealthy food on the Internet and in advergames and children’s desire for and consumption of the foods promoted [44, 45].…”
Background: Lifestyle modifications represent the first line of treatment in obesity management; however, many adolescents with obesity do not meet lifestyle recommendations. Given that adolescents are rarely consulted during health policy development and in the design of lifestyle interventions, their first-hand experiences, preferences, and priorities may not be represented. Accordingly, our purpose was to explore adolescents' lifestyle treatment recommendations to inform policy and program decisions. Methods: Conducted from July 2017 to January 2018, this study adhered to a qualitative, crosslanguage, patientoriented design. We recruited 19 13-17-year-old adolescents (body mass index [BMI] ≥85th percentile) seeking multidisciplinary treatment for obesity in geographically and culturally diverse regions of Canada. Adolescents participated in one-on-one, in-person, semi-structured interviews in English or French. Interviews were audiorecorded, transcribed verbatim, managed using NVivo 11, and analyzed using quantitative and qualitative content analysis by two independent researchers. Results: Adolescents' recommendations were organized into five categories, each of which denotes health as a collective responsibility: (i) establish parental support within limits, (ii) improve accessibility and availability of 'healthy foods', (iii) limit deceptive practices in food marketing, (iv) improve accessibility and availability of varied physical activity opportunities, and (v) delay school start times. Respect for individual autonomy and decisionmaking capacity were identified as particularly important, however these were confronted with adolescents' partial knowledge on nutrition and food literacy. Conclusions: Adolescents' recommendations highlighted multi-level, multi-component factors that influenced their ability to lead healthy lifestyles. Uptake of these recommendations by policy-makers and program developers may be of added value for lifestyle treatment targeting adolescents with obesity.
“…The reported results are of great concern because it is well established that different child-oriented marketing techniques, such as the use of cartoon characters and similar elements on food packaging, significantly influence children’s food choices and preferences [21,23,48]. By using such child-oriented marketing techniques, children are encouraged to like and want products which they see as “fun” and “good tasting” [49]. When foods are accompanied with children-familiar characters, children are convinced it tastes and looks better and would more likely ask their parents to buy it for them [50].…”
The nutritional composition of foods marketed to children is important, as it can significantly influence children’s preferences. The objective of this research was to evaluate the presence of child-oriented food products in the food supply and to investigate their nutritional composition. The sample included 8191 prepacked foods in the Slovenian food supply available in the market in 2015. The nutrient profile (World Health Organisation Regional Office for Europe nutrient profile model) of the products with child-targeted promotions was compared to the nutrient profile of those without child-targeted promotions. Food categories with the highest proportion of products with child-focused promotions were “Breakfast Cereals” (17%), “Chocolate and Sugar Confectionery” (15%) and “Edible Ices” (13%). Altogether, 93% of all products with child-focused promotions and 73% of products without such promotions were classified as “not permitted”. The proportion of “not permitted” foods was significantly higher in products with child-targeted promotions, compared with products without child-targeted promotions (p < 0.0001), and this trend was observed in a majority of food categories. To protect children from exposure to the marketing of foods with less favourable nutritional compositions, public health strategies should be focused also towards limiting promotions of unhealthy foods to children on product packaging, not only in media.
“…Consequently, these two age groups should be studied separately [10]. Nevertheless, Elliot [30] highlights that many of the FE studies that include teenagers include children under 13 [10,29,31,32]. Despite the strong interest and emerging research concerning the effects of food marketing on child health, there is limited environmental and public health research that focuses on its potential impacts on teenage food purchasing perceptions and dietary behaviours [10,29,30,31,33,34].…”
Section: Introductionmentioning
confidence: 99%
“…While coding schemes to classify various child-directed advertising criteria have been developed [36,45,50,51], most studies simply coded for the presence or absence of each criterion [19,31,36,50,51]. Further, such coding schemes applied predetermined criteria instead of consulting target populations to determine what factors are important to them; this tailoring of criteria is important to fully understand how advertising influences specific populations of interest [23,30]. To date, researchers have not yet considered the relative influence of each criterion on teens’ perceived purchasing behaviours.…”
The food-related information environment, comprised of food and beverage advertising within one’s surroundings, is a growing concern for adolescent health given that food marketing disproportionately targets adolescents. Despite strong public interest concerning the effects of food marketing on child health, there is limited evidence focused on outdoor food advertising in relation to teenage diets, food purchasing, and perceptions. Further, limited research has considered both the exposure to and influence of such advertisements. This study used a novel multi-method approach to identify and quantify the features of outdoor food and beverage advertisements that are most effective at drawing teenagers into retail food establishments. An environmental audit of outdoor advertisements and consultations with youth were used to: (1) identify teen-directed food marketing techniques; (2) validate and weigh the power of individual advertising elements; and, (3) develop a teen-informed coding tool to measure the power of food-related advertisements. Results indicate that marketing power is a function of the presence and size of teen-directed advertisement features, and the relative nature of each feature is an important consideration. This study offers a quantitative measurement tool for food environment research and urges policymakers to consider teen-directed marketing when creating healthy communities.
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