The effect of sugar-sweetened beverage front-of-pack labels on drink selection, health knowledge and awareness: An online randomised controlled trial

Billich, Natassja; Blake, Miranda; Backholer, Kathryn; Cobcroft, Megan; Li, Vincy; Peeters, Anna

doi:10.1016/j.appet.2018.05.149

Cited by 62 publications

(93 citation statements)

References 14 publications

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“…Simple, front‐of‐pack information about free sugar content would be beneficial to help make this information more readily available to consumers. There is evidence that such labels have the potential to influence SSB consumption . Information is important but SSB consumption, like all health behaviours, is influenced by individual, social and environmental factors.…”

Section: Resultsmentioning

confidence: 99%

“When we were young, it really was a treat; now sugar is just the norm every day”—A qualitative study of parents’ and young adults’ perceptions and consumption of sugary drinks

Miller

Braunack-Mayer

Wakefield

et al. 2019

Health Prom J of Aust

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Issue addressed Sugar‐sweetened beverages (SSB) are the leading source of free sugars in Australian children's and adults’ diets. This study explores drivers of consumption among parents and young adults to inform interventions. Methods Eight focus groups (n = 59) stratified by gender, age/life stage and SES were analysed thematically. Results Daily SSB consumption was normalised. Participants drank SSBs to avoid perceived energy/sugar deficits, to treat themselves and as a function of familial influence. Frequent consumption was considered acceptable if “in moderation” and/or “balanced” with exercise/diet; however, there was a large disconnect between this language of moderation and actual consumption practices. Participants acknowledged that social norms had changed over time. There was little evidence of accurate knowledge of sugar content for any beverage type. Participants relied heavily on packaging and labelling, much of which conveyed a health halo effect. While participants could list health effects of excess consumption, they were considered long‐term or of low personal relevance. Awareness of health recommendations was low. Conclusions Consumers’ adoption and use of concepts such as “treat,” “moderation” and “balance” reflect both food and beverage industry marketing and public health messaging. However, the disconnect between this language and knowledge and consumption practices is problematic. So what? SSB consumption is very high with serious implications for health. Curbing consumption among young adults and parents has potential to change the health trajectories for current and future generations. There is a clear need to increase health literacy around SSB consumption. Simple consumption guidelines, clearer sugar content labelling and health warnings offer potential.

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Section: Resultsmentioning

confidence: 99%

“When we were young, it really was a treat; now sugar is just the norm every day”—A qualitative study of parents’ and young adults’ perceptions and consumption of sugary drinks

Miller

Braunack-Mayer

Wakefield

et al. 2019

Health Prom J of Aust

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“…Several studies inferred a shift towards purchasing of more healthy food or beverage choices when compared to no FoPL, 43,49 and suggested that HSR remained a significant attribute in driving product choice even when there were co‐existing health claims 39,40 or other forms of nutrition information and marketing on the label 50 . In the disparate New Zealand studies noted above, HSR was shown to be ineffective in influencing unprompted consumer choice between two breakfast cereals 46,47 and consumers made similar purchases using HSR and MTL 45 .…”

Section: Resultsmentioning

confidence: 99%

The performance and potential of the Australasian Health Star Rating system: a four‐year review using the RE‐AIM framework

Jones

Thow

Mhurchú

et al. 2019

Australian and New Zealand Journal of Public Health

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Results:Thirty-three peer-reviewed publications, 21 government and three independent reports informed the assessment. Awareness and trust in HSR was increasing, though campaign reach remained low. Consumers liked, could understand and use the HSR logo, though effects on purchasing were largely unknown. The algorithm was the focus of a formal review. HSR was present on 20-28% of products but biased to those that scored better (HSR≥3.0). Necessary stakeholders were mostly engaged. Conclusions:A substantial body of work supports continuation and strengthening of HSR. Reasonable refinements to HSR's star graphic and algorithm, action to initiate mandatory implementation, and strengthened HSR governance present the clearest opportunities for improving public health impact.Implications for public health: Development and implementation of government-led front-ofpack nutrition labelling systems have the potential to improve public health, while engaging a diverse set of stakeholders.

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“…Despite the risk of the respondents being forced into the categories listed, closed questions are quicker and easier to analyse (Bowling, 2014). Unknown categories were also incorporated for those questions where they may be some unknown responses therefore, accounting for all possible responses (Bethlehem, 2009). Open-ended questions were also necessary within the interview guide as the responses were either unknown, or too complex to pre-code (Bowling, 2014).…”

Section: Questionnaire Design and Administrationmentioning

confidence: 99%

“…These questions typically followed on from, or were embedded within, the closed questions as a probing tool, or to further clarify or explain answers from the closed questions. Although open-ended questions are more demanding and require more thought from participants, they provide data that is crucial, spontaneous, and informative (Bethlehem, 2009;Bowling, 2014). Despite this data being time-confusing and difficult to analyse, it was deemed necessary to elicit the information required to answer the research questions.…”

Section: Questionnaire Design and Administrationmentioning

confidence: 99%

“…More recently, calls have been made by health advocates for tobacco-like warning labels to be issued on SSBs (Scott & Clark, 2018). Similar with text warnings, sugar information and HSR labels, graphic warnings have been shown to reduce the intended purchase of SSBs, while also influencing the selection of healthier alternatives (Billich et al, 2018;Rosenblatt et al, 2018). As it stands, the recent introduction of the HSR in Australia is subject to evaluation and revision, and is largely thought to be an effective strategy to reduce SSB consumption.…”

Section: Research Question 1: Where Are the Views Of Stakeholders Conmentioning

confidence: 99%

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Food and Nutrition Public Policy in Australia: A diversity of views amongst stakeholders

Stanley¹

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Advancing food and nutrition public policy in Australia is essential to halt the increasing prevalence of obesity and associated non-communicable diseases. Developing policy in this space however, is often contentious due to the entrenched views of stakeholders from a variety of interest groups. The aim of this research was to explore where the views of stakeholders are convergent and divergent on the issue, analyse the strategies used by stakeholders to influence the development of public policy, and ultimately, make recommendations to optimise the development of food and nutrition public policies. Structured interviews were undertaken with a purposeful sample of 76 stakeholders who were categorised into the following interest groups: government, public health sector, consumer groups, food and beverage industry, and academia. Interviewees were asked about their views on 1) food and nutrition public policy; 2) a variety of policy principles e.g. collaboration and transparency; and, 3) strategies to influence policy e.g. advocacy. Following transcription, the interviews were analysed using a combination of computational linguistics analysis, content analysis, descriptive and inferential statistics, and thematic analysis.

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The effect of sugar-sweetened beverage front-of-pack labels on drink selection, health knowledge and awareness: An online randomised controlled trial

Cited by 62 publications

References 14 publications

“When we were young, it really was a treat; now sugar is just the norm every day”—A qualitative study of parents’ and young adults’ perceptions and consumption of sugary drinks

“When we were young, it really was a treat; now sugar is just the norm every day”—A qualitative study of parents’ and young adults’ perceptions and consumption of sugary drinks

The performance and potential of the Australasian Health Star Rating system: a four‐year review using the RE‐AIM framework

Food and Nutrition Public Policy in Australia: A diversity of views amongst stakeholders

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