scholarly journals Recall of government healthy eating campaigns by consumers in five countries

2021 ◽  
pp. 1-31
Author(s):  
Samantha Goodman ◽  
Gabriela Armendariz ◽  
Adele Corkum ◽  
Laura Arellano ◽  
Alejandra Jáuregui ◽  
...  
Keyword(s):  
Healthy Eating ◽  
Fruits And Vegetables ◽  
Food Policy ◽  
Logistic Models ◽  
Population Level ◽  
Policy Study ◽  
Cross Sectional ◽  
Sugary Drinks ◽  
Income Adequacy ◽  
Low Education

ABSTRACT Objective: To examine awareness and recall of healthy eating public education campaigns in five countries. Design: Data were cross-sectional and collected as part of the 2018 International Food Policy Study. Respondents were asked whether they had seen government healthy eating campaigns in the past year; if yes (awareness), they were asked to describe the campaign. Open-ended descriptions were coded to indicate recall of specific campaigns. Logistic models regressed awareness of healthy eating campaigns on participant country, age, sex, ethnicity, education, income adequacy and BMI. Analyses were also stratified by country. Setting: Online surveys. Participants: Participants were Nielsen panelists aged ≥18 years in Australia, Canada, Mexico, UK and US (n=22,463). Results: Odds of campaign awareness were higher in Mexico (50.9%) than UK (18.2%), Australia (17.9%), US (13.0%) and Canada (10.2%) (P<0.001). Awareness was also higher in UK and Australia versus Canada and US, and US versus Canada (P<0.001). Overall, awareness was higher among males versus females and respondents with medium or high versus low education (P<0.001 for all). Similar results were found in stratified models, although no sex difference was observed in Australia or UK (P>0.05), and age was associated with campaign awareness in UK (P<0.001). Common key words in all countries included sugar/sugary drinks, fruits and vegetables, and physical activity. The top five campaigns recalled were Chécate, mídete, muévete (Mexico), PrevenIMSS (Mexico), Change4Life (UK), LiveLighter® (Australia), and Actívate, Vive Mejor (Mexico). Conclusions: In Mexico, UK and Australia, comprehensive campaigns to promote healthy lifestyles appear to have achieved broad, population-level reach.

scholarly journals Public acceptability of the UK Soft Drinks Industry Levy: repeat cross-sectional analysis of the International Food Policy Study (2017–2019)

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e051677
Author(s):  
Jean Adams ◽  
David Pell ◽  
Tarra L Penney ◽  
David Hammond ◽  
Lana Vanderlee ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Food Policy ◽  
Perceived Effectiveness ◽  
Policy Study ◽  
Cross Sectional ◽  
Public Acceptability ◽  
Adjusted Logistic Regression ◽  
The Uk

ObjectivesTo determine whether public acceptability, in terms of both support for and perceived effectiveness of, the UK Soft Drinks Industry Levy (SDIL) changed between 4 months prior to, and 8 and 20 months after, implementation.DesignRepeat cross-sectional online survey.SettingThe UK.ParticipantsUK respondents to the International Food Policy Study aged 18–64 years who provided information on all variables of interest in November–December 2017 (4 months prior to SDIL implementation), 2018 (8 months after) or 2019 (20 months after; n=10 284).Outcome measuresSelf-reported support for, and perceived effectiveness of, the SDIL.ResultsThe adjusted logistic regression model predicted that 70% (95% CI: 68% to 72%) of participants supported the SDIL in 2017, 68% (95% CI: 67% to 70%) in 2018 and 68% (95% CI: 66% to 70%) in 2019. There was no evidence of a difference in support in 2018 vs 2017 (OR: 0.93; 95% CI: 0.81 to 1.05); or in 2019 vs 2017 (OR: 0.90; 95% CI: 0.78 to 1.03). The adjusted logistic regression model predicted that 72% (95% CI: 70% to 74%) of participants perceived the SDIL to be effective in 2017, 67% (95% CI: 65% to 69%) in 2018 and 67% (95% CI: 64% to 69%) in 2019. There was evidence that perceived effectiveness decreased a small amount in 2018 vs 2017 (OR: 0.78; 95% CI: 0.69 to 0.88). The difference in 2019 vs 2017 was similar.ConclusionsWe found high support for the SDIL among UK adults and this did not change between 4 months before implementation and 8 or 20 months after. While perceived effectiveness remained high, there was evidence that this decreased slightly after implementation in 2018, but no further in 2019. Greater understanding of influences on public acceptability of effective structural public health interventions is required.

scholarly journals The prevalence of cardiometabolic multimorbidity and its association with physical activity, diet, and stress in Canada: evidence from a population-based cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Brodie M. Sakakibara ◽  
Adebimpe O. Obembe ◽  
Janice J. Eng
Keyword(s):  
Physical Activity ◽  
Heart Disease ◽  
Fruits And Vegetables ◽  
Lifestyle Modification ◽  
Reference Group ◽  
High Stress ◽  
Population Level ◽  
Health Concern ◽  
Cross Sectional ◽  
Lifestyle Behaviours

Abstract Background Cardiometabolic multimorbidity (CM) is defined as having a diagnosis of at least two of stroke, heart disease, or diabetes, and is an emerging health concern, but the prevalence of CM at a population level in Canada is unknown. The objectives of this study were to quantify the: 1) prevalence of CM in Canada; and 2) association between CM and lifestyle behaviours (e.g., physical activity, consumption of fruits and vegetables, and stress). Methods Using data from the 2016 Canadian Community Health Survey, we estimated the overall and group prevalence of CM in individuals aged ≥50 years (n = 13,226,748). Multiple logistic regression was used to quantify the association between CM and lifestyle behaviours compared to a group without cardiometabolic conditions. Results The overall prevalence of CM was 3.5% (467,749 individuals). Twenty-two percent (398,755) of people with diabetes reported having another cardiometabolic condition and thus CM, while the same was true for 32.2% (415,686) of people with heart disease and 48.4% (174,754) of stroke survivors. 71.2% of the sample reported eating fewer than five servings of fruits and vegetables per day. The odds of individuals with CM reporting zero minutes of physical activity was 2.35 [95% CI = 1.87 to 2.95] and having high stress was 1.89 [95% CI = 1.49 to 2.41] times the odds of the no cardiometabolic condition reference group. The odds of individuals with all three cardiometabolic conditions reporting zero minutes of physical activity was 4.31 [95% CI = 2.21 to 8.38] and having high stress was 3.93 [95% CI = 2.03 to 7.61]. Conclusion The number of Canadians with CM or at risk of CM is high and these individuals have lifestyle behaviours that are associated with adverse health outcomes. Lifestyle behaviours tend to diminish with increasing onset of cardiometabolic conditions. Lifestyle modification interventions focusing on physical activity and stress management for the prevention and management CM are warranted.

Exploring the Relationship Between MyPlate Knowledge, Perceived Diet Quality, and Healthy Eating Behaviors Among Adolescents

2020 ◽  
Vol 34 (7) ◽  
pp. 713-721 ◽  
Author(s):  
Miranda Westfall ◽  
Sarah E. Roth ◽  
Monique Gill ◽  
Alec M. Chan-Golston ◽  
Lindsay N. Rice ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Healthy Eating ◽  
Diet Quality ◽  
Fast Food ◽  
Fruits And Vegetables ◽  
Strong Association ◽  
Eighth Grade ◽  
School Students ◽  
Cross Sectional ◽  
Eighth Grade Students

Purpose: MyPlate is the current dietary guidance icon meant to communicate healthy eating patterns. The purpose of this study is to evaluate knowledge of MyPlate nutrition education messages among middle school students and its association with dietary intake and perceived diet quality. Design: Secondary analysis of cross-sectional data. Settings: Survey of eighth-grade students from 16 middle schools in California. Subjects: A total of 3521 eighth-grade students. Measures: MyPlate knowledge was assessed with 3 questions asking how much of the plate in a typical meal should be (1) fruits and vegetables, (2) grains, and (3) proteins. A brief food frequency questionnaire measured intake of fruits, vegetables, sweets, salty snacks, fast-food, and sugar-sweetened beverages (SSBs) over the past 7 days. Students self-rated their diet quality as poor, fair, good, or excellent. Analysis: Hierarchical logistic regression models controlling for gender, ethnicity, and socioeconomic status. Results: Only 11% of students answered all MyPlate questions correctly. MyPlate knowledge was associated with 65% higher odds of not consuming SSBs, but 46% lower odds of not consuming sweets. MyPlate knowledge was not associated with adolescents’ perceived diet quality or intake of salty snacks, fruits, or vegetables. Conclusion: Knowledge of nutrition education messages communicated by the MyPlate dietary guidance icon is limited among adolescents. The association between MyPlate knowledge and lower consumption of SSBs is encouraging, given the strong association between SSBs and childhood obesity.

scholarly journals Mothers’ self-reported grocery shopping behaviours with their 2- to 7-year-old children: relationship between feeding practices and mothers’ willingness to purchase child-requested nutrient-poor, marketed foods, and fruits and vegetables

2017 ◽  
Vol 20 (18) ◽  
pp. 3343-3348 ◽  
Author(s):  
Kathryn Lively ◽  
Oluborode Babawale ◽  
David M Thompson ◽  
Amanda S Morris ◽  
Jennifer L Harris ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Healthy Eating ◽  
Online Survey ◽  
Fruits And Vegetables ◽  
Feeding Practices ◽  
Grocery Stores ◽  
Grocery Shopping ◽  
Cross Sectional ◽  
Willingness To Purchase ◽  
Demographic Covariates

AbstractObjectiveTo assess relationships between mothers’ feeding practices (food as a reward, food for emotion regulation, modelling of healthy eating) and mothers’ willingness to purchase child-marketed foods and fruits/vegetables (F&V) requested by their children during grocery co-shopping.DesignCross-sectional. Mothers completed an online survey that included questions about feeding practices and willingness (i.e. intentions) to purchase child-requested foods during grocery co-shopping. Feeding practices scores were dichotomized at the median. Foods were grouped as nutrient-poor or nutrient-dense (F&V) based on national nutrition guidelines. Regression models compared mothers with above-the-median v. at-or-below-the-median feeding practices scores on their willingness to purchase child-requested food groupings, adjusting for demographic covariates.SettingParticipants completed an online survey generated at a public university in the USA.SubjectsMothers (n 318) of 2- to 7-year-old children.ResultsMothers who scored above-the-median on using food as a reward were more willing to purchase nutrient-poor foods (β=0·60, P<0·0001), mothers who scored above-the-median on use of food for emotion regulation were more willing to purchase nutrient-poor foods (β=0·29, P<0·0031) and mothers who scored above-the-median on modelling of healthy eating were more willing to purchase nutrient-dense foods (β=0·22, P<0·001) than were mothers with at-or-below-the-median scores, adjusting for demographic covariates.ConclusionsMothers who reported using food to control children’s behaviour were more willing to purchase child-requested, nutrient-poor foods. Parental feeding practices may facilitate or limit children’s foods requested in grocery stores. Parent–child food consumer behaviours should be investigated as a route that may contribute to children’s eating patterns.

scholarly journals The Relationship between Self-Reported Exposure to Sugar-Sweetened Beverage Promotions and Intake: Cross-Sectional Analysis of the 2017 International Food Policy Study

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 3047 ◽  
Author(s):  
Hannah Forde ◽  
Martin White ◽  
Louis Levy ◽  
Felix Greaves ◽  
David Hammond ◽  
...  
Keyword(s):  
Food Policy ◽  
Multinomial Logistic Regression ◽  
Relative Risk Ratio ◽  
Policy Study ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Logistic Regression Models ◽  
Sweetened Beverage ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

Sugar-sweetened beverage (SSB) consumption is independently associated with several non-communicable diseases, so policymakers are increasingly implementing measures, such as marketing regulation, to reduce intake. To help understand how such measures work, this study examined the association between SSB consumption and self-reported exposure to SSB promotions, both overall and by type of promotion, and whether these relationships vary between the UK, USA, Canada, Mexico, and Australia. Cross-sectional analysis of the online 2017 International Food Policy Study was performed (n = 15,515). Participants were grouped into 5265 (34%) non-, 5117 (33%) low-, and 5133 (33%) high-SSB consumers. Multinomial logistic regression models examined whether SSB consumption varied by exposure to total SSB promotion and by type: traditional, digital, recreational environment, and functional environment. Multiplicative interactions were included to investigate international variations. An additional unit of total self-reported SSB promotion exposure increased the likelihood of participants being low SSB consumers (relative risk ratio (RRR) = 1.08, 95% confidence interval (CI) = 1.06–1.10) and high SSB consumers (RRR = 1.13, 95% CI = 1.11–1.16). Only exposure to traditional and digital promotion increased the likelihood of participants being SSB consumers, though this may be explained by degree of exposure, which was not measured in this study. Some evidence illustrated international variation in these relationships.

scholarly journals NUTRITION AS A BONES HEALTH FACTOR WITH SIGNIFICANT INFLUENCE

2020 ◽  
Vol 26 (4) ◽  
pp. 3426-3431
Author(s):  
Rositsa Chamova ◽  
◽  
Maria Panteleeva ◽  
Eliyana Ivanova ◽  
◽  
...  
Keyword(s):  
Physical Activity ◽  
Bone Density ◽  
Healthy Eating ◽  
Bone Health ◽  
Fruits And Vegetables ◽  
Eating Habits ◽  
Descriptive Analysis ◽  
Food Groups ◽  
Daily Consumption ◽  
Cross Sectional

Osteoporosis is a global health problem with increasing importance. It is a chronic, debilitating disease characterized by low bone density and deterioration of the micro architectonics of bone tissue. Although genetic factors largely determine the bone size and density, factors such as healthy eating, good physical activity and avoiding alcohol and smoking also play a key role. At all ages, healthy eating is an important factor in bone health. Aim: To study the eating habits that are important for bone health in women from Varna. Methods: A cross-sectional study of the eating habits of 139 women in Varna was conducted between January 2018 and March 2019. Questions, giving information on diet, frequency of consumption of certain food groups and beverages, affecting bone density, physical activity, demographic indicators are included in the questionnaire. Descriptive analysis of the data is done with SPSS version 19. Results: The average age of the participants was 29.86 ± 13.60 years. Daily consumption of milk and dairy products was found among 36.7% and 32.4% of the respondents respectively. The relative share of respondents who consume fish 1-2 times a week is 33.1%. The daily consumption of fruits and vegetables is 47.5% and 56.8% respectively. Conclusion: Nutrition plays an important role in reducing the risk of osteoporosis by affecting the development and maintenance of bone mass.

scholarly journals Healthy Eating and its Barriers: Perceptions and Practices of adolescents in Ghana

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
High Schools ◽  
Healthy Eating ◽  
Fruits And Vegetables ◽  
Junior High ◽  
Meat Products ◽  
Junior High Schools ◽  
Snack Food ◽  
Healthy Foods ◽  
Cross Sectional ◽  
Food Items

Background: Adolescents are not given much attention when it comes to feeding. However, their nutrient needs are high during this stage of life. It is important, therefore, that adolescents have reliable nutrition information that would enable them to develop healthy dietary practices. Studies of adolescents’ perceptions on healthy foods and the factors that act as barriers to healthy eating are essential for developing interventions that would promote healthy eating habits among adolescents. Objectives: The objective of this study was to investigate the perceptions of adolescents in Junior High Schools in Ghana regarding what “healthy” and “unhealthy” foods are, the importance of healthy eating and barriers to healthy eating. Methodology: This survey was a cross-sectional study involving 820 adolescents who were sampled from six Junior High Schools. A questionnaire was administered to the students after permission had been obtained from the headteachers and their parents. Results: The surveyed adolescents have some knowledge of what healthy foods are. Fruits as well as roasted and grilled food items were usually cited as healthy foods, while snack food items, fried food items, soft drinks and meat products were generally considered as unhealthy foods. Despite their knowledge of healthy foods, most of them found it difficult to obtain and eat healthy foods. Some barriers to consuming healthy foods include thelimited availability of healthy foods in homes and schools,andthe fact that healthy foods such as fruits and vegetables are expensive and usually not tasty. Conclusions: These findings suggest that healthy eating messages propagated through the lessons taught in schools are reaching adolescents. However, it behooves health educators to plan and implement interventions that would help adolescents translate their knowledge into healthy practices. School authorities and parents should create an environment where healthy foods would be readily available on school premises and at home.

scholarly journals Support for, and perceived effectiveness of, the UK soft drinks industry levy among UK adults: cross-sectional analysis of the International Food Policy Study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e026698 ◽  
Author(s):  
David Pell ◽  
Tarra Penney ◽  
David Hammond ◽  
Lana Vanderlee ◽  
Martin White ◽  
...  
Keyword(s):  
Social Norms ◽  
Food Policy ◽  
Perceived Effectiveness ◽  
Policy Study ◽  
Cross Sectional ◽  
Beverage Industry ◽  
Food And Beverage Industry ◽  
Food And Beverage ◽  
The Uk ◽  
Health Experts

ObjectivesTo answer four questions: What are attitudes, knowledge and social norms around sugar-sweetened beverages (SSBs)? What are current levels of trust in messages on SSBs? What is current support for, and perceived effectiveness of, the UK soft drinks industry levy (SDIL)? What is the association between attitudes, knowledge, social norms, trust, SSB consumption and sociodemographic factors; and support for, and perceived effectiveness of, the SDIL?DesignCross-sectional online survey.SettingUK.ParticipantsUK respondents to the 2017 International Food Policy Study aged 18–64 years who provided information on all variables of interest (n=3104).Outcome measuresSelf-reported perceived effectiveness of, and support for, the SDIL.ResultsMost participants supported the SDIL (70%), believed it would be effective (71%), had a positive attitude to SSBs (62%), had knowledge of the link between SSBs and obesity (90%), and trusted messages from health experts (61%), but not those from the food and beverage industry (73%). Nearly half (46%) had negative social norms about drinking SSBs. In adjusted models, older age, non-consumption of SSBs, social norms to not drinks SSBs, knowledge of the link between SSBs and obesity and trust in health expert messages were associated with greater support for the SDIL, whereas having dependent children and trusting messages from the food and beverage industry were associated with less support. In adjusted models, older age was associated with lower perceived effectiveness of the SDIL, whereas social norms to not drink SSBs, negative attitudes to SSBs and trusting messages from health experts and the food and beverage industry were associated with greater perceived effectiveness.ConclusionsThere was strong support for the SDIL and belief that it would be effective. Those with more ‘public health’ orientated norms and trust were generally more likely to support the SDIL or believe that it would be effective.

scholarly journals It Is Time to Make Policy for Healthier Food Environments in Australian Universities

Nutrients ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 1909 ◽  
Author(s):  
Yumeng Shi ◽  
Qing Wang ◽  
Courtney Norman ◽  
Margaret Allman-Farinelli ◽  
Stephen Colagiuri
Keyword(s):  
Young Adults ◽  
State Government ◽  
Food Environment ◽  
Food Policy ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Food Outlets ◽  
Vending Machines ◽  
Sugary Drinks ◽  
Food And Drink

The obesogenic food environment is likely driving excessive weight gain in young adults. Our study aimed to investigate the nutritional quality of current food and drink offerings in an Australian university. This cross-sectional study included baseline environmental audits of 30 food outlets and 62 vending machines across campus. A recent food and drink benchmark for health facilities by state government was used to classify the food and beverage offerings. It recommended food outlets and vending machines to offer at least 75% ‘Everyday’ (healthy) and less than 25% ‘Occasional’ (less healthy) foods and drinks. Sugary drinks and options with large portion sizes and unhealthy ingredients should be removed from sale. Only two beverage vending machines and none of the food outlets met the full recommendations. The overall proportions of Everyday and Occasional foods in food outlets were 35% and 22%, respectively with 43% falling into the category that should not be sold. Sugary drinks occupied a third of beverage varieties in outlets and 38% of beverage slots in vending machines. The current university food environment was poorly compliant with the existing benchmark. Specific food policy in the university setting may be needed to make healthier choices more accessible to young adults.

scholarly journals Public support for healthy supermarket initiatives focused on product placement: a multi-country cross-sectional analysis of the 2018 International Food Policy Study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Clara Gómez-Donoso ◽  
Gary Sacks ◽  
Lana Vanderlee ◽  
David Hammond ◽  
Christine M. White ◽  
...  
Keyword(s):  
Food Policy ◽  
Public Support ◽  
Food Choices ◽  
The United States ◽  
Product Placement ◽  
Healthy Food ◽  
Product Positioning ◽  
Policy Study ◽  
Shelf Space ◽  
Cross Sectional

Abstract Background Food retail environments have an influential role in shaping purchasing behavior and could contribute to improving dietary patterns at a population level. However, little is known about the level of public support for different types of initiatives to encourage healthy food choices in supermarkets, and whether this varies across countries or context. The current study aimed to explore the level of support for three potential supermarket initiatives focused on product placement across five countries, and factors that may influence this support. Methods A total of 22,264 adults from Australia, Canada, Mexico, the United Kingdom and the United States (US) provided information on support for three supermarket initiatives related to product placement (targeting product positioning: ‘checkouts with only healthy products’, ‘fewer end-of-aisle displays containing unhealthy foods or soft drinks’ or availability: ‘more shelf space for fresh and healthier foods’) as part of the online 2018 International Food Policy Study. The proportion of respondents that supported each initiative was assessed across countries, and multivariable logistic regression analyses were conducted to evaluate the influence of sociodemographic factors on support. Results The initiative that received the highest support was ‘more shelf space for fresh and healthier foods’: 72.0% [95% CI 71.3–72.7], whereas ‘checkouts with only healthy products’ received the lowest support: 48.6% [95% CI 47.8–49.4]. The level of support differed between countries (p < 0.001 for all initiatives), with the US generally showing the lowest support and Mexico the highest. Noteworthy, in the overall sample, there was not much opposition to any of the initiatives (2.5–14.2%), whereas there was a large proportion of neutral responses (25.5–37.2%). Respondents who were older, female, highly educated, and those who reported having more nutrition knowledge tended to be more supportive, with several differences between countries and initiatives. Conclusions Most people in the assessed five countries showed a generally high level of support for three placement initiatives in supermarkets to encourage healthy food choices. Support varied by type of initiative (i.e., product positioning or availability) and was influenced by several factors related to country context and sociodemographic characteristics. This evidence could prompt and guide retailers and policy makers to take stronger action to promote healthy food choices in stores.

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