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Evaluating the impact of Chile’s marketing regulation of unhealthy foods and beverages: pre-school and adolescent children’s changes in exposure to food advertising on television

  • Francesca R Dillman Carpentier (a1), Teresa Correa (a2), Marcela Reyes (a3) and Lindsey Smith Taillie (a4) (a5)

Abstract

Objective:

To evaluate the effects of Chile’s 2016 regulation restricting child-directed marketing of products high in energy, saturated fats, sodium and sugars on reducing children’s exposure to ‘high-in’ television food advertising.

Design:

Television use by pre-schoolers and adolescents was assessed via surveys in the months prior to implementation and a year after implementation. Hours and channels of television use were linked with the amount of high-in food advertising observed in corresponding content analyses of food advertisements (ads) from popular broadcast and cable channels to estimate changes in exposure to food ads from these channels.

Setting:

Middle-lower and lower-income neighbourhoods in Santiago, Chile.

Participants:

Pre-schoolers (n 879; mothers reporting) and adolescents (n 753; self-reporting).

Results:

Pre-schoolers’ and adolescents’ exposure to high-in food advertising in total decreased significantly by an average of 44 and 58 %, respectively. Exposure to high-in food advertising with child-directed appeals, such as cartoon characters, decreased by 35 and 52 % for pre-schoolers and adolescents, respectively. Decreases were more pronounced for children who viewed more television. Products high in sugars were the most prevalent among the high-in ads seen by children after implementation.

Conclusions:

Following Chile’s 2016 child-directed marketing regulation, children’s exposure to high-in food advertising on popular broadcast and cable television decreased significantly but was not eliminated from their viewing. Later stages of the regulation are expected to eliminate the majority of children’s exposure to high-in food advertising from television.

Copyright

Corresponding author

*Corresponding author: Email taillie@unc.edu

References

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1. Ng, M, Fleming, T, Robinson, M et al. (2014) Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 384, 766781.
2. World Health Organization (2016) Consideration of the Evidence on Childhood Obesity for the Commission on Ending Childhood Obesity: Report of the Ad Hoc Working Group on Science and Evidence for Ending Childhood Obesity. Geneva: WHO.
3. Ministerio de Salud, Departamento de Estadísticas e Información de Salud (Ministry of Health, Department of Statistics and Health Information) (2014) Indicadores Basicos de Salud, IBS. Chile 2014 (Basic Health Indicators, IBS. Chile 2014). Santiago: Ministerio de Salud, DEIS.
4. Popkin, BM & Hawkes, C (2016) Sweetening of the global diet, particularly beverages: patterns, trends, and policy responses. Lancet Diabetes Endocrinol 4, 174186.
5. Cediel, G, Reyes, M, da Costa Louzada, M et al. (2017) Ultra-processed foods and added sugars in the Chilean diet (2010). Public Health Nutr 21, 125133.
6. Essman, M, Popkin, BM, Corvalan, C et al. (2018) Sugar-sweetened beverage intake among Chilean preschoolers and adolescents in 2016: a cross-sectional analysis. Nutrients 10, 1767.
7. Powell, L, Szczpka, G, Chaloupka, F et al. (2007) Nutritional content of television food advertisements seen by children and adolescents. Pediatrics 120, 576583.
8. Story, M & French, S (2004) Food advertising and marketing directed at children and adolescents in the US. Int J Behav Nutr Phys Act 1, 3.
9. Boyland, EJ, Nolan, S, Kelly, B et al. (2016) Advertising as a cue to consume: a systematic review and meta-analysis of the effects of acute exposure to unhealthy food and nonalcoholic beverage advertising on intake in children and adults. Am J Clin Nutr 103, 519533.
10. Buijzen, M, Schuurman, J & Bomhof, E (2008) Associations between children’s television advertising exposure and their food consumption patterns: a household diary-survey study. Appetite 50, 231239.
11. Emond, JA, Lansigan, RK, Ramanujam, A et al. (2016) Randomized exposure to food advertisements and eating in the absence of hunger among preschoolers. Pediatrics 138, e20162361.
12. Halford, JC, Boyland, EJ, Hughes, G et al. (2007) Beyond-brand effect of television (TV) food advertisements/commercials on caloric intake and food choice of 5–7-year-old children. Appetite 49, 263267.
13. Halford, JC, Gillespie, J, Brown, V et al. (2004) Effect of television advertisements for foods on food consumption in children. Appetite 42, 221225.
14. Harris, JL, Bargh, JA & Brownell, KD (2009) Priming effects of television food advertising on eating behavior. Health Psychol 28, 404413.
15. Utter, J, Scragg, R & Schaaf, D (2006) Associations between television viewing and consumption of commonly advertised foods among New Zealand children and young adolescents. Public Health Nutr 9, 606612.
16. Pan American Health Organization (2011) Recommendations from a Pan American Health Organization Expert Consultation on the Marketing of Food and Non-Alcoholic Beverages to Children in the Americas. Washington, DC: PAHO.
17. World Cancer Research Fund International (2016) NOURISHING Framework: Restrict food advertising and other forms of commercial promotion. http://www.wcrf.org/int/policy/nourishing-framework/restrict-food-marketing (accessed December 2019).
18. World Health Organization (2010) Set of Recommendations on the Marketing of Foods and Non-Alcoholic Beverages to Children. Geneva: WHO.
19. World Health Organization (2012) A Framework for Implementing the Set of Recommendations on the Marketing of Foods and Non-Alcoholic Beverages to Children. Geneva: WHO.
20. Sassi, F (2010) Obesity and the Economics of Prevention: Fit Not Fat. Paris: OECD Publishing.
21. Taillie, LS, Busey, E, Mediano Stoltze, F et al. (2019) Government policies to reduce unhealthy food marketing to children: a narrative review. Nutr Rev 77, 787816.
22. Ministerio de Salud, Subsecretaría de Salud Pública (2015) Modifica decreto supremo No 977, de 1996, del Ministerio de Salud. Reglamento Sanitario de los Alimentos (Amendment to Ministry of Health supreme decree No. 977 of 1996. Food Health Regulations). Santiago: Ministerio de Salud.
23. Ministerio de Salud (2015) Ley No 20.869 sobre Publicidad de los Alimentos (Food Advertising Law No. 20.869). Santiago: Ministerio de Salud.
24. Corvalan, C, Reyes, M, Garmendia, M et al. (2013) Structural responses to the obesity and non-communicable diseases epidemic: the Chilean Law of Food Labeling and Advertising. Obes Rev 14, Suppl. 2, 7987.
25. Galbraith-Emami, S & Lobstein, T (2013) The impact of initiatives to limit the advertising of food and beverage products to children: a systematic review. Obes Rev 14, 960974.
26. Adams, J, Tyrrell, R, Adamson, AJ et al. (2012) Effect of restrictions on television food advertising to children on exposure to advertisements for ‘less healthy’ foods: repeat cross-sectional study. PLoS One 7, e31578.
27. Livingstone, S & Helsper, EJ (2006) Does advertising literacy mediate the effects of advertising on children? A critical examination of two linked research literatures in relation to obesity and food choice. J Commun 56, 560584.
28. Young, B (2015) Does food advertising influence children’s food choices? A critical review of some recent literature. Int J Advert 22, 441459.
29. Livingstone, S (2005) Assessing the research base for the policy debate over the effects of food advertising to children. Int J Advert 24, 273296.
30. Gantz, W, Schwartz, N, Angelini, JR et al. (2007) Food for Thought: Television Food Advertising to Children in the United States. Menlo Park, CA: Kaiser Family Foundation.
31. Godoy, S & Gronemeyer, M (2012) Mapping Digital Media: Chile. A Report by the Open Society Foundations. London: Open Society Media Program.
32. Correa, T, Reyes, M, Smith Taillie, LP et al. (2019) The prevalence and audience reach of food and beverage advertising on Chilean television according to marketing tactics and nutritional quality of products. Public Health Nutr 22, 11131124.
33. Corvalan, C, Uauy, R & Mericq, V (2013) Obesity is positively associated with dehydroepiandrosterone sulfate concentrations at 7y in Chilean children of normal birth weight. Am J Clin Nutr 97, 318325.
34. Corvalan, C, Uauy, R, Stein, AD et al. (2009) Effect of growth on cardiometabolic status at 4y of age. Am J Clin Nutr 90, 547555.
35. Kain, J, Corvalan, C, Lera, L et al. (2009) Accelerated growth in early life and obesity in preschool Chilean children. Obesity (Silver Spring) 17, 16031608.
36. Borzekowski, DLG & Robinson, TN (1999) Viewing the viewers: ten video cases of children’s television viewing behaviors. J Broadcast Electron Media 43, 506528.
37. Bryant, M, Lucove, J, Evenson, K et al. (2007) Measurement of television viewing in children and adolescents: a systematic review. Obes Rev 8, 197209.
38. Kanter, R, Reyes, M & Corvalán, C (2017) Photographic methods for measuring packaged food and beverage products in supermarkets. Curr Dev Nutr 1, e001016.
39. Harris, JL, Sarda, V, Schwartz, MB et al. (2013) Redefining ‘child-directed advertising’ to reduce unhealthy television food advertising. Am J Prev Med 44, 358364.
40. Ministerio de Salud, Subsecretaría de Salud Pública (2017) Modifica decreto supremo No 977, de 1996, del Ministerio de Salud. Reglamento Sanitario de los Alimentos No 24 (Amendment to Ministry of Health supreme decree No. 977 of 1996. Food Health Regulations No. 24). Santiago: Ministerio de Salud.
41. Dalton, MA, Longacre, MR, Drake, KM et al. (2017) Child-targeted fast-food television advertising exposure is linked with fast-food intake among pre-school children. Public Health Nutr 20, 15481556.
42. Longacre, MR, Drake, KM, Titus, LJ et al. (2017) Child-targeted TV advertising and preschoolers’ consumption of high-sugar breakfast cereals. Appetite 108, 295302.
43. Yang-Huang, J, van Grieken, A, Moll, HA et al. (2017) Socioeconomic differences in children’s television viewing trajectory: a population-based prospective cohort study. PLoS One 12, e0188363.
44. Christakis, DA, Ebel, BE, Rivara, FP et al. (2004) Television, video, and computer game usage in children under 11 years of age. J Pediatr 145, 652656.

Keywords

Evaluating the impact of Chile’s marketing regulation of unhealthy foods and beverages: pre-school and adolescent children’s changes in exposure to food advertising on television

  • Francesca R Dillman Carpentier (a1), Teresa Correa (a2), Marcela Reyes (a3) and Lindsey Smith Taillie (a4) (a5)

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