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Industry responses to unhealthy food retail promotion restrictions: a thematic analysis of two public consultations in Scotland

Published online by Cambridge University Press:  18 July 2025

Clara Gomez-Donoso*
Affiliation:
Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, VIC, Australia
Sadika Akhter
Affiliation:
Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, VIC, Australia
Adrian J Cameron
Affiliation:
Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, VIC, Australia
Jean Adams
Affiliation:
MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK
Martin White
Affiliation:
MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK
Gary Sacks
Affiliation:
Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, VIC, Australia
Anna Peeters
Affiliation:
Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, VIC, Australia
Kathryn Backholer
Affiliation:
Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, VIC, Australia
*
Corresponding author: Clara Gomez-Donoso; Email: claragomezd@gmail.com
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Abstract

Objective:

Governments are increasingly implementing policies to improve population diets, despite food industry resistance to regulation that may reduce their profits from sales of unhealthy foods. However, retail food environments remain an important target for policy action. This study analysed publicly available responses of industry actors to two public consultations on regulatory options for restricting unhealthy food price and placement promotions in retail outlets in Scotland.

Design:

We conducted a qualitative content analysis guided by the Policy Dystopia Model to identify the discursive (argument-based) and instrumental (tactic-based) strategies used by industry actors to counter the proposed food retail policies.

Setting:

Scotland, UK, 2017–2019.

Participants:

N/A.

Results:

Most food and retail industry responses opposed the policy proposals. Discursive strategies employed by these actors commonly highlighted the potential costs to the economy, their industries and the public in the context of a financial crisis and disputed the potential health benefits of the proposals. They claimed that existing efforts to improve population diets, such as nutritional reformulation, would be undermined. Instrumental strategies included using unsubstantiated and misleading claims, building a coordinated narrative focused on key opposing arguments and seeking further involvement in policy decision-making.

Conclusions:

These findings can be used by public health actors to anticipate and prepare for industry opposition when developing policies targeted at reducing the promotion of unhealthy food in retail settings. Government action should ensure robust management of conflicts of interest and establishment of guidance for the use of supporting evidence as part of the public health policy process.

Information

Type
Research Paper
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society
Figure 0

Table 1. Policy dystopia model: discursive and instrumental strategies

Figure 1

Table 2. Proposals and objectives from consultations related to food retail promotion restrictions of HFSS products (high in fat, sugar and salt). Scottish Government, 2017–2019

Figure 2

Table 3. Number of responses submitted and made publicly accessible (%) by industry actors for ‘A Healthier Future – Action and Ambitions on Diet, Activity and Healthy Weight’ 2017/18 (Consultation 1) and ‘Reducing Health Harms of Foods High in Fat, Sugar or Salt’ 2018/19 (Consultation 2)