Louise Signal

A systematic review of persuasive marketing techniques to promote food to children on television

The ubiquitous marketing of energy‐dense, nutrient‐poor food and beverages is a key modifiable influence on childhood dietary patterns and obesity. Much of the research on television food advertising is focused on identifying and quantifying unhealthy food marketing with comparatively few studies examining persuasive marketing techniques to promote unhealthy food to children. This review identifies the most frequently documented persuasive marketing techniques to promote food to children via television. A systematic search of eight online databases using key search terms identified 267 unique articles. Thirty‐eight articles met the inclusion criteria. A narrative synthesis of the reviewed studies revealed the most commonly reported persuasive techniques used on television to promote food to children. These were the use of premium offers, promotional characters, nutrition and health‐related claims, the theme of taste, and the emotional appeal of fun. Identifying and documenting these commonly reported persuasive marketing techniques to promote food to children on television is critical for the monitoring and evaluation of advertising codes and industry pledges and the development of further regulation in this area. This has a strong potential to curbing the international obesity epidemic besieging children throughout the world.

Framing obesity: the framing contest between industry and public health at the New Zealand inquiry into obesity.

Drawing on submissions to the 2006–2007 New Zealand Inquiry into Obesity and Type 2 Diabetes, this article outlines how the food and marketing industries (industry) and the public health sector framed the issue of obesity. The analysis revealed that industry framed obesity as a consequence of poor lifestyle choices attributed largely to knowledge, cultural or other character deficits. Industry argued that lack of physical activity rather than increased food consumption was the dominant cause of obesity. In contrast, public health groups positioned obesity as a normal response to an obesogenic environment, characterized by the ubiquitous marketing and availability of low‐cost, energy‐dense/nutrient‐poor foods. For public health groups, increased consumption of energy‐dense/nutrient‐poor foods was positioned as the dominant cause of obesity. Many public health submitters also suggested that social inequalities contributed to obesity. Industry emphasized education as the key solution to obesity, while public health groups argued for regulation of the activities of the food and marketing industries, and policies to address wider determinants of health and social inequalities. Identifying and documenting these frames, by making transparent the interests of the frames sponsors, contributes to greater understanding of the wider policy context around obesity and provides useful information for public health advocacy.

Food, fizzy, and football: promoting unhealthy food and beverages through sport - a New Zealand case study

BackgroundHigh participation rates in sport and increasing recognition of how diet benefits athletic performance suggest sports settings may be ideal locations for promoting healthy eating. While research has demonstrated the effect of tobacco and alcohol sponsorship on consumption, particularly among youth, few studies have examined the extent or impact of food and beverage company sponsorship in sport. Studies using brand logos as a measure suggest unhealthy foods and beverages dominate sports sponsorship. However, as marketing goes beyond the use of brand livery, research examining how marketers support sponsorships that create brand associations encouraging consumer purchase is also required. This study aimed to identify the characteristics and extent of sponsorships and associated marketing by food and non-alcoholic beverage brands and companies through a case study of New Zealand sport.MethodsWe conducted a systematic review of 308 websites of national and regional New Zealand sporting organisations to identify food and beverage sponsors, which were then classified as healthy or unhealthy using nutrient criteria for energy, fat, sodium and fibre levels. We interviewed 18 key informants from national and regional sporting organisations about sponsorships.ResultsFood and beverage sponsorship of sport is not extensive in New Zealand. However, both healthy and unhealthy brands and companies do sponsor sport. Relatively few support their sponsorships with additional marketing. Interviews revealed that although many sports organisations felt concerned about associating themselves with unhealthy foods or beverages, others considered sponsorship income more important.ConclusionsWhile there is limited food and beverage sponsorship of New Zealand sport, unhealthy food and beverage brands and companies do sponsor sport. The few that use additional marketing activities create repeat exposure for their brands, many of which target children. The findings suggest policies that restrict sponsorship of sports by unhealthy food and beverage manufacturers may help limit children’s exposure to unhealthy food marketing within New Zealand sports settings. Given the global nature of the food industry, the findings of this New Zealand case study may be relevant elsewhere.

Availability and marketing of food and beverages to children through sports settings: a systematic review.

OBJECTIVE The current systematic review aimed to identify and critically appraise research on food environments in sports settings, including research into the types of food and beverages available, the extent and impact of food and beverage sponsorship and marketing, and views about food environments among key stakeholders. DESIGN A systematic review. Fourteen English-language studies (two were papers describing different facets of the same study), published between 1985 and 2011, were identified from searches of electronic databases and bibliographies of primary studies. SETTING Most studies originated from Australia (n 10), with the remaining studies originating in the UK (n 1), New Zealand (n 1), the USA (n 1) and Canada (n 1). Data were collected from observations in stadia, websites and televised sports events, through in-depth interviews, focus groups and surveys with sports club members, parents and quick serve restaurant managers. RESULTS Literature exploring food environments in sports settings was limited and had some important methodological limitations. No studies comprehensively described foods available at clubs or stadia, and only one explored the association between food and beverage sponsorship and club incomes. Club policies focused on the impact of health promotion funding rather than the impact of sponsorship or food availability in sports settings. CONCLUSIONS Further research, including comprehensive studies of the food environment in sports settings, is required to document the availability, sponsorship and marketing of food and beverages at national, regional and club levels and to estimate how sports settings may influence childrens diets.

Building community resilience: learning from the Canterbury earthquakes

Internationally, enhancing community resilience is considered key to disaster management. Factors that affect community resilience from a community perspective are explored across six communities. The research occurred following a series of devastating earthquakes in the Canterbury region of New Zealand. Results show that connected communities with pre-existing community infrastructure (e.g. community and tribal organisations, local leaders) found it easier to adapt after the earthquakes. Existing hardship was exacerbated by disaster. The research sheds light on how to foster resilient communities and the importance of doing this because resilient communities cope better with, and recover faster from, crises. However, communities need to be sufficiently resourced to carry out their vital role.

Consideration of comorbidity in treatment decision making in multidisciplinary cancer team meetings: a systematic review

BACKGROUND Comorbidity is very common among patients with cancer. Multidisciplinary team meetings (MDTs) are increasingly the context within which cancer treatment decisions are made internationally. Little is known about how comorbidity is considered, or impacts decisions, in MDTs. METHODS A systematic literature review was conducted to evaluate previous evidence on consideration, and impact, of comorbidity in cancer MDT treatment decision making. Twenty-one original studies were included. RESULTS Lack of information on comorbidity in MDTs impedes the ability of MDT members to make treatment recommendations, and for those recommendations to be implemented among patients with comorbidity. Where treatment is different from that recommended due to comorbidity, it is more conservative, despite evidence that such treatment may be tolerated and effective. MDT members are likely to be unaware of the extent to which issues such as comorbidity are ignored. CONCLUSIONS MDTs should systematically consider treatment of patients with comorbidity. Further research is needed to assist clinicians to undertake MDT decision making that appropriately addresses comorbidity. If this were to occur, it would likely contribute to improved outcomes for cancer patients with comorbidities.

Identifying barriers to promoting healthy nutrition in New Zealand primary schools

Background. Schools are often identified as a site for intervention to improve the diets of students, and help prevent excess weight gain and obesity. Rates of overweight and obesity amongst school children have risen in much of the world, including New Zealand, with unequal distribution by ethnicity and socioeconomic status. Objective. To identify barriers to improving school food environments and promoting healthy nutrition experienced by primary schools in New Zealand. Methods. Five primary schools (ages 5—10 or 5—12 years) were recruited within Wellington, New Zealand. Data included: interviews with school management; school food policy documents; school lunch/food sales; and location of food outlets and outdoor food advertisements surrounding the schools. A case-comparison approach identified barriers to promoting healthy nutrition within primary schools in New Zealand. Results. Common barriers in all schools included the high proportion of food brought to school from home, the crowded curriculum and limited resources to implement changes. Barriers that varied across socioeconomic contexts included the ability of home and community settings to support healthy diets, the degree to which schools relied on fundraising, and engagement of parents and families with the school food environment. Conclusion. New Zealand primary schools face a number of barriers to promoting healthy nutrition related to time and resource constraints, with limited influence on children’s diets in relation to home and community settings. Incremental actions to improve school food environments seem most effective, supported by external agency expertise. The nature of external support should to be tailored to the needs of the individual school.

What do Passengers do During Travel Time? Structured Observations on Buses and Trains

Structured observation is one way to assess how public transport passengers actually use their travel time. This study reports on 812 adult passengers in Wellington, New Zealand. Researchers recorded passenger characteristics and behavior over a 4-minute period, on a range of routes and times, using 12 pre-set codes. Most passengers (65.3%) were “looking ahead/out the window” at some point in the observation period, more on buses than on trains. About one-fifth of all passengers observed were seen reading, more on trains. Other activities included listening on headphones, talking, texting, and sleeping/eyes closed. Activities were compared on the basis of gender, age group, mode, and time of day. Comparisons are made with recent observational and survey studies, with discussion of both methods and results.

The case of national health promotion policy in Australia: where to now?

Issue addressed Over the last three decades there has been an incremental investment in health promotion and prevention across Australia; yet, the Commonwealth Government and some state/territory governments have more recently instigated funding cuts in health promotion and prevention. This paper argues that the role of health promotion is critical in contemporary Australia and discusses strategies needed to move forward within the context of recent disinvestments. Discussion Key areas of concern relating to recent health promotion and prevention disinvestment in Australia include the abolishment of the Australian National Preventive Health Agency, the cessation of the National Partnership Agreement on Preventive Health and significant cuts to Indigenous programs. These changes pose a significant threat to the health, economic and social well being of Australians and the region, particularly those that are most vulnerable. Conclusions Future health promotion and prevention efforts will require strategic leadership and action to enhance the promotion of health equity in Australia over the coming decades. We call on governments to (re)invest in health promotion and prevention both in and outside the health sector so that health promotion professionals can continue their advocacy efforts aimed at articulating their professional place in improving population health. So what? Recent changes to national health promotion and prevention policy are detrimental to the health and well being of the Australian population, particularly those most vulnerable. Sound planning to revitalise and refocus health promotion action in Australia is urgently required.

Nutrition policy in whose interests? A New Zealand case study

OBJECTIVE In the context of the global obesity epidemic, national nutrition policies have come under scrutiny. The present paper examines whose interests - industry or public health - are served by these policies and why. DESIGN Using an exemplary case study of submissions to an inquiry into obesity, the research compared the positions of industry and public health groups with that taken by government. We assessed whether the interests were given equal consideration (a pluralist model of influence) or whether the interests of one group were favoured over the other (a neo-pluralist model). SETTING 2006 New Zealand Inquiry into Obesity. SUBJECTS Food and advertising industry and public health submitters. RESULTS The Governments position was largely aligned with industry interests in three of four policy domains: the national obesity strategy; food industry policy; and advertising and marketing policies. The exception to this was nutrition policy in schools, where the Governments position was aligned with public health interests. These findings support the neo-pluralist model of interest group influence. CONCLUSIONS The dominance of the food industry in national nutrition policy needs to be addressed. It is in the interests of the public, industry and the state that government regulates the food and advertising industries and limits the involvement of industry in policy making. Failure to do so will be costly for individuals, in terms of poor health and earlier death, costly to governments in terms of the associated health costs, and costly to both the government and industry due to losses in human productivity.