Effects of front-of-package caffeine and sweetener disclaimers in Mexico: cross-sectional results from the 2020 International Food Policy Study

Abstract Objective: Front-of-package warning labels introduced in Mexico in 2020 included disclaimers that caution against allowing children to consume products with non-sugary sweeteners and caffeine. We examined the awareness and use of the disclaimers among Mexican adults and youth 1 month afte...

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Main Authors: Laura Patricia Arellano-Gómez, Alejandra Jáuregui, Claudia Nieto, Alejandra Contreras-Manzano, Kathia Larissa Quevedo, Christine M White, James F Thrasher, Rachel E Davis, David Hammond, Simón Barquera
Format: Article
Language:English
Published: Cambridge University Press 2023-12-01
Series:Public Health Nutrition
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S1368980023002100/type/journal_article
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author Laura Patricia Arellano-Gómez
Alejandra Jáuregui
Claudia Nieto
Alejandra Contreras-Manzano
Kathia Larissa Quevedo
Christine M White
James F Thrasher
Rachel E Davis
David Hammond
Simón Barquera
author_facet Laura Patricia Arellano-Gómez
Alejandra Jáuregui
Claudia Nieto
Alejandra Contreras-Manzano
Kathia Larissa Quevedo
Christine M White
James F Thrasher
Rachel E Davis
David Hammond
Simón Barquera
author_sort Laura Patricia Arellano-Gómez
collection DOAJ
description Abstract Objective: Front-of-package warning labels introduced in Mexico in 2020 included disclaimers that caution against allowing children to consume products with non-sugary sweeteners and caffeine. We examined the awareness and use of the disclaimers among Mexican adults and youth 1 month after the regulation was implemented. We also investigated their impact on the perceived healthfulness of industrialised beverages designed for children. Design: Data on the awareness and use of the disclaimers were analysed. Two between-subjects experiments examined the effect of a sweetener disclaimer (Experiment 1, youth and adults) or a caffeine disclaimer (Experiment 2, only adults) on the perceived healthfulness of industrialised beverages. Interactions between experimental conditions and demographic characteristics were tested. Setting: Online survey in 2020. Participants: Mexican adults (≥18 years, n 2108) and youth (10–17 years, n 1790). Results: Most participants (>80 %) had seen the disclaimers at least rarely, and over 60 % used them sometimes or frequently. The sweetener disclaimer led to a lower perceived healthfulness of a fruit drink (adults: 2·74 ± 1·44; youth: 2·04 ± 0·96) compared with the no-disclaimer condition (adults: 3·17 ± 1·54; youth: 2·32 ± 0·96) (t’s: >4·0, P values: <0·001). This effect was larger among older adults and male youth. The caffeine disclaimer did not affect adult’s perceived healthfulness of a caffeinated drink (t = 0·861, P value = 0·3894). Conclusions: There were high awareness and use of the sweeteners and caffeine disclaimers shortly after the warning labels were implemented. The sweetener disclaimer appears to be helping consumers modify their perceptions regarding industrialised beverages for children. Findings may help decision-makers improve the regulation and better target communication strategies.
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spelling doaj.art-3321e168937a45f59bbc8785e1eccfce2023-12-20T02:26:58ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-12-01263278329010.1017/S1368980023002100Effects of front-of-package caffeine and sweetener disclaimers in Mexico: cross-sectional results from the 2020 International Food Policy StudyLaura Patricia Arellano-Gómez0https://orcid.org/0000-0003-1619-5968Alejandra Jáuregui1https://orcid.org/0000-0001-9158-2007Claudia Nieto2Alejandra Contreras-Manzano3https://orcid.org/0000-0003-1576-5922Kathia Larissa Quevedo4Christine M White5James F Thrasher6Rachel E Davis7David Hammond8Simón Barquera9Center for Research on Nutrition and Health, Instituto Nacional de Salud Pública, Av. Universidad 655 Col. Santa María Ahuacatitlán, Cuernavaca, 62100, Mexico Department of Psychology, Education and Health, Nutrition and Food Sciences, ITESO Jesuit University of Guadalajara, Guadalajara, MexicoCenter for Research on Nutrition and Health, Instituto Nacional de Salud Pública, Av. Universidad 655 Col. Santa María Ahuacatitlán, Cuernavaca, 62100, MexicoCenter for Research on Nutrition and Health, Instituto Nacional de Salud Pública, Av. Universidad 655 Col. Santa María Ahuacatitlán, Cuernavaca, 62100, MexicoCenter for Research on Nutrition and Health, Instituto Nacional de Salud Pública, Av. Universidad 655 Col. Santa María Ahuacatitlán, Cuernavaca, 62100, Mexico National Council for Science and Technology (CONACYT), Mexico City, MexicoCenter for Research on Nutrition and Health, Instituto Nacional de Salud Pública, Av. Universidad 655 Col. Santa María Ahuacatitlán, Cuernavaca, 62100, MexicoSchool of Public Health Sciences, University of Waterloo, Waterloo, CanadaDepartment of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, USA Center for Population Health Research, National Institute of Public Health, Cuernavaca, MexicoDepartment of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, USASchool of Public Health Sciences, University of Waterloo, Waterloo, CanadaCenter for Research on Nutrition and Health, Instituto Nacional de Salud Pública, Av. Universidad 655 Col. Santa María Ahuacatitlán, Cuernavaca, 62100, Mexico Abstract Objective: Front-of-package warning labels introduced in Mexico in 2020 included disclaimers that caution against allowing children to consume products with non-sugary sweeteners and caffeine. We examined the awareness and use of the disclaimers among Mexican adults and youth 1 month after the regulation was implemented. We also investigated their impact on the perceived healthfulness of industrialised beverages designed for children. Design: Data on the awareness and use of the disclaimers were analysed. Two between-subjects experiments examined the effect of a sweetener disclaimer (Experiment 1, youth and adults) or a caffeine disclaimer (Experiment 2, only adults) on the perceived healthfulness of industrialised beverages. Interactions between experimental conditions and demographic characteristics were tested. Setting: Online survey in 2020. Participants: Mexican adults (≥18 years, n 2108) and youth (10–17 years, n 1790). Results: Most participants (>80 %) had seen the disclaimers at least rarely, and over 60 % used them sometimes or frequently. The sweetener disclaimer led to a lower perceived healthfulness of a fruit drink (adults: 2·74 ± 1·44; youth: 2·04 ± 0·96) compared with the no-disclaimer condition (adults: 3·17 ± 1·54; youth: 2·32 ± 0·96) (t’s: >4·0, P values: <0·001). This effect was larger among older adults and male youth. The caffeine disclaimer did not affect adult’s perceived healthfulness of a caffeinated drink (t = 0·861, P value = 0·3894). Conclusions: There were high awareness and use of the sweeteners and caffeine disclaimers shortly after the warning labels were implemented. The sweetener disclaimer appears to be helping consumers modify their perceptions regarding industrialised beverages for children. Findings may help decision-makers improve the regulation and better target communication strategies. https://www.cambridge.org/core/product/identifier/S1368980023002100/type/journal_articleWarning labellingSugar-sweetened beveragesHealthfulness perceptionCaffeineNon-sugary sweeteners
spellingShingle Laura Patricia Arellano-Gómez
Alejandra Jáuregui
Claudia Nieto
Alejandra Contreras-Manzano
Kathia Larissa Quevedo
Christine M White
James F Thrasher
Rachel E Davis
David Hammond
Simón Barquera
Effects of front-of-package caffeine and sweetener disclaimers in Mexico: cross-sectional results from the 2020 International Food Policy Study
Public Health Nutrition
Warning labelling
Sugar-sweetened beverages
Healthfulness perception
Caffeine
Non-sugary sweeteners
title Effects of front-of-package caffeine and sweetener disclaimers in Mexico: cross-sectional results from the 2020 International Food Policy Study
title_full Effects of front-of-package caffeine and sweetener disclaimers in Mexico: cross-sectional results from the 2020 International Food Policy Study
title_fullStr Effects of front-of-package caffeine and sweetener disclaimers in Mexico: cross-sectional results from the 2020 International Food Policy Study
title_full_unstemmed Effects of front-of-package caffeine and sweetener disclaimers in Mexico: cross-sectional results from the 2020 International Food Policy Study
title_short Effects of front-of-package caffeine and sweetener disclaimers in Mexico: cross-sectional results from the 2020 International Food Policy Study
title_sort effects of front of package caffeine and sweetener disclaimers in mexico cross sectional results from the 2020 international food policy study
topic Warning labelling
Sugar-sweetened beverages
Healthfulness perception
Caffeine
Non-sugary sweeteners
url https://www.cambridge.org/core/product/identifier/S1368980023002100/type/journal_article
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