Testing front-of-package warnings to discourage red meat consumption: a randomized experiment with US meat consumers

Abstract Background Reducing red meat is a strategy to improve public health and mitigate climate change in the United States and other high-income countries. Policies requiring warnings on the front of red meat packages are a promising intervention to shift consumers towards healthier and more sust...

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Main Authors: Lindsey Smith Taillie, Christina Chauvenet, Anna H. Grummon, Marissa G. Hall, Wilma Waterlander, Carmen E. Prestemon, Lindsay M. Jaacks
Format: Article
Language:English
Published: BMC 2021-09-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Subjects:
Online Access:https://doi.org/10.1186/s12966-021-01178-9
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author Lindsey Smith Taillie
Christina Chauvenet
Anna H. Grummon
Marissa G. Hall
Wilma Waterlander
Carmen E. Prestemon
Lindsay M. Jaacks
author_facet Lindsey Smith Taillie
Christina Chauvenet
Anna H. Grummon
Marissa G. Hall
Wilma Waterlander
Carmen E. Prestemon
Lindsay M. Jaacks
author_sort Lindsey Smith Taillie
collection DOAJ
description Abstract Background Reducing red meat is a strategy to improve public health and mitigate climate change in the United States and other high-income countries. Policies requiring warnings on the front of red meat packages are a promising intervention to shift consumers towards healthier and more sustainable food choices. We aimed to explore participants’ reactions to health and environmental warning messages about red meat. Methods Between June and July 2020, we recruited a national convenience sample of US red meat consumers (n = 1,235; mean age 44 years) for an online survey. Participants were randomly assigned to one of four label conditions: no-label control, health warning, environment warning, and combined health and environment warning (both warnings shown side-by-side). Participants viewed three types of burritos (red meat [steak], chicken, and vegetarian) and selected their preferred item (primary outcome), the item they perceived to be most damaging to health, and the item they perceived to be most damaging to the environment (secondary outcomes). Participants then viewed their assigned warning on a series of other red meat products (no-label control participants were randomly re-assigned to one of the warning conditions) and rated the warnings on perceived message effectiveness, believability, negative emotions, perceived risk, attention, and learning something new. Finally, participants reported their intentions to reduce red meat consumption. Results There were no significant differences in selection of the steak burrito between label conditions or in selection of the item most damaging to the environment. Those exposed to the health warning were more likely to select the steak burrito as most damaging to health compared to those exposed to other label conditions (health 73 %, combined 64 %, environment 60 %, no-label control 63 %, p < 0.05). The combined and health warnings elicited higher perceived message effectiveness ratings than the environment warning (combined mean 2.91, health 2.84, environment 2.61, p < 0.05). Conclusions Warnings did not have a significant effect on item preference in the choice experiment. However, combined and health warnings performed better than the environment warning across a variety of warning label reaction measures. More research will be needed to understand whether warnings elicit behavioral change in real-world environments. Trial registration Analyses and hypotheses were preregistered on https://aspredicted.org/ph7mb.pdf on 23 June 2020.
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spelling doaj.art-82c6c980bd164f6998d57b935bda9a132022-12-21T22:09:27ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682021-09-0118111310.1186/s12966-021-01178-9Testing front-of-package warnings to discourage red meat consumption: a randomized experiment with US meat consumersLindsey Smith Taillie0Christina Chauvenet1Anna H. Grummon2Marissa G. Hall3Wilma Waterlander4Carmen E. Prestemon5Lindsay M. Jaacks6Carolina Population Center, University of North CarolinaHealth Promotion, Education, and Behavior, University of South Carolina Arnold School of Public HealthCenter for Population and Development Studies, Harvard TH Chan School of Public HealthCarolina Population Center, University of North CarolinaDepartment of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research InstituteCarolina Population Center, University of North CarolinaGlobal Academy of Agriculture and Food Security, The University of EdinburghAbstract Background Reducing red meat is a strategy to improve public health and mitigate climate change in the United States and other high-income countries. Policies requiring warnings on the front of red meat packages are a promising intervention to shift consumers towards healthier and more sustainable food choices. We aimed to explore participants’ reactions to health and environmental warning messages about red meat. Methods Between June and July 2020, we recruited a national convenience sample of US red meat consumers (n = 1,235; mean age 44 years) for an online survey. Participants were randomly assigned to one of four label conditions: no-label control, health warning, environment warning, and combined health and environment warning (both warnings shown side-by-side). Participants viewed three types of burritos (red meat [steak], chicken, and vegetarian) and selected their preferred item (primary outcome), the item they perceived to be most damaging to health, and the item they perceived to be most damaging to the environment (secondary outcomes). Participants then viewed their assigned warning on a series of other red meat products (no-label control participants were randomly re-assigned to one of the warning conditions) and rated the warnings on perceived message effectiveness, believability, negative emotions, perceived risk, attention, and learning something new. Finally, participants reported their intentions to reduce red meat consumption. Results There were no significant differences in selection of the steak burrito between label conditions or in selection of the item most damaging to the environment. Those exposed to the health warning were more likely to select the steak burrito as most damaging to health compared to those exposed to other label conditions (health 73 %, combined 64 %, environment 60 %, no-label control 63 %, p < 0.05). The combined and health warnings elicited higher perceived message effectiveness ratings than the environment warning (combined mean 2.91, health 2.84, environment 2.61, p < 0.05). Conclusions Warnings did not have a significant effect on item preference in the choice experiment. However, combined and health warnings performed better than the environment warning across a variety of warning label reaction measures. More research will be needed to understand whether warnings elicit behavioral change in real-world environments. Trial registration Analyses and hypotheses were preregistered on https://aspredicted.org/ph7mb.pdf on 23 June 2020.https://doi.org/10.1186/s12966-021-01178-9SustainabilityFood policyCarbon footprintPlant-based dietsConsumer behaviorFront-of-package labels
spellingShingle Lindsey Smith Taillie
Christina Chauvenet
Anna H. Grummon
Marissa G. Hall
Wilma Waterlander
Carmen E. Prestemon
Lindsay M. Jaacks
Testing front-of-package warnings to discourage red meat consumption: a randomized experiment with US meat consumers
International Journal of Behavioral Nutrition and Physical Activity
Sustainability
Food policy
Carbon footprint
Plant-based diets
Consumer behavior
Front-of-package labels
title Testing front-of-package warnings to discourage red meat consumption: a randomized experiment with US meat consumers
title_full Testing front-of-package warnings to discourage red meat consumption: a randomized experiment with US meat consumers
title_fullStr Testing front-of-package warnings to discourage red meat consumption: a randomized experiment with US meat consumers
title_full_unstemmed Testing front-of-package warnings to discourage red meat consumption: a randomized experiment with US meat consumers
title_short Testing front-of-package warnings to discourage red meat consumption: a randomized experiment with US meat consumers
title_sort testing front of package warnings to discourage red meat consumption a randomized experiment with us meat consumers
topic Sustainability
Food policy
Carbon footprint
Plant-based diets
Consumer behavior
Front-of-package labels
url https://doi.org/10.1186/s12966-021-01178-9
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