Testing a conceptual Hierarchy of Effects model of food marketing exposure and associations with children and adolescents’ diet-related outcomes

Abstract Objective: Children’s exposure to unhealthy food marketing contributes to poor diets by influencing the foods that children like, request, buy and consume. This study aimed to use confirmatory mediational analyses to test a hypothetical model of marketing effects, to better understand the...

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Main Authors: Bridget Kelly, Emma Boyland, Mimi Tatlow-Golden, Paul Christiansen
Format: Article
Language:English
Published: Cambridge University Press 2024-01-01
Series:Public Health Nutrition
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S1368980023002616/type/journal_article
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author Bridget Kelly
Emma Boyland
Mimi Tatlow-Golden
Paul Christiansen
author_facet Bridget Kelly
Emma Boyland
Mimi Tatlow-Golden
Paul Christiansen
author_sort Bridget Kelly
collection DOAJ
description Abstract Objective: Children’s exposure to unhealthy food marketing contributes to poor diets by influencing the foods that children like, request, buy and consume. This study aimed to use confirmatory mediational analyses to test a hypothetical model of marketing effects, to better understand the mechanisms behind food marketing’s impacts on children. Design: Children responded to a cross-sectional online survey about their attitudes towards, and purchase and consumption behaviours of, ten frequently promoted food/beverage brands and their media use. Structural equation modelling tested a priori potential pathways for the effects of food marketing exposure on children’s diets. Participants: 10–16-year-old children (n 400). Setting: Australia. Results: There was a significant positive correlation between children’s commercial screen media use and their attitudes towards brands (related to perceived social norms) and their brand purchasing behaviours, including their own purchases and requests to parents. The use of strategies to avoid advertising in commercial screen media reduced but did not remove the association between media use and brand purchases. Other brand exposures (on clothing, outdoor advertising, sponsorships) had a positive association with children’s perceived social norms about brands and their brand purchases and requests. Non-commercial screen media use was not associated with any brand-related outcomes. Conclusions: Commercial screen media use and other brand exposures were strongly positively associated with children’s perceptions and purchasing behaviours of frequently marketed food/beverages. Regulations to restrict children’s exposures to food marketing on-screen and through other media are required to reduce the effect of marketing exposure on children’s food purchasing behaviours.
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spelling doaj.art-899032453f6e4d639e4e8ba60f4f8d852024-01-05T08:33:33ZengCambridge University PressPublic Health Nutrition1368-98001475-27272024-01-012710.1017/S1368980023002616Testing a conceptual Hierarchy of Effects model of food marketing exposure and associations with children and adolescents’ diet-related outcomesBridget Kelly0Emma Boyland1https://orcid.org/0000-0001-8384-4994Mimi Tatlow-Golden2Paul Christiansen3Early Start, School of Health & Society, University of Wollongong, Wollongong, NSW 2522, AustraliaInstitute of Population Health, University of Liverpool, Liverpool, UKSchool of Education, Childhood, Youth and Sport, The Open University, Milton Keynes, UKInstitute of Population Health, University of Liverpool, Liverpool, UK Abstract Objective: Children’s exposure to unhealthy food marketing contributes to poor diets by influencing the foods that children like, request, buy and consume. This study aimed to use confirmatory mediational analyses to test a hypothetical model of marketing effects, to better understand the mechanisms behind food marketing’s impacts on children. Design: Children responded to a cross-sectional online survey about their attitudes towards, and purchase and consumption behaviours of, ten frequently promoted food/beverage brands and their media use. Structural equation modelling tested a priori potential pathways for the effects of food marketing exposure on children’s diets. Participants: 10–16-year-old children (n 400). Setting: Australia. Results: There was a significant positive correlation between children’s commercial screen media use and their attitudes towards brands (related to perceived social norms) and their brand purchasing behaviours, including their own purchases and requests to parents. The use of strategies to avoid advertising in commercial screen media reduced but did not remove the association between media use and brand purchases. Other brand exposures (on clothing, outdoor advertising, sponsorships) had a positive association with children’s perceived social norms about brands and their brand purchases and requests. Non-commercial screen media use was not associated with any brand-related outcomes. Conclusions: Commercial screen media use and other brand exposures were strongly positively associated with children’s perceptions and purchasing behaviours of frequently marketed food/beverages. Regulations to restrict children’s exposures to food marketing on-screen and through other media are required to reduce the effect of marketing exposure on children’s food purchasing behaviours. https://www.cambridge.org/core/product/identifier/S1368980023002616/type/journal_articleChildAdolescentFoodDrinkMarketingBrand
spellingShingle Bridget Kelly
Emma Boyland
Mimi Tatlow-Golden
Paul Christiansen
Testing a conceptual Hierarchy of Effects model of food marketing exposure and associations with children and adolescents’ diet-related outcomes
Public Health Nutrition
Child
Adolescent
Food
Drink
Marketing
Brand
title Testing a conceptual Hierarchy of Effects model of food marketing exposure and associations with children and adolescents’ diet-related outcomes
title_full Testing a conceptual Hierarchy of Effects model of food marketing exposure and associations with children and adolescents’ diet-related outcomes
title_fullStr Testing a conceptual Hierarchy of Effects model of food marketing exposure and associations with children and adolescents’ diet-related outcomes
title_full_unstemmed Testing a conceptual Hierarchy of Effects model of food marketing exposure and associations with children and adolescents’ diet-related outcomes
title_short Testing a conceptual Hierarchy of Effects model of food marketing exposure and associations with children and adolescents’ diet-related outcomes
title_sort testing a conceptual hierarchy of effects model of food marketing exposure and associations with children and adolescents diet related outcomes
topic Child
Adolescent
Food
Drink
Marketing
Brand
url https://www.cambridge.org/core/product/identifier/S1368980023002616/type/journal_article
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