Content analysis of on-package formula labelling in Great Britain: use of marketing messages on infant, follow-on, growing-up and specialist formula

Abstract Objective: To explore on-package formula messaging with reference to legislation and government-issued guidance in Great Britain (GB). Design: Formula products were identified, pictures of all sides of packs collated and on-package text and images were coded. Compliance with both GB leg...

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Main Authors: Rana Conway, Sara Esser, Andrew Steptoe, Andrea D Smith, Clare Llewellyn
Format: Article
Language:English
Published: Cambridge University Press 2023-08-01
Series:Public Health Nutrition
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S1368980023000216/type/journal_article
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author Rana Conway
Sara Esser
Andrew Steptoe
Andrea D Smith
Clare Llewellyn
author_facet Rana Conway
Sara Esser
Andrew Steptoe
Andrea D Smith
Clare Llewellyn
author_sort Rana Conway
collection DOAJ
description Abstract Objective: To explore on-package formula messaging with reference to legislation and government-issued guidance in Great Britain (GB). Design: Formula products were identified, pictures of all sides of packs collated and on-package text and images were coded. Compliance with both GB legislation and guidance issued by the Department of Health and Social Care (DHSC) was assessed. Setting: All formula packs that were available for sale over the counter in GB between April and October 2020. Participants: Formula packs (n 71) including infant formula, follow-on formula, growing-up formula and specialist formula were identified, coded and analysed. Results: In total, 41 % of formula packs included nutrition claims, and 18 % included health claims that may be considered non-permitted, according to DHSC guidance. Additionally, 72 % of products showed images considered ‘non-permitted’. Breast Milk Substitute (BMS) legislation states infant and follow-on formula packs should be clearly distinguishable but does not provide criteria to assess similarity. Based on DHSC guidance, 72 % of infant and follow-on formula packs were categorised as showing a high degree of similarity. Marketing practices not covered by current legislation were widespread, such as 94 % of infant formula packs including advertisements for follow-on or growing-up formula. Conclusions: Text and images considered non-permitted according to DHSC guidance for implementing BMS legislation were widespread on formula products available in GB. As terms such as ‘similarity’ are not defined in BMS legislation, it was unclear if breaches had occurred. Findings support the WHO call for loopholes in domestic legislation to be closed as a matter of urgency.
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spelling doaj.art-d9cec54cd66c43af9c98b323321b0b1b2023-08-17T10:00:57ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-08-01261696170510.1017/S1368980023000216Content analysis of on-package formula labelling in Great Britain: use of marketing messages on infant, follow-on, growing-up and specialist formulaRana Conway0https://orcid.org/0000-0003-0955-7107Sara Esser1Andrew Steptoe2Andrea D Smith3Clare Llewellyn4Research Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UKResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UKResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UKResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK MRC Epidemiology Unit, University of Cambridge, Cambridge, UKResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK Abstract Objective: To explore on-package formula messaging with reference to legislation and government-issued guidance in Great Britain (GB). Design: Formula products were identified, pictures of all sides of packs collated and on-package text and images were coded. Compliance with both GB legislation and guidance issued by the Department of Health and Social Care (DHSC) was assessed. Setting: All formula packs that were available for sale over the counter in GB between April and October 2020. Participants: Formula packs (n 71) including infant formula, follow-on formula, growing-up formula and specialist formula were identified, coded and analysed. Results: In total, 41 % of formula packs included nutrition claims, and 18 % included health claims that may be considered non-permitted, according to DHSC guidance. Additionally, 72 % of products showed images considered ‘non-permitted’. Breast Milk Substitute (BMS) legislation states infant and follow-on formula packs should be clearly distinguishable but does not provide criteria to assess similarity. Based on DHSC guidance, 72 % of infant and follow-on formula packs were categorised as showing a high degree of similarity. Marketing practices not covered by current legislation were widespread, such as 94 % of infant formula packs including advertisements for follow-on or growing-up formula. Conclusions: Text and images considered non-permitted according to DHSC guidance for implementing BMS legislation were widespread on formula products available in GB. As terms such as ‘similarity’ are not defined in BMS legislation, it was unclear if breaches had occurred. Findings support the WHO call for loopholes in domestic legislation to be closed as a matter of urgency. https://www.cambridge.org/core/product/identifier/S1368980023000216/type/journal_articleInfant formulaBMSMarketingPolicyChild nutritionLabelling
spellingShingle Rana Conway
Sara Esser
Andrew Steptoe
Andrea D Smith
Clare Llewellyn
Content analysis of on-package formula labelling in Great Britain: use of marketing messages on infant, follow-on, growing-up and specialist formula
Public Health Nutrition
Infant formula
BMS
Marketing
Policy
Child nutrition
Labelling
title Content analysis of on-package formula labelling in Great Britain: use of marketing messages on infant, follow-on, growing-up and specialist formula
title_full Content analysis of on-package formula labelling in Great Britain: use of marketing messages on infant, follow-on, growing-up and specialist formula
title_fullStr Content analysis of on-package formula labelling in Great Britain: use of marketing messages on infant, follow-on, growing-up and specialist formula
title_full_unstemmed Content analysis of on-package formula labelling in Great Britain: use of marketing messages on infant, follow-on, growing-up and specialist formula
title_short Content analysis of on-package formula labelling in Great Britain: use of marketing messages on infant, follow-on, growing-up and specialist formula
title_sort content analysis of on package formula labelling in great britain use of marketing messages on infant follow on growing up and specialist formula
topic Infant formula
BMS
Marketing
Policy
Child nutrition
Labelling
url https://www.cambridge.org/core/product/identifier/S1368980023000216/type/journal_article
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