Sociodemographic differences in self-reported exposure to high fat, salt and sugar food and drink advertising: a cross-sectional analysis of 2019 UK panel data

Objectives To explore sociodemographic differences in exposure to advertising for foods and drinks high in fat, salt and sugar (HFSS) and whether exposure is associated with body mass index (BMI).Design Cross-sectional survey.Setting UK.Participants 1552 adults recruited to the Kantar Fast Moving Co...

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Main Authors: Jean Adams, Martin White, Mark Petticrew, Amelia A Lake, Frank de Vocht, Claire Thompson, Steven Cummins, Laura Cornelsen, Oliver Mytton, Matt Egan, Karen Lock, Emma J Boyland, Amy Yau, Thomas Burgoine, Vanessa Er
Format: Article
Language:English
Published: BMJ Publishing Group 2021-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/4/e048139.full
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author Jean Adams
Martin White
Mark Petticrew
Amelia A Lake
Frank de Vocht
Claire Thompson
Steven Cummins
Laura Cornelsen
Oliver Mytton
Matt Egan
Karen Lock
Emma J Boyland
Amy Yau
Thomas Burgoine
Vanessa Er
author_facet Jean Adams
Martin White
Mark Petticrew
Amelia A Lake
Frank de Vocht
Claire Thompson
Steven Cummins
Laura Cornelsen
Oliver Mytton
Matt Egan
Karen Lock
Emma J Boyland
Amy Yau
Thomas Burgoine
Vanessa Er
author_sort Jean Adams
collection DOAJ
description Objectives To explore sociodemographic differences in exposure to advertising for foods and drinks high in fat, salt and sugar (HFSS) and whether exposure is associated with body mass index (BMI).Design Cross-sectional survey.Setting UK.Participants 1552 adults recruited to the Kantar Fast Moving Consumer Goods panel for London and the North of England.Outcome measures Self-reported advertising exposure stratified by product/service advertised (processed HFSS foods; sugary drinks; sugary cereals; sweet snacks; fast food or digital food delivery services) and advertising setting (traditional; digital; recreational; functional or transport); BMI and sociodemographic characteristics.Results Overall, 84.7% of participants reported exposure to HFSS advertising in the past 7 days. Participants in the middle (vs high) socioeconomic group had higher odds of overall self-reported exposure (OR 1.48; 95% CI 1.06 to 2.07). Participants in the low (vs high) socioeconomic group had higher odds of reporting exposure to advertising for three of five product categories (ORs ranging from 1.41 to 1.67), advertising for digital food delivery services (OR 1.47; 95% CI 1.05 to 2.05), traditional advertising (OR 1.44; 95% CI 1.00 to 2.08) and digital advertising (OR 1.50; 95% CI 1.06 to 2.14). Younger adults (18–34 years vs ≥65 years) had higher odds of reporting exposure to advertising for digital food delivery services (OR 2.08; 95% CI 1.20 to 3.59), digital advertising (OR 3.93; 95% CI 2.18 to 7.08) and advertising across transport networks (OR 1.96; 95% CI 1.11 to 3.48). Exposure to advertising for digital food delivery services (OR 1.40; 95% CI 1.05 to 1.88), digital advertising (OR 1.80; 95% CI 1.33 to 2.44) and advertising in recreational environments (OR 1.46; 95% CI 1.02 to 2.09) was associated with increased odds of obesity.Conclusions Exposure to less healthy product advertising was prevalent, with adults in lower socioeconomic groups and younger adults more likely to report exposure. Broader restrictions may be needed to reduce sociodemographic differences in exposure to less healthy product advertising.
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spelling doaj-art-428a22e9808b4b49943b1087c5d983252024-11-21T19:05:07ZengBMJ Publishing GroupBMJ Open2044-60552021-04-0111410.1136/bmjopen-2020-048139Sociodemographic differences in self-reported exposure to high fat, salt and sugar food and drink advertising: a cross-sectional analysis of 2019 UK panel dataJean Adams0Martin White1Mark Petticrew2Amelia A Lake3Frank de Vocht4Claire Thompson5Steven Cummins6Laura Cornelsen7Oliver Mytton8Matt Egan9Karen Lock10Emma J Boyland11Amy Yau12Thomas Burgoine13Vanessa Er14MRC Epidemiology Unit, University of Cambridge, Cambridge, UKCentre for Diet & Activity Research, University of Cambridge, Cambridge, UKDepartment of Public Health, Environments & Society, London School of Hygiene & Tropical Medicine, London, UKCentre for Public Health Research, Teesside University, Middlesbrough, UKNational Institute for Health Research Applied Research Collaboration West, Bristol, UKCentre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK2 Department of Public Health, Environments & Society, London School of Hygiene & Tropical Medicine, London, UKPopulation Health Innovation Lab, Department of Public Health, Environments & Society, London School of Hygiene & Tropical Medicine, London, UK3 Great Ormond Street Institute of Child Health, University College London, London, UK3 Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, UKDepartment of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, London, UKDepartment of Psychology, University of Liverpool, Liverpool, UKDepartment of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, London, UKMRC Epidemiology Unit, University of Cambridge, Cambridge, UKPopulation Health Innovation Lab, Department of Public Health, Environments & Society, London School of Hygiene & Tropical Medicine, London, UKObjectives To explore sociodemographic differences in exposure to advertising for foods and drinks high in fat, salt and sugar (HFSS) and whether exposure is associated with body mass index (BMI).Design Cross-sectional survey.Setting UK.Participants 1552 adults recruited to the Kantar Fast Moving Consumer Goods panel for London and the North of England.Outcome measures Self-reported advertising exposure stratified by product/service advertised (processed HFSS foods; sugary drinks; sugary cereals; sweet snacks; fast food or digital food delivery services) and advertising setting (traditional; digital; recreational; functional or transport); BMI and sociodemographic characteristics.Results Overall, 84.7% of participants reported exposure to HFSS advertising in the past 7 days. Participants in the middle (vs high) socioeconomic group had higher odds of overall self-reported exposure (OR 1.48; 95% CI 1.06 to 2.07). Participants in the low (vs high) socioeconomic group had higher odds of reporting exposure to advertising for three of five product categories (ORs ranging from 1.41 to 1.67), advertising for digital food delivery services (OR 1.47; 95% CI 1.05 to 2.05), traditional advertising (OR 1.44; 95% CI 1.00 to 2.08) and digital advertising (OR 1.50; 95% CI 1.06 to 2.14). Younger adults (18–34 years vs ≥65 years) had higher odds of reporting exposure to advertising for digital food delivery services (OR 2.08; 95% CI 1.20 to 3.59), digital advertising (OR 3.93; 95% CI 2.18 to 7.08) and advertising across transport networks (OR 1.96; 95% CI 1.11 to 3.48). Exposure to advertising for digital food delivery services (OR 1.40; 95% CI 1.05 to 1.88), digital advertising (OR 1.80; 95% CI 1.33 to 2.44) and advertising in recreational environments (OR 1.46; 95% CI 1.02 to 2.09) was associated with increased odds of obesity.Conclusions Exposure to less healthy product advertising was prevalent, with adults in lower socioeconomic groups and younger adults more likely to report exposure. Broader restrictions may be needed to reduce sociodemographic differences in exposure to less healthy product advertising.https://bmjopen.bmj.com/content/11/4/e048139.full
spellingShingle Jean Adams
Martin White
Mark Petticrew
Amelia A Lake
Frank de Vocht
Claire Thompson
Steven Cummins
Laura Cornelsen
Oliver Mytton
Matt Egan
Karen Lock
Emma J Boyland
Amy Yau
Thomas Burgoine
Vanessa Er
Sociodemographic differences in self-reported exposure to high fat, salt and sugar food and drink advertising: a cross-sectional analysis of 2019 UK panel data
BMJ Open
title Sociodemographic differences in self-reported exposure to high fat, salt and sugar food and drink advertising: a cross-sectional analysis of 2019 UK panel data
title_full Sociodemographic differences in self-reported exposure to high fat, salt and sugar food and drink advertising: a cross-sectional analysis of 2019 UK panel data
title_fullStr Sociodemographic differences in self-reported exposure to high fat, salt and sugar food and drink advertising: a cross-sectional analysis of 2019 UK panel data
title_full_unstemmed Sociodemographic differences in self-reported exposure to high fat, salt and sugar food and drink advertising: a cross-sectional analysis of 2019 UK panel data
title_short Sociodemographic differences in self-reported exposure to high fat, salt and sugar food and drink advertising: a cross-sectional analysis of 2019 UK panel data
title_sort sociodemographic differences in self reported exposure to high fat salt and sugar food and drink advertising a cross sectional analysis of 2019 uk panel data
url https://bmjopen.bmj.com/content/11/4/e048139.full
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