Exploring the Potential Impact of the Proposed UK TV and Online Food Advertising Regulations: a Concept Mapping Study

Overview

Journal BMJ Open

Specialty General Medicine

Date 2022 Jun 17

PMID 35715182

Authors

Hannah Forde

Emma J Boyland

Peter Scarborough

Richard Smith

Martin White

Jean Adams

Affiliations

Soon will be listed here.

Abstract

Objectives: In July 2020 the UK Government announced an intention to restrict advertisements for products high in fat, salt or sugar on live broadcast, catch-up and on-demand television before 21:00 hours; and paid for online advertising. As no other jurisdiction has implemented similar regulations, there is no empirical evidence about how they might perturb the food system. To guide the regulations' implementation and evaluation, we aimed to develop a concept map to hypothesise their potential consequences for the commercial food system, health and society.

Methods: We used adapted group concept mapping in four virtual workshops with food marketing and regulation experts across academia, civil society, government organisations, and industry (n=14), supported by Miro software. We merged concepts derived from the four workshops to develop a master map and then invited feedback from participants via email to generate a final concept map.

Results: The concept map shows how the reactions of stakeholders to the regulations may reinforce or undermine the impact on the commercial food system, health and society. The map shows adaptations made by stakeholders that could reinforce, or undermine, positive impacts on public health. It also illustrates potential weaknesses in the design and implementation of the regulations that could result in little substantial difference to public health.

Conclusions: Prior to the regulations' initial implementation or subsequent iterations, they could be altered to maximise the potential for reinforcing adaptations, minimise the potential for undermining adaptations and ensure they cover a wide range of advertising opportunities and foods. The concept map will also inform the design of an evaluation of the regulations and could be used to inform the design and evaluation of similar regulations elsewhere.

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References

Carters-White L, Chambers S, Skivington K, Hilton S . Whose rights deserve protection? Framing analysis of responses to the 2016 Committee of Advertising Practice consultation on the non-broadcast advertising of foods and soft drinks to children. Food Policy. 2021; 104:102139. PMC: 8547229. DOI: 10.1016/j.foodpol.2021.102139. View

Mytton O, Boyland E, Adams J, Collins B, OConnell M, Russell S . The potential health impact of restricting less-healthy food and beverage advertising on UK television between 05.30 and 21.00 hours: A modelling study. PLoS Med. 2020; 17(10):e1003212. PMC: 7553286. DOI: 10.1371/journal.pmed.1003212. View

Ogilvie D, Adams J, Bauman A, Gregg E, Panter J, Siegel K . Using natural experimental studies to guide public health action: turning the evidence-based medicine paradigm on its head. J Epidemiol Community Health. 2019; 74(2):203-208. PMC: 6993029. DOI: 10.1136/jech-2019-213085. View

Diez Roux A . Complex systems thinking and current impasses in health disparities research. Am J Public Health. 2011; 101(9):1627-34. PMC: 3154209. DOI: 10.2105/AJPH.2011.300149. View

Jimenez-Marin G, Elias Zambrano R, Galiano-Coronil A, Ravina-Ripoll R . Food and Beverage Advertising Aimed at Spanish Children Issued through Mobile Devices: A Study from a Social Marketing and Happiness Management Perspective. Int J Environ Res Public Health. 2020; 17(14). PMC: 7399972. DOI: 10.3390/ijerph17145056. View

Petticrew M . When are complex interventions 'complex'? When are simple interventions 'simple'?. Eur J Public Health. 2011; 21(4):397-8. DOI: 10.1093/eurpub/ckr084. View

Sing F, MacKay S, Culpin A, Hughes S, Swinburn B . Food Advertising to Children in New Zealand: A Critical Review of the Performance of a Self-Regulatory Complaints System Using a Public Health Law Framework. Nutrients. 2020; 12(5). PMC: 7281994. DOI: 10.3390/nu12051278. View

Boyland E, Nolan S, Kelly B, Tudur-Smith C, Jones A, Halford J . Advertising as a cue to consume: a systematic review and meta-analysis of the effects of acute exposure to unhealthy food and nonalcoholic beverage advertising on intake in children and adults. Am J Clin Nutr. 2016; 103(2):519-33. DOI: 10.3945/ajcn.115.120022. View

van der Graaf P, Forrest L, Adams J, Shucksmith J, White M . How do public health professionals view and engage with research? A qualitative interview study and stakeholder workshop engaging public health professionals and researchers. BMC Public Health. 2017; 17(1):892. PMC: 5700655. DOI: 10.1186/s12889-017-4896-1. View

10.

Smith Taillie L, Busey E, Mediano Stoltze F, Dillman Carpentier F . Governmental policies to reduce unhealthy food marketing to children. Nutr Rev. 2019; 77(11):787-816. PMC: 7528677. DOI: 10.1093/nutrit/nuz021. View

11.

Ogilvie D, Cummins S, Petticrew M, White M, Jones A, Wheeler K . Assessing the evaluability of complex public health interventions: five questions for researchers, funders, and policymakers. Milbank Q. 2011; 89(2):206-25. PMC: 3142337. DOI: 10.1111/j.1468-0009.2011.00626.x. View

12.

White M, Aguirre E, Finegood D, Holmes C, Sacks G, Smith R . What role should the commercial food system play in promoting health through better diet?. BMJ. 2020; 368:m545. PMC: 7190369. DOI: 10.1136/bmj.m545. View

13.

Shiell A, Hawe P, Gold L . Complex interventions or complex systems? Implications for health economic evaluation. BMJ. 2008; 336(7656):1281-3. PMC: 2413333. DOI: 10.1136/bmj.39569.510521.AD. View

14.

Boland J, Banks S, Krabbe R, Lawrence S, Murray T, Henning T . A COVID-19-era rapid review: using Zoom and Skype for qualitative group research. Public Health Res Pract. 2022; 32(2). DOI: 10.17061/phrp31232112. View

15.

Rutter H, Savona N, Glonti K, Bibby J, Cummins S, Finegood D . The need for a complex systems model of evidence for public health. Lancet. 2017; 390(10112):2602-2604. DOI: 10.1016/S0140-6736(17)31267-9. View

16.

Scarborough P, Adhikari V, Harrington R, Elhussein A, Briggs A, Rayner M . Impact of the announcement and implementation of the UK Soft Drinks Industry Levy on sugar content, price, product size and number of available soft drinks in the UK, 2015-19: A controlled interrupted time series analysis. PLoS Med. 2020; 17(2):e1003025. PMC: 7012398. DOI: 10.1371/journal.pmed.1003025. View

17.

Lee Y, Yoon J, Chung S, Lee S, Kim H, Kim S . Effect of TV food advertising restriction on food environment for children in South Korea. Health Promot Int. 2017; 32(1):25-34. DOI: 10.1093/heapro/dat078. View

18.

Burke J, OCampo P, Peak G, Gielen A, McDonnell K, Trochim W . An introduction to concept mapping as a participatory public health research method. Qual Health Res. 2005; 15(10):1392-410. DOI: 10.1177/1049732305278876. View

19.

Forde H, Solomon-Moore E . A Qualitative Study to Understand the Potential Efficacy of an Information-Based Sugar Reduction Intervention among Low Socioeconomic Individuals in the UK. Int J Environ Res Public Health. 2019; 16(3). PMC: 6388364. DOI: 10.3390/ijerph16030413. View

20.

Coleman P, Hanson P, Van Rens T, Oyebode O . A rapid review of the evidence for children's TV and online advertisement restrictions to fight obesity. Prev Med Rep. 2022; 26:101717. PMC: 8814640. DOI: 10.1016/j.pmedr.2022.101717. View