A hierarchy of unhealthy food promotion effects: identifying methodological approaches and knowledge gaps

We assessed the evidence for a conceptual "hierarchy of effects" of marketing, to guide understanding of the relationship between children's exposure to unhealthy food marketing and poor diets and overweight, and drive the research agenda. We reviewed studies assessing the impact of f...

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Bibliographic Details
Published in:American journal of public health (1971) 2015-04, Vol.105 (4), p.e86-e95
Main Authors: Kelly, Bridget, King MPsy, Lesley, Chapman Mnd, Kathy, Boyland, Emma, Bauman, Adrian E, Baur, Louise A
Format: Article
Language:English
Subjects:
Attitude
Attitudes
Awareness
Behavior
Brand equity
Child
Children & youth
Consumption
Corporate sponsorship
Diet
Epigenetics
Exposure
Food
Food Industry - organization & administration
Food Preferences
Grey literature
Health care
Humans
Learning
Logic
Logos
Marketing - organization & administration
Memory
Nutrition/Food
Obesity/Overweight/Underweight
Online Framing Health Matters
Overweight
Prevention
Public health
Social marketing
Studies
Systematic review
Television advertising
Weight Gain
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Summary:We assessed the evidence for a conceptual "hierarchy of effects" of marketing, to guide understanding of the relationship between children's exposure to unhealthy food marketing and poor diets and overweight, and drive the research agenda. We reviewed studies assessing the impact of food promotions on children from MEDLINE, Web of Science, ABI Inform, World Health Organization library database, and The Gray Literature Report. We included articles published in English from 2009 to 2013, with earlier articles from a 2009 systematic review. We grouped articles by outcome of exposure and assessed outcomes within a framework depicting a hierarchy of effects of marketing exposures. Evidence supports a logical sequence of effects linking food promotions to individual-level weight outcomes. Future studies should demonstrate the sustained effects of marketing exposure, and exploit variations in exposures to assess differences in outcomes longitudinally.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2014.302476