Are young adults' discussions of public health nutrition policies associated with common food industry discourses? A qualitative pilot study.
discourse analysis
food industry
policy
public health nutrition
young adults
Journal
Australian and New Zealand journal of public health
ISSN: 1753-6405
Titre abrégé: Aust N Z J Public Health
Pays: United States
ID NLM: 9611095
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
revised:
01
10
2020
received:
01
05
2020
accepted:
01
12
2020
pubmed:
23
2
2021
medline:
27
4
2021
entrez:
22
2
2021
Statut:
ppublish
Résumé
Unhealthy diets are a key risk factor for chronic disease, with young adults (18-30 years old) in high-income countries like Australia and the UK particularly at risk. Improved public health nutrition policies can help address unhealthy diets in the population, but many of the more regulatory policies are opposed by food industry groups. This research explores how young adults in Australia and the UK discuss a range of topical public health nutrition policies and analyses whether and how their views may be associated with food industry discourses. Eight focus groups were held in Sydney, Australia, and Glasgow, UK, with a total of thirty young adults participating. A deliberative-style method was used in the focus groups to generate discussion about six public health nutrition policies, such as taxation of sugar-sweetened beverages and restrictions on advertising of less-healthy foods. Discourse analysis was used to examine participants' discussions. Twenty discourse codes were developed iteratively from the focus group data. These were thematically linked with nine food industry discourses found in the peer-reviewed literature, including industry self-regulation, personal responsibility, corporate social responsibility and challenging nutrition science. These results demonstrate there is an association between common food industry discourses and some young adults' views about public health nutrition policies. Implications for public health: Identifying, engaging with and responding to common industry discourses is a priority in order to build greater public support and acceptability of policies that will improve diet and prevent chronic disease.
Identifiants
pubmed: 33617122
doi: 10.1111/1753-6405.13074
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
171-180Informations de copyright
© 2021 The Authors.
Références
Wang DD, Li Y, Afshin A, Springmann M, Mozaffarian D, Stampfer MJ, et al. Global improvement in dietary quality could lead to substantial reduction in premature death. J Nutr. 2019;149(6):1065-74.
Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS, et al. Health effects of dietary risks in 195 countries, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2019;393(10184):1958-72.
Drewnowski A. Concept of a nutritious food: Toward a nutrient density score. Am J Clin Nutr. 2005;82(4):721-32.
Swinburn B, Vandevijvere S, Kraak V, Sacks G, Snowdon W, Hawkes C, et al. Monitoring and benchmarking government policies and actions to improve the healthiness of food environments: A proposed Government Healthy Food Environment Policy Index. Obes Rev. 2013;14(S1):24-37.
Swinburn B, Sacks G, Hall K, McPherson K, Finegood D, Moodie M, et al. The global obesity pandemic: Shaped by global drivers and local environments. Lancet. 2011;378(9793):804-14.
World Health Organization. Tackling NCDs: ‘Best Buys’ and Other Recommended Interventions for the Prevention and Control of Noncommunicable Diseases. Geneva (CHE): WHO; 2017 [cited 2021 Jan 19]. Available from: https://apps.who.int/iris/handle/10665/259232
Mozaffarian D, Angell SY, Lang T, Rivera JA. Role of government policy in nutrition-barriers to and opportunities for healthier eating. BMJ. 2018;361:k2426.
Hawkes C, Jewell J, Allen K. A food policy package for healthy diets and the prevention of obesity and diet-related non-communicable diseases: The NOURISHING framework. Obes Rev. 2013;14:159-68.
Petticrew M, Katikireddi SV, Knai C, Cassidy R, Maani Hessari N, Thomas J, et al. ‘Nothing can be done until everything is done’: The use of complexity arguments by food, beverage, alcohol and gambling industries. J Epidemiol Community Health. 2017;71(11):1078-83.
Brownell KD, Warner KE. The perils of ignoring history: Big tobacco played dirty and millions died. how similar is big food? Milbank Q. 2009;87(1):259-94.
Vidler A-C, Stoneham M, Edmunds M, Sartori A. The illusion of choice: An exploratory study looking at the top 10 food companies in Australia and their brand connections. Aust N Z J Public Health. 2018;42(6):519-22.
McKee MMD, Stuckler DP. Revisiting the corporate and commercial determinants of health. Am J Public Health. 2018;108(9):1167-70.
Kickbusch I. Addressing the interface of the political and commercial determinants of health. Health Promot Int. 2012;27(4):427-8.
Kickbusch I, Allen L, Franz C. The commercial determinants of health. Lancet Glob Health. 2016;4(12):e895-e6.
Lencucha R, Thow AM. How neoliberalism is shaping the supply of unhealthy commodities and what this means for NCD prevention. Int J Health Policy Manag. 2019;8(9):514-20.
Moodie R, Stuckler D, Monteiro C, Sheron N, Neal B, Thamarangsi T, et al. Profits and pandemics: Prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet. 2013;381(9867):670-9.
Lupton D. Discourse analysis: A new methodology for understanding the ideologies of health and illness. Aust J Public Health. 1992;16(2):145-50.
Howarth D. Power, discourse, and policy: Articulating a hegemony approach to critical policy studies. Crit Policy Stud. 2010;3(3-4):309-35.
Mialon M, Swinburn B, Allender S, Sacks G. Systematic examination of publicly-available information reveals the diverse and extensive corporate political activity of the food industry in Australia. BMC Public Health. 2016;16(1):283.
Dorfman L, Cheyne A, Friedman LC, Wadud A, Gottlieb M. Soda and tobacco industry corporate social responsibility campaigns: How do they compare? PLoS Med. 2012;9(6):e1001241.
Mejia P, Dorfman L, Cheyne A, Nixon L, Friedman L, Gottlieb M, et al. The origins of personal responsibility rhetoric in news coverage of the tobacco industry. Am J Public Health. 2014;104(6):1048-51.
Nixon L, Mejia P, Cheyne A, Wilking C, Dorfman L, Daynard R. “We're part of the solution”: Evolution of the food and beverage industry's framing of obesity concerns between 2000 and 2012. Am J Public Health. 2015;105(11):2228-36.
Richards Z, Thomas SL, Randle M, Pettigrew S. Corporate social responsibility programs of big food in Australia: A content analysis of industry documents. Aust N Z J Public Health. 2015;39(6):550-6.
Nestle M. Food Politics : How the Food Industry Influences Nutrition and Health. Berkeley (CA): University of California Press; 2013.
Dorfman L, Yancey AK. Promoting physical activity and healthy eating: Convergence in framing the role of industry. Prev Med. 2009;49(4):303-5.
Smith K, Dorfman L, Freudenberg N, Hawkins B, Hilton S, Razum O, et al. Tobacco, alcohol, and processed food industries - why do public health practitioners view them so differently? Front Public Health. 2016;4:64.
Weishaar H, Dorfman L, Freudenberg N, Hawkins B, Smith K, Razum O, et al. Why media representations of corporations matter for public health policy: A scoping review. BMC Public Health. 2016;16:899.
Serôdio PM, McKee M, Stuckler D. Coca-Cola - a model of transparency in research partnerships? A network analysis of Coca-Cola's research funding (2008-2016). Public Health Nutr. 2018;21(9):1594-607.
Stuckler D, Ruskin G, McKee M. Complexity and conflicts of interest statements: A case-study of emails exchanged between Coca-Cola and the principal investigators of the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). J Public Health Policy. 2018;39(1):49-56.
Elliott-Green A, Hyseni L, Lloyd-Williams F, Bromley H, Capewell S. Sugar-sweetened beverages coverage in the British media: An analysis of public health advocacy versus pro-industry messaging. BMJ Open. 2016;6(7):e011295.
Hilton S, Buckton CH, Patterson C, Katikireddi SV, Lloyd-Williams F, Hyseni L, et al. Following in the footsteps of tobacco and alcohol? Stakeholder discourse in UK newspaper coverage of the Soft Drinks Industry Levy. Public Health Nutr. 2019;(12):2317-28.
Richards Z, Phillipson L. Are big food's corporate social responsibility strategies valuable to communities? A qualitative study with parents and children. Public Health Nutr. 2017;20(18):3372-80.
Farrell LC, Warin MJ, Moore VM, Street JM. Emotion in obesity discourse: Understanding public attitudes towards regulations for obesity prevention. Sociol Health Illn. 2016;38(4):543-58.
Farrell LC, Warin MJ, Moore VM, Street JM. Socio-economic divergence in public opinions about preventive obesity regulations: Is the purpose to ‘make some things cheaper, more affordable’ or to ‘help them get over their own ignorance’? Soc Sci Med. 2016;154:1-8.
Munt AE, Partridge SR, Allman-Farinelli M. The barriers and enablers of healthy eating among young adults: A missing piece of the obesity puzzle. A scoping review. Obes Rev. 2017;18(1):1-17.
Nour M, Sui Z, Grech A, Rangan A, McGeechan K, Allman-Farinelli M. The fruit and vegetable intake of young Australian adults: A population perspective. Public Health Nutr. 2017;20(14):2499-512.
Goff LM, Huang P, Silva MJ, Bordoli C, Enayat EZ, Molaodi OR, et al. Associations of dietary intake with cardiometabolic risk in a multi-ethnic cohort: A longitudinal analysis of the Determinants of Adolescence, now young Adults, Social well-being and Health (DASH) Study. Br J Nutr. 2019;121(9):1069-79.
Freeman B, Kelly B, Vandevijvere S, Baur L. Young adults: Beloved by food and drink marketers and forgotten by public health? Health Promot Int. 2015;31(4):954-61.
Howse E, Hankey C, Allman-Farinelli M, Bauman A, Freeman B. ‘Buying salad is a lot more expensive than going to McDonalds’: Young adults’ views about what influences their food choices. Nutrients. 2018;10(8):996.
Chambers SA, Traill W. What the UK public believe causes obesity, and what they want to do about it: A cross-sectional study. J Public Health Policy. 2011;32(4):430-44.
Grunseit AC, Rowbotham S, Crane M, Indig D, Bauman AE, Wilson A. Nanny or canny? Community perceptions of government intervention for preventive health. Crit Public Health. 2019;29(3@@@@@): 274-89.
Cohn S. Reconceptualising public acceptability: A study of the ways people respond to policies aimed to reduce alcohol consumption. Health. 2016;20(3):203-19.
Carter SM, Chapman S. Smokers and non-smokers talk about regulatory options in tobacco control. Tob Control. 2006;15(5):398-404.
Liamputtong P. Focus Group Methodology: Principles and Practices. 1st ed. Thousand Oaks (CA): Sage Publications; 2011.
Moretto N, Kendall E, Whitty J, Byrnes J, Hills AP, Gordon L, et al. Yes, the government should tax soft drinks: Findings from a citizens’ jury in Australia. Int J Environ Res Public Health. 2014;11(3):2456-71.
Howse E, Freeman B, Wu JHY, Rooney K. ‘The university should promote health, but not enforce it’: Opinions and attitudes about the regulation of sugar-sweetened beverages in a university setting. BMC Public Health. 2017;18(1):76.
Tsai C, Slater S, Ronto R, Gebel K, Wu JHY. Removal of sugary drinks from vending machines: An Australian university case study. Aust N Z J Public Health. 2018;42(6):588.
Iacobucci G. NHS plans sugar tax on food and drink sold in hospitals by 2020. BMJ. 2016;352:i320.
Ejlerskov KT, Sharp SJ, Stead M, Adamson AJ, White M, Adams J. Supermarket policies on less-healthy food at checkouts: Natural experimental evaluation using interrupted time series analyses of purchases. PLoS Med. 2018;15(12):e1002712.
Buchanan L, Kelly B, Yeatman H, Kariippanon K. The effects of digital marketing of unhealthy commodities on young people: A systematic review. Nutrients. 2018;10(2):148.
Brownbill AL, Miller CL, Braunack-Mayer AJ. The marketing of sugar-sweetened beverages to young people on Facebook. Aust N Z J Public Health. 2018;42(4):354-60.
Boyland E, Tatlow-Golden M. Exposure, power and impact of food marketing on children: evidence supports strong restrictions. Eur J Risk Regul. 2017;8(2):224-36.
Morley B, Martin J, Niven P, Wakefield M. Public opinion on food-related obesity prevention policy initiatives. Health Promot J Aust. 2012;23(2):86-91.
Lupton D, Chapman S. ‘A healthy lifestyle might be the death of you’: Discourses on diet, cholesterol control and heart disease in the press and among the lay public. Sociol Health Illn. 1995;17(4):477-94.
Mooney-Somers J, Lewis P, Kerridge I. Discursive constructions of youth cancer: Findings from creative methods research with healthy young people. J Cancer Surviv. 2016;10(3):427-36.
Willig C. Introducing Qualitative Research In Psychology. Maidenhead (UK): McGraw-Hill Education; 2013.
Office of Communications. Television Advertising of Food and Drink Products to Children: Final Statement. London (UK): Ofcom; 2007 [cited 2021 Jan 12]. Available from: https://www.ofcom.org.uk/__data/assets/pdf_file/0028/47746/Television-Advertising-of-Food-and-Drink-Products-to-Children-Final-statement-.pdf.
Miller H, Thomas S. The problem with ‘responsible gambling’: Impact of government and industry discourses on feelings of felt and enacted stigma in people who experience problems with gambling. Addict Res Theory. 2018;26(2):85-94.
Hoek J. Informed choice and the nanny state: Learning from the tobacco industry. Public Health. 2015;129(8):1038-45.
Dawson AJ. Snakes and ladders: State interventions and the place of liberty in public health policy. J Med Ethics. 2016;42(8):510-3.
O'Dowd A. Spending on junk food advertising is nearly 30 times what government spends on promoting healthy eating. BMJ. 2017;359:j4677.
Kelly B, Hughes C, Chapman K, Louie JC-Y, Dixon H, Crawford J, et al. Consumer testing of the acceptability and effectiveness of front-of-pack food labelling systems for the Australian grocery market. Health Promot Int. 2009;24(2):120-9.
Kelly B, Baur LA, Bauman AE, King L, Chapman K, Smith BJ. Food and drink sponsorship of children's sport in Australia: Who pays? Health Promot Int. 2010;26(2):188-95.
Mahtani KR, Protheroe J, Slight SP, Demarzo MMP, Blakeman T, Barton CA, et al. Can the London 2012 Olympics ‘inspire a generation’ to do more physical or sporting activities? An overview of systematic reviews. BMJ Open. 2013;3(1):e002058.
Boyland EJ, Harris JL. Regulation of food marketing to children: Are statutory or industry self-governed systems effective? Public Health Nutr. 2017;20(5):761-4.
Whalen R, Harrold J, Child S, Halford J, Boyland E. Children's exposure to food advertising: The impact of statutory restrictions. Health Promot Int. 2017;34(2):227-35.
Martin J. Effective strategies to prevent obesity. Health Promot J Austr. 2018;29(S1):26-8.
Bite Back 2030 [website]. London (UK): Bite Back 2030 Ltd; 2019. [cited 2021 Jan 12]. Available from: https://www.biteback2030.com/