restricting the advertising of high fat salt and sugar foods on the transport for CORD-Papers-2022-06-02 (Version 1)

Title: Restricting the advertising of high fat salt and sugar foods on the Transport for London estate: Process and implementation study.
Abstract: INTRODUCTION One in five UK children aged 10-11 years live with obesity. They are more likely to continue living with obesity into adulthood and to develop obesity-related chronic health conditions at a younger age. Regulating the marketing of high fat salt and sugar (HFSS) foods and beverages has been highlighted as a promising approach to obesity prevention. In 2019 Transport for London implemented restrictions on the advertisement of HFSS products across its network. This paper reports on a process evaluation of the design and implementation of this intervention. METHODS In 2019-2020 we conducted semi-structured interviews with 23 stakeholders. Interviews with those responsible for implementation (n = 13) explored stakeholder roles barriers and facilitators to policy development/implementation and unintended consequences. Interviews with food industry stakeholders (n = 10) explored perceptions and acceptability of the policy changes to business practice and impact on business. Data were analysed using a general inductive approach. RESULTS Practical challenges included limited time between policy announcement and implementation translating the concept of 'junk food' into operational policy the legal landscape and reported uneven impacts across industry stakeholders. Political challenges included designing a policy the public views as appropriate balancing health and financial impacts and the perceived influence of political motivations. Consultation during policy development and close communication with industry reportedly facilitated implementation as did the development of an exceptions process that provided a review pathway for HFSS products that might not contribute to children's HFSS consumption. CONCLUSIONS Findings suggest that restricting the outdoor advertisement of HFSS foods and beverages at scale is feasible within a complex policy and business landscape. We outline practical steps that may further facilitate the development and implementation of similar policies and we report on the importance of ensuring such policies are applied in a way that is perceived as reasonable by industry and the public.
Published: 2021-11-10
Journal: Social science & medicine
DOI: 10.1016/j.socscimed.2021.114548
DOI_URL: http://doi.org/10.1016/j.socscimed.2021.114548
Author Name: Meiksin Rebecca
Author link: https://covid19-data.nist.gov/pid/rest/local/author/meiksin_rebecca
Author Name: Er Vanessa
Author link: https://covid19-data.nist.gov/pid/rest/local/author/er_vanessa
Author Name: Thompson Claire
Author link: https://covid19-data.nist.gov/pid/rest/local/author/thompson_claire
Author Name: Adams Jean
Author link: https://covid19-data.nist.gov/pid/rest/local/author/adams_jean
Author Name: Boyland Emma
Author link: https://covid19-data.nist.gov/pid/rest/local/author/boyland_emma
Author Name: Burgoine Thomas
Author link: https://covid19-data.nist.gov/pid/rest/local/author/burgoine_thomas
Author Name: Cornelsen Laura
Author link: https://covid19-data.nist.gov/pid/rest/local/author/cornelsen_laura
Author Name: de Vocht Frank
Author link: https://covid19-data.nist.gov/pid/rest/local/author/de_vocht_frank
Author Name: Egan Matt
Author link: https://covid19-data.nist.gov/pid/rest/local/author/egan_matt
Author Name: Lake Amelia A
Author link: https://covid19-data.nist.gov/pid/rest/local/author/lake_amelia_a
Author Name: Lock Karen
Author link: https://covid19-data.nist.gov/pid/rest/local/author/lock_karen
Author Name: Mytton Oliver
Author link: https://covid19-data.nist.gov/pid/rest/local/author/mytton_oliver
Author Name: White Martin
Author link: https://covid19-data.nist.gov/pid/rest/local/author/white_martin
Author Name: Yau Amy
Author link: https://covid19-data.nist.gov/pid/rest/local/author/yau_amy
Author Name: Cummins Steven
Author link: https://covid19-data.nist.gov/pid/rest/local/author/cummins_steven
license: unk
license_url: [unknown license]
source_x: Medline
source_x_url: https://www.medline.com/
pubmed_id: 34776289
pubmed_id_url: https://www.ncbi.nlm.nih.gov/pubmed/34776289
url: https://doi.org/10.1016/j.socscimed.2021.114548 https://www.ncbi.nlm.nih.gov/pubmed/34776289/
has_full_text: FALSE
G_ID: restricting_the_advertising_of_high_fat_salt_and_sugar_foods_on_the_transport_for