Sugar Alert - Evaluating San Francisco's Sugar Sweetened Beverage Advertising Warning Label Ordinance

糖警报 - 评估旧金山的含糖饮料广告警告标签条例

基本信息

批准号：
9260717
负责人：
Lynn Dee Silver
金额：
$ 58.74万
依托单位：
PUBLIC HEALTH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-02-15 至 2019-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9260717
关键词：
Adult Advertisements Advertising Affect African American Age Alcohols Americas Attitude Awareness Behavior Beverages Calories Child Chile Cities Cognitive Conscious Consumption Control Groups County Dental caries Diabetes Mellitus Ecuador Effectiveness Environment Epidemic Ethnic Origin Ethnic group Experimental Designs Exposure to Goals Health Health Knowledge, Attitudes, Practice Income Institute of Medicine (U.S.)Interview Knowledge Label Latino Laws Location Metabolic Diseases Neighborhoods Obesity Outcome Participant Policies Prevalence Prevention Procedures Public Health Race Recruitment Activity Regulation Reporting Research Risk Sampling San Francisco Scanning Schools Surveys Telephone Telephone Interviews Testing Time Tobacco Tobacco use Travel Twin Multiple Birth Variant Vulnerable Populations Work alcohol prevention combat demographics drinking effectiveness measure ethnic diversity evidence base experimental study food environment interest obesity prevention public health relevance relative effectiveness response social norm socioeconomics sugar sweetened beverage tobacco prevention tool

项目摘要

Project Abstract Sugar Alert is a 4-year study to assess the impact of the first-ever sugar-sweetened beverage (SSB) warning labeling policy on knowledge, attitudes and consumption. SSB consumption is a major contributor to the twin epidemics of obesity and diabetes in America.1 Starting July 25 2016, the City of San Francisco will require prominent warning labels on most SSB advertisements: "WARNING: Drinking beverages with added sugar(s) contributes to obesity, diabetes, and tooth decay. This is a message from the City and County of San Francisco.” Because San Francisco is the first jurisdiction to apply a warning label to SSBs, the proposed study offers an unprecedented opportunity to document if and how this approach could provide a viable tool for obesity prevention. Warning labels are a mainstay in evidence- based tobacco and alcohol policymaking. They have proven effective in changing attitudes, knowledge and the consumption of tobacco and to a lesser extent, alcohol, and therefore hold great promise for obesity prevention. The proposed study will examine how consumers understand and react to warning labels on advertisements, whether this increases knowledge about the health harms of SSBs, promotes negative attitudes towards SSBs, or reduces SSB consumption. The effects of race/ethnicity, income, health consciousness and cognitive processing of the message will be assessed. We propose a pre-post quasi-experimental design with a representative telephone panel survey, including a pre-implementation baseline observation and follow-ups at 6, 12 and 24 months post-baseline. We will follow a representative sample of 1100 San Francisco adults and 1100 residents of San Jose as a control jurisdiction. Latinos and blacks, two ethnic groups with higher rates of SSB consumption, obesity and diabetes, will be oversampled to analyze whether warning labels disproportionately impact these vulnerable populations. Subjects will be screened for cross-contamination through travel. A complementary study component that documents all forms of advertising visible in both SF and SJ locations will assess compliance and advertiser responses to the warning label, validate whether implementation occurs as intended by lawmakers, and will detect shifts away from regulated advertising by advertisers seeking to circumvent the label effects. Specific Aims of the study are to: 1) Aim 1. Assess the exposure of San Francisco’s residents to the warning label message by documenting implementation over time. 2) Aim 2. Assess exposure to warning labels in SF (and SJ) adults over time, and whether exposure is associated with changes in knowledge, attitudes and behavior pertaining to SSBs and whether changes affect subpopulations differently, 3) Aim 3. Examine whether San Franciscans exposed to warning labels on SSB advertising report more pronounced reductions in daily calories consumed from SSBs compared to San Jose residents over time.

项目摘要 Sugar Alert 是一项为期 4 年的研究，旨在评估首个含糖食品的影响饮料 (SSB) 关于知识、态度和消费的警告标签政策。消费是美国肥胖和糖尿病双重流行的主要原因。1 自 2016 年 7 月 25 日起，旧金山市将要求在大多数物品上贴上醒目的警告标签 SSB 广告：“警告：饮用添加糖的饮料会导致这是来自圣市和圣县的信息。由于旧金山是第一个对 SSB 应用警告标签的司法管辖区，因此拟议的研究提供了前所未有的机会来记录这种方法是否以及如何进行可以为预防肥胖提供一个可行的工具，警告标签是证据的支柱。事实证明，它们在改变人们的态度方面是有效的。知识和烟草消费以及较小程度的酒精消费，因此持有预防肥胖的巨大希望。拟议的研究将研究消费者如何理解和应对警告标签广告，这是否会增加人们对 SSB 健康危害的认识，促进对 SSB 的负面态度，或减少 SSB 消费种族/民族的影响，我们将评估收入、健康意识和信息的认知处理。通过代表性电话小组调查提出前后准实验设计，包括实施前的基线观察和 6、12 和 24 个月的随访我们将跟踪 1100 名旧金山成年人和 1100 名具有代表性的样本。圣何塞居民作为控制管辖区的拉丁裔和黑人，这两个族裔的比例较高。 SSB 消费、肥胖和糖尿病的比率将被过采样，以分析是否警告标签将对这些弱势群体产生不成比例的影响。筛查旅行中的交叉污染。记录在 SF 和 SJ 地点可见的所有形式的广告将评估合规性以及广告商对警告标签的响应，验证实施是否发生立法者的意图，并将检测广告商对受监管广告的转变寻求规避标签效应。该研究的具体目标是： 1) 目标 1. 通过以下方式评估旧金山居民对警告标签信息的暴露程度：随着时间的推移，文档的实施。 2) 目标 2. 评估 SF（和 SJ）成人随着时间的推移对警告标签的暴露情况，以及是否暴露与有关 SSB 的知识、态度和行为的变化有关以及变化是否对亚群产生不同的影响， 3) 目标 3. 检查旧金山人是否接触过 SSB 广告上的警告标签报告称，与 San 相比，SSB 每日消耗的卡路里减少更明显随着时间的推移，何塞居民。