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Advertising Susceptibility and Youth Preference for and Consumption of Sugar-Sweetened Beverages: Findings from a National Survey

      ABSTRACT

      Objective

      This study investigated variables that may mediate the relationship between advertising susceptibility and adolescent preference for and consumption of sugar-sweetened beverages (SSBs), with the goal of informing inoculation-based mitigation approaches grounded in media literacy and messaging resistance.

      Design

      The study utilized data from a nationally representative sample of US adolescents (ages 12–17 years, n = 1,657) from the National Cancer Institute's Family Life, Activity, Sun, Health, and Eating survey.

      Main Outcome Measure

      Variables of interest were SSB preference and consumption, advertising susceptibility, perceived self-efficacy to make good nutritional choices, perceived SSB consumption by peers, and attitude toward SSBs. Exposure to obesogenic environments was examined as a moderator.

      Analysis

      Direct and mediated associations between advertising susceptibility and SSB preference were estimated through a series of regression and mediation analyses.

      Results

      Advertising susceptibility was a strong predictor of SSB preference (unstandardized B = .29, SE = .026, P < .001), which, in turn, was a strong predictor of consumption (unstandardized B = .10, SE = .01, P < .001), controlling for potential mediators. The only statistically significant mediator of this association was perceived peer consumption (unstandardized B = .38, SE = .08, P < .001), which was stronger for adolescents with higher exposure to obesogenic environments.

      Conclusions and Implications

      This study offers developers of inoculation-based strategies additional insight into levers that could be targeted for building adolescent resistance to advertising effects.

      Key Words

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      References

      1. Centers for Disease Control and Prevention (CDC). Childhood obesity facts. CDC website. http://www.cdc.gov/obesity/data/childhood.html. Accessed November 30, 2017.

        • Mackenbach J
        • Rutter H
        • Compernolle S
        • et al.
        Obesogenic environments: a systematic review of the association between the physical environment and adult weight status, the SPOTLIGHT project.
        BMC Public Health. 2014; 14: 233
        • Scharf R
        • DeBoer M
        Sugar-sweetened beverages and children's health.
        Annu Rev Public Health. 2016; 18: 273-293
        • Rosinger A
        • Herrick K
        • Gahche J
        • Park S
        Sugar-sweetened beverage consumption among U.S. youth, 2011–2014.
        NCHS Data Brief. 2017; : 1-8
        • Harris J
        • Schwartz M
        • Brownell K
        • Javadizadeh J
        • Weinberg M
        Evaluating Sugary Drink Nutrition and Marketing to Youth.
        Yale Rudd Center for Food Policy and Obesity, New Haven, CT2011
        • Institute of Medicine
        Food Marketing to Children and Youth: Threat or Opportunity.
        The National Academies Press, Washington, DC2006
        • Kim H
        • Lee D
        • Hong Y
        • Ahn J
        • Lee K
        A content analysis of television food advertising to children: comparing low and general-nutrition food.
        Int J Consum Stud. 2016; 40: 201-210
        • Buijzen M.
        Reducing children's susceptibility to commercials: mechanisms of factual and evaluative advertising interventions.
        Media Psychol. 2007; 9: 411-430
        • Compton J
        • Jackson B
        • Dimmock JA
        Persuading others to avoid persuasion: inoculation theory and resistant health attitudes.
        Front Psychol. 2016; 7: 122
        • Rozendaal E
        • Buijzen M
        • Valkenburg P
        Do children's cognitive advertising defenses reduce their desire for advertised products?.
        Communications. 2009; 34: 287-303
        • Banerjee S
        • Greene K
        Antismoking initiatives: effects of analysis versus production media literacy interventions on smoking-related attitude, norm, and behavioral intention.
        Health Commun. 2007; 22: 37-48
        • Greene K
        • Catona D
        • Elek E
        • Magsamen-Conrad K
        • Banerjee S
        • Hecht M
        Improving prevention curricula: lessons learned through formative research on the youth message development curriculum.
        J Health Commun. 2016; 21: 1071-1078
        • Lake A
        • Townshend T
        Obesogenic environments: exploring the built and food environments.
        J R Soc Promot Health. 2006; 126: 262-267
        • Appelhans B
        • Fitzpatrick S
        • Li H
        • et al.
        The home environment and childhood obesity in low-income households: indirect effects via sleep duration and screen time.
        BMC Public Health. 2014; 14: 1160
        • Bandura A
        Social cognitive theory of self-regulation.
        Organ Behav Hum Decis Proc. 1991; 50: 248-287
        • Ajzen I
        The theory of planned behavior.
        Organ Behav Hum Decis Process. 1991; 50: 179-211
        • National Cancer Institute
        2014 Family Life, Activity, Sun, Health and Eating (FLASHE) Survey Data.
        U.S. Department of Health and Human Services, National Cancer Institute, Rockville, MD2015
        • Barlow SE
        Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report.
        Pediatrics. 2007; 120: S164-S192
        • Wang L
        • Preacher K
        Moderated mediation analysis using Bayesian methods.
        Struct Equ Model. 2014; 22: 249-263
        • Velazquez C
        • Pasch K
        Youth susceptibility to food and beverage marketing: associations with unhealthy food preferences and choices.
        Health Behav Pol Rev. 2016; 3: 480-487
        • Boyland E
        • Nolan S
        • Kelly B
        • et al.
        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: 519-533
        • Sadeghirad B
        • Duhaney T
        • Motaghipisheh S
        • Campbell N
        • Johnston B
        Influence of unhealthy food and beverage marketing on children's dietary intake and preference: a systematic review and meta-analysis of randomized trials.
        Obes Rev. 2016; 17: 945-959
        • Grimm G
        • Harnack L
        • Story M
        Factors associated with soft drink consumption in school-aged children.
        J Acad Nutr Diet. 2004; 104: 1244-1249
        • Haye K
        • Robins G
        • Mohr P
        • Wilson C
        Adolescents’ intake of junk food: processes and mechanisms driving consumption similarities among friends.
        J Res Adolesc. 2013; 23: 524-536
        • Mazarello Paes V
        • Hesketh K
        • O'Malley C
        • et al.
        Determinants of sugar-sweetened beverage consumption in young children: a systematic review.
        Obes Rev. 2015; 16: 903-913
        • Santiago-Torres M
        • Adams A
        • Carrel A
        • LaRowe T
        • Schoeller D
        Home food availability, parental dietary intake, and familial eating habits influence the diet quality of urban Hispanic children.
        Child Obes. 2014; 10: 408-415
        • Hebden L
        • Hector D
        • Hardy L
        • King L
        A fizzy environment: availability and consumption of sugar-sweetened beverages among school students.
        Prev Med. 2013; 56: 416-418