Repository logo
 

Impact of health warning labels on snack selection: An online experimental study.

Accepted version
Peer-reviewed

No Thumbnail Available

Type

Article

Change log

Authors

Pechey, Emily 
Mantzari, Eleni 
Blackwell, Anna KM 
De-Loyde, Katie 

Abstract

Excessive consumption of energy-dense food increases the risk of obesity, which in turn increases the risk of non-communicable diseases, including heart disease, type 2 diabetes and most non-smoking-related cancers. Health warning labels (HWLs) that communicate the adverse health consequences of excess energy consumption could reduce intake of energy-dense foods. The aim of the current study was to estimate the impact on selection of energy-dense snacks of (a) image-and-text HWLs (b) text-only HWLs and (c) calorie information. In a between-subjects, 3 (HWL: image-and-text, text-only, no label) x 2 (calorie information: present, absent), factorial experimental design, participants (N = 4134) were randomised to view a selection of energy-dense and non-energy-dense snacks with one of five label types or no label. The primary outcome was the proportion of participants selecting an energy-dense snack in a hypothetical vending machine task. The proportion of participants selecting an energy-dense snack was reduced in all label groups, relative to the no label group (no label: 59%; calories only: 54%; text-only HWL: 48%; text-only HWL with calories: 44%; image-and-text HWL: 37%; image-and-text HWL with calories: 38%). Compared to the no label group, participants were least likely to select an energy-dense snack in the image-and-text HWL group (OR = 0.46, 95%CI = 0.40, 0.54, p < 0.001). Health warning labels - particularly those including an image and text - have the potential to reduce selection of energy-dense snacks in an online setting. Their impact on selection and consumption in real-world settings awaits testing.

Description

Keywords

Choice architecture, Energy-dense, Food, Graphic warnings, Health warning labels, Pictorial labels, Snacks, Diabetes Mellitus, Type 2, Energy Intake, Humans, Product Labeling, Snacks

Journal Title

Appetite

Conference Name

Journal ISSN

0195-6663
1095-8304

Volume Title

154

Publisher

Elsevier BV
Sponsorship
Wellcome Trust (206853/Z/17/Z)
Relationships
Is supplemented by: