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. 2022 May;23(5):e13425.
doi: 10.1111/obr.13425. Epub 2022 Feb 9.

How have media campaigns been used to promote and discourage healthy and unhealthy beverages in the United States? A systematic scoping review to inform future research to reduce sugary beverage health risks

Vivica I Kraak  1 , Katherine Consavage Stanley  1 , Paige B Harrigan  1 , Mi Zhou  2
Affiliations

How have media campaigns been used to promote and discourage healthy and unhealthy beverages in the United States? A systematic scoping review to inform future research to reduce sugary beverage health risks

Vivica I Kraak et al. Obes Rev. 2022 May.

Abstract

Sugary beverage consumption is associated with many health risks. This study used a proof-of-concept media campaign typology to examine U.S. beverage campaigns that promoted healthy beverages and encouraged or discouraged sugary beverages. We used a three-step systematic scoping review to identify, organize, analyze, and synthesize evidence. Step 1 used Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) guidelines to search four electronic databases and gray literature through 2021. Step 2 categorized relevant media campaigns using a media campaign typology. Step 3 examined campaign evaluation outcomes. We identified 280 campaigns organized into six campaign typology categories. The media landscape was dominated by corporate marketing campaigns for branded sugary beverages (65.8%; n = 184) followed by public awareness (9.6%; n = 27), public policy (8.2%; n = 23), social marketing (7.1%; n = 20), corporate social responsibility (5.7%; n = 16), and countermarketing (3.6%; n = 10) campaigns. Evaluations for 20 unique campaigns implemented over 30 years (1992-2021) across 14 states showed reduced sugary beverage or juice and increased water or low-fat milk sales and intake. Positive short-term cognitive and mid-term retail and behavioral changes were reported. There was limited evidence for long-term policy, social norm, and population health outcomes. Future research is needed to use media campaigns in strategic communications to reduce sugary beverage health risks for Americans.

Keywords: U.S. media campaigns; advertising and marketing; healthy beverage behaviors; sugary beverages; typology.

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Conflict of interest statement

The authors declare no conflicts of interest related to this paper.

V. I. K., K. C. S., P. B. H., and M. Z. did not receive any funding from the commercial or private‐sector entities for research or consulting and have no conflicts of interest related to the content of this manuscript. This research did not involve human subjects; therefore, it was exempt from institutional review board requirements.

Figures

FIGURE 1
FIGURE 1
A conceptual model to plan and evaluate media campaigns for a social change movement to reduce sugary beverage health risks
FIGURE 2
FIGURE 2
Preferred Reporting Items for Systematic Review and Meta‐Analysis flow diagram for the systematic scoping review of evidence for U.S. media campaigns used to promote or discourage nonalcoholic beverages to Americans
FIGURE 3
FIGURE 3
Typology of U.S. media campaigns used to promote or discourage sugary beverages and encourage water, milk, or 100% juice to Americans
FIGURE 4
FIGURE 4
Future research needs to reduce sugary beverage health risks for Americans
See this image and copyright information in PMC

References

    1. Farley TA. Mass diseases, mass exposures, and mass media. JAMA Intern Med. 2015;175(11):1743‐1744. doi: 10.1001/jamainternmed.2015.5079 - DOI - PubMed
    1. Marriott BP, Hunt KJ, Malek AM, Newman JC. Trends in intake of energy and total sugar from sugar‐sweetened beverages in the United States among children and adults, NHANES 2003‐2016. Nutrients. 2019;11(9):2004. doi: 10.3390/nu11092004 - DOI - PMC - PubMed
    1. Ricciuto L, Fulgoni VL, Gaine PC, Scott MO, DiFrancesco L. Sources of added sugars intake among the U.S. population: analysis by selected sociodemographic factors using the National Health and Nutrition Examination Survey 2011–18. Front Nutr. 2021;8(316):1‐13. doi: 10.3389/fnut.2021.687643 - DOI - PMC - PubMed
    1. Popkin BM, Hawkes C. Sweetening of the global diet, particularly beverages: patterns, trends, and policy responses. Lancet Diabetes Endocrinol. 2016;4(2):174‐186. doi: 10.1016/S2213-8587(15)00419-2 - DOI - PMC - PubMed
    1. Malik VS, Pan A, Willett WC, Hu FB. Sugar‐sweetened beverages and weight gain in children and adults: a systematic review and meta‐analysis. Am J Clin Nutr. 2013;98(4):1084‐1102. doi: 10.3945/ajcn.113.058362 - DOI - PMC - PubMed

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