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2023, Number 1

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salud publica mex 2023; 65 (1)

Design of a communication strategy to promote the use of warning labels among Mexican children and adolescents

Jáuregui A, Pacheco-Miranda S, Ayvar-Gama Y, Alejandro-Torres NZ, Cuno A, Espinosa-de Candido AF, Martínez-Cruz MI, Bonvecchio-Arenas A, Barquera S
Full text How to cite this article

Language: Spanish
References: 25
Page: 70-81
PDF size: 668.71 Kb.


Key words:

obesity, community participation, eating behavior, child behavior, food and nutrition education, nutritional facts.

ABSTRACT

Objective. To describe the process used to design a communication strategy aimed at promoting the use of warning labels and choosing healthy foods among Mexican children and adolescents. Materials and methods. This was a four-phase study among school-aged children, adolescents, and caretakers: 1) formative research (18 focus groups, n= 179); 2) co-creation workshops with children and adolescents (n= 33); 3) design of the communication strategy, based on the COM-B model, and 4) pilot-testing (six focus groups, n= 52). Results. The communication strategy should improve the understanding of warning labels and the knowledge about the relation between critical ingredients (calories, saturated fat, trans fat, sodium, sweeteners, and caffeine) and disease, highlight the favorable consequences of healthy eating and the negative effects of the excessive consumption of foods with warning labels, highlight that natural foods are cheaper and of better quality than foods with warning labels, and provide options of healthy and at tractive food preparations with natural foods. Conclusion. Formative research and the participation of children and adolescents in the creation of the strategy were essential for the design of a culturally relevant strategy with impact potential. The process and results of this study may inform efforts in contexts similar to Mexico.


REFERENCES

  1. Shamah-Levy T, Cuevas-Nasu L, Humarán-Méndez I, Morales-Rúan C,Valenzuela-Bravo DG, Gaona-Pineda EB, et al. Prevalencia y predisposicióna la obesidad en una muestra nacional de niños y adolescentes en México.Salud Publica Mex. 2020;62(6):725-33. https://doi.org/10.21149/11552

  2. Shamah-Levy T, Cuevas-Nasu L, Gaona-Pineda EB, Gómez-Acosta MC,Morales-Rúan MC, Hernández-Ávila M, et al. Overweight and obesityin children and adolescents, 2016 Halfway National Health and NutritionSurvey update. Salud Publica Mex. 2018;60(3):244-53. https://doi.org/10.21149/8815

  3. Marrón-Ponce JA, Sánchez-Pimienta TG, da Costa Louzada ML, BatisC. Energy contribution of NOVA food groups and sociodemographicdeterminants of ultra-processed food consumption in the Mexicanpopulation. Public Health Nutr. 2018;21(1):87-93. https://doi.org/10.1017/S1368980017002129

  4. White M, Barquera S. Mexico adopts food warning labels, why now?Health Syst Reform. 2020;6(1):e1752063. https://doi.org/10.1080/23288604.2020.1752063

  5. Gobierno de México. Manual de La MODIFICACIÓN a La Norma OficialMexicana NOM 051 SCFI SSA1 2010. México: Gobierno de México,2020 [citado oct 30, 2022]. Disponible en: https://www.gob.mx/cofepris/acciones-y-programas/manual-de-la-modificacion-a-la-norma-oficial-mexicana-nom-051-scfi-ssa1-2010-272744?state=published

  6. Taillie LS, Hall MG, Popkin BM, Ng SW, Murukutla N. Experimentalstudies of front-of-package nutrient warning labels on sugar-sweetenedbeverages and ultra-processed foods: A scoping review. Nutrients.2020;12(2):569. https://doi.org/10.3390/nu12020569

  7. Backholer K, Beauchamp A, Ball K, Turrell G, Martin H, Woods J, et al.A framework for evaluating the impact of obesity prevention strategieson socioeconomic inequalities in weight. Am J Public Health.2014;104(10):e43-50. hptts://doi.org/10.2105/AJPH.2014.302066

  8. World Health Organization. Tackling NCDs: “best Buys” and OtherRecommended Interventions for the Prevention and Control of NoncommunicableDiseases. Ginebra: WHO, 2017 [citado oct 30, 2022].Disponible en: https://apps.who.int/iris/handle/10665/259232

  9. Ares G, Machín L, Vidal L, Aschemann-Witzel J, Otterbring T, CurutchetMR, et al. How can we motivate people to use nutritional warningsin decision making? citizen co-created insights for the development ofcommunication campaigns. Health Educ Behav. 2020;47(2):321-31. https://doi.org/10.1177/1090198119889086

  10. Haidar A, Carey FR, Ranjit N, Archer N, Hoelscher D. Self-reporteduse of nutrition labels to make food choices is associated with healthierdietary behaviours in adolescents. Public Health Nutr. 2017;20(13):2329-39. https://doi.org/10.1017/S1368980017001252

  11. Correa T, Fierro C, Reyes M, Dillman-Carpentier FR, Smith-Taillie L,Corvalan C. Responses to the Chilean law of food labeling and advertising:Exploring knowledge, perceptions and behaviors of mothers of youngchildren. Int J Behav Nutr Phys Act. 2019;16(1):21. https://doi.org/10.1186/s12966-019-0781-x

  12. Hung Y, Hieke S, Grunert KG, Verbeke W. Setting policy priorities forfront-of-pack health claims and symbols in the European union: Expertconsensus built by using a delphi method. Nutrients. 2019;11(2):403.https://doi.org/10.3390/nu11020403

  13. AIDSCAP Behavior Change Communication Unit. How toConduct Effective Pretests. Ensuring Meaningul BCC Messages andMaterials. AIDS Control and Prevention (AIDSCAP) Project, FamilyHealth International. Durham: AIDSCAP, 2011 [citado oct 30, 2022].Disponible en: https://www.fhi360.org/sites/default/files/media/documents/AIDSCAP%20-%20How%20to%20Conduct%20Effective%20Pretests.pdf

  14. Michie S, van Stralen MM, West R. The behaviour change wheel: a newmethod for characterising and designing behaviour change interventions.Implement Sci. 2011;6(1). https://doi.org/10.1186/1748-5908-6-42

  15. Roberto CA, Ng SW, Ganderats-Fuentes M, Hammond D, BarqueraS, Jáuregui A, et al. The influence of front-of-package nutrition labelingon consumer behavior and product reformulation. Annu Rev Nutr.2021;41:529-50. https://doi.org/10.1146/annurev-nutr-111120-094932

  16. Jáuregui A. Supplementary material for the manuscript entitled “Designof a communication strategy to promote the use of warning labelsamong Mexican children and adolescents”. Data Verse, 2022. https://doi.org/10.7910/DVN/OTDRDB

  17. Asociación Mexicana de Agencias de Inteligencia de Mercado yOpinión. Nivel Socio Económico AMAI 2018. Nota Metodológica. México:AMAI, 2020 [citado oct 30, 2022]. Disponible en: https://www.amai.org/descargas/Nota-Metodolo%CC%81gico-NSE-2018-v3.pdf

  18. Instituto Nacional de Salud Pública. Adoptar una dieta saludable y sostenible:camino para una generación sana. Cuernavaca: INSP, 2020 [citadonov 18, 2021]. Disponible en: https://www.insp.mx/avisos/adoptar-unadieta-saludable-y-sostenible-camino-para-una-generacion-sana

  19. Braun V, Clarke V. Using thematic analysis in psychology. Qual ResPsychol. 2006;3(2):77-101. https://doi.org/10.1191/1478088706QP063OA

  20. Morse JM. Critical analysis of strategies for determining rigor inqualitative inquiry. Qual Health Res. 2015;25(9):1212-22. https://doi.org/10.1177/1049732315588501

  21. Contreras-Manzano A, Jauregui A, Vargas-Meza J, Nieto C, GranichArmenta A, Alemán-Escobar ML, et al. Objective understanding of front ofpack warning labels among Mexican children of public elementary schools.A randomized experiment. Nutr J. 2021;21(1):47. https://doi.org/10.1186/s12937-022-00791-z

  22. Glanz K, Bishop DB. The role of behavioral science theory in developmentand implementation of public health interventions. Annu Rev PublicHealth. 2010;31:399-418. https://doi.org/10.1146/ANNUREV.PUBLHEALTH.012809.103604

  23. Baum F, MacDougall C, Smith D. Participatory action research. JEpidemiol Community Health. 2006;60(10):854. https://doi.org/10.1136/JECH.2004.028662

  24. Pelcastre-Villafuerte BE, Meneses-Navarro S, Sánchez-DomínguezM, Meléndez-Navarro D, Freyermuth-Enciso G. Condiciones de saludy uso de servicios en pueblos indígenas de México. Salud Publica Mex.2020;62(6):810-9. https://doi.org/10.21149/11861

  25. Morales-Moreno AL, Molina-Juárez B. Transculturización alimentariay su relación con enfermedades cardiovasculares en una poblaciónindígena en Chiapas. México: Universidad de Ciencias y Artes de Chiapas,2019 [citado may 2, 2022]. Disponible en: https://repositorio.unicach.mx/handle/20.500.12753/2236




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salud publica mex. 2023;65