Potential impacts of policies to reduce purchasing of ultra-processed foods in Mexico at different stages of the social transition : an agent-based modelling approach

OBJECTIVES: To develop a simulation framework for assessing how combinations of taxes, nutrition warning labels and advertising levels could affect purchasing of ultra-processed foods (UPF) in Latin American countries and to understand whether policies reinforce or reduce pre-existing social disparities in UPF consumption.

DESIGN: We developed an agent-based simulation model using international evidence regarding the effect of price, nutrition warning labels and advertising on UPF purchasing.

SETTING: We estimated policy effects in scenarios representing two stages of the 'social transition' in UPF purchasing: (1) a pre-transition scenario, where UPF purchasing is higher among high-income households, similar to patterns in Mexico; and (2) a post-transition scenario where UPF purchasing is highest among low-income households, similar to patterns in Chile.

PARTICIPANTS: A population of 1000 individual agents with levels of age, income, educational attainment and UPF purchasing similar to adult women in Mexico.

RESULTS: A 20 % tax would decrease purchasing by 24 % relative to baseline in both the pre- and post-transition scenarios, an effect that is similar in magnitude to that of a nutrition warning label policy. A 50 % advertising increase or decrease had a comparatively small effect. Nutrition warning labels were most effective among those with higher levels of educational attainment. Labelling reduced inequities in the pre-transition scenario (i.e. highest UPF purchasing among the highest socio-economic group) but widened inequities in the post-transition scenario.

CONCLUSIONS: Effective policy levers are available to reduce UPF purchasing, but policymakers should anticipate that equity impacts will differ depending on existing social patterns in UPF purchasing.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Public health nutrition - 25(2022), 6 vom: 15. Juni, Seite 1711-1719

Sprache:

Englisch

Beteiligte Personen:

Langellier, Brent A [VerfasserIn]
Stankov, Ivana [VerfasserIn]
Hammond, Ross A [VerfasserIn]
Bilal, Usama [VerfasserIn]
Auchincloss, Amy H [VerfasserIn]
Barrientos-Gutierrez, Tonatiuh [VerfasserIn]
Cardoso, Leticia de Oliveira [VerfasserIn]
Diez Roux, Ana V [VerfasserIn]

Links:

Volltext

Themen:

Complex systems
Diet
Food policy
Journal Article
Research Support, Non-U.S. Gov't
Simulation
Social determinants of health

Anmerkungen:

Date Completed 17.05.2022

Date Revised 09.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1017/S1368980021004833

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM334318750