Abstract

Children rarely understand the full extent of the persuasive purpose of advertising on their eating behaviours. Addressing the obesogenic environments in which children live, through a quantification of outdoor advertising, is essential in informing policy changes and enforcing stricter regulations. This research explores the proportion of bus stop advertisements promoting non-core food and beverages within walking distance (500 m) from schools in Auckland, New Zealand while using Google Street View. Information was collected on: school type, decile, address, Walk Score®, and Transit Score for all 573 schools in the Auckland region. Ground-truthing was conducted on 10% of schools and showed an alignment of 87.8%. The majority of advertisements on bus shelters were for non-food items or services (n = 541, 64.3%). Of the advertisements that were for food and/or beverages, the majority were for non-core foods (n = 108, 50.2%). There was no statistically significant difference between the variables core and non-core food and beverages and School decile (tertiles), Walk Score (quintiles), and Transit Score (quintiles). 12.8% of all bus stop advertisements in this study promoted non-core dietary options; highlighting an opportunity for implementing stricter regulations and policies preventing advertising unhealthy food and drink to children in New Zealand.

Highlights

  • The prevalence of children affected by overweight or obesity has increased from 4% to 18% in the period from 1975 to 2016 [1]

  • This study explores the proportion of bus stop advertisements promoting non-core

  • The Google Street View (GSV) images that were collected for this study were captured from February 2012 to May

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Summary

Introduction

The prevalence of children affected by overweight or obesity has increased from 4% to 18% in the period from 1975 to 2016 [1]. Obesity is a preventable risk factor for disease [1], with a complex plethora of contributing factors from individual factors, including behaviour and genetics, to environmental factors, such as food environments. The results of individual-level interventions targeting health behaviours have proven to be unsuccessful when compared to changes in public policies and wider environmental determinants [2,3,4]. The importance of health promotion strategies targeted to the level of the environment is evidenced through the inability of individual behavioural approaches to reduce paediatric obesity rates [2,5]. Short-term consequences that are associated with obesity in childhood include psychological ill health, increased cardiovascular risk, and asthma [7]. The persistence of Nutrients 2020, 12, 1192; doi:10.3390/nu12041192 www.mdpi.com/journal/nutrients

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