Abstract
BackgroundCompanies use brand websites as a promotional tool to engage consumers on the web, which can increase product use. Given that some products are harmful to the health of consumers, it is important for marketing associated with these products to be subject to public health surveillance. However, terms of service (TOS) governing the use of brand website content may impede such important research.ObjectiveThe aim of this study is to explore the TOS for brand websites with public health significance to assess possible legal and ethical challenges for conducting research on consumer product websites.MethodsUsing Statista, we purposefully constructed a sample of 15 leading American tobacco, alcohol, psychiatric pharmaceutical, fast-food, and gun brands that have associated websites. We developed and implemented a structured coding system for the TOS on these websites and coded for the presence versus absence of different types of restriction that might impact the ability to conduct research.ResultsAll TOS stated that by accessing the website, users agreed to abide by the TOS (15/15, 100%). A total of 11 out of 15 (73%) websites had age restrictions in their TOS. All alcohol brand websites (5/15, 33%) required users to enter their age or date of birth before viewing website content. Both websites for tobacco brands (2/15, 13%) further required that users register and verify their age and identity to access any website content and agree that they use tobacco products. Only one website (1/15, 7%) allowed users to display, download, copy, distribute, and translate the website content as long as it was for personal and not commercial use. A total of 33% (5/15) of TOS unconditionally prohibited or put substantial restrictions on all of these activities and/or failed to specify if they were allowed or prohibited. Moreover, 87% (13/15) of TOS indicated that website access could be restricted at any time. A total of 73% (11/15) of websites specified that violating TOS could result in deleting user content from the website, revoking access by having the user’s Internet Protocol address blocked, terminating log-in credentials, or enforcing legal action resulting in civil or criminal penalties.ConclusionsTOS create complications for public health surveillance related to e-marketing on brand websites. Recent court opinions have reduced the risk of federal criminal charges for violating TOS on public websites, but this risk remains unclear for private websites. The public health community needs to establish standards to guide and protect researchers from the possibility of legal repercussions related to such efforts.
Highlights
BackgroundA growing proportion of morbidity and mortality globally can be attributed to the commercialization of products that are harmful to health
A total of 73% (11/15) of websites specified that violating terms of service (TOS) could result in deleting user content from the website, revoking access by having the user’s Internet Protocol address blocked, terminating log-in credentials, or enforcing legal action resulting in civil or criminal penalties
TOS create complications for public health surveillance related to e-marketing on brand websites
Summary
A growing proportion of morbidity and mortality globally can be attributed to the commercialization of products that are harmful to health Products such as tobacco, alcohol, fast food, and firearms account for an increasing proportion of preventable deaths, a trend referred to as the industrial epidemic [1]. There is substantial evidence to suggest that exposure to tobacco, alcohol, food, and firearm marketing increases the desire to use, intentions to use, and/or actual use of advertised products [8,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27]. Terms of service (TOS) governing the use of brand website content may impede such important research
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