Running head: CHILD-DIRECTED FOOD MARKETING CAMPAIGNS AND CHILDHOOD OBESITY Child-Directed Food Marketing Campaigns and Childhood Obesity by Megan Shrum B.S., Concordia University, Nebraska, 1 Running head: CHILD-DIRECTED FOOD MARKETING CAMPAIGNS AND CHILDHOOD OBESITY Chapter 1: Introduction 2 Background Obesity is a major health concern that continues to plague our country. Although we see multiple populations being affected by obesity, children seem to be at the greatest risk. As of 2013, 17% of all children and adolescents in America aged 2-19 years of age are considered obese. This is triple the rate from just one generation ago (CDC, August 2013). Many health concerns arise as a result of obesity, for example, childhood obesity causes high blood pressure and cholesterol, putting the child at risk for cardiovascular diseases. One study shows that 70% of obese children had at least one CVD risk factor while 39% had two or more. Obesity among children also raises the risk of type 2 diabetes, sleep apnea, asthma, musculoskeletal discomfort, liver disease, digestion issues, as well as social and psychological problems. Another major issue is that children who are obese not only have a greater risk of being obese as an adult but their obesity will be more severe during adulthood (CDC, 2012). Data has shown us that chronic diseases, such as heart disease, cancer, and diabetes are the leading causes of death in the United States. In fact, chronic diseases cause 70% of all deaths in the US. Nearly 1 out of 10 Americans or 25 million people suffer with a chronic disease. Fortunately, many of the chronic diseases seen today can be prevented through behavior modification (CDC, January 2013). One major behavior change that would greatly influence cancer, heart disease, and diabetes rates would be proper nutrition. A poor diet high in junk leads to obesity and increases the rates for chronic diseases that lead our nation in deaths. Data reveals that most American youths Running head: CHILD-DIRECTED FOOD MARKETING CAMPAIGNS AND 3 CHILDHOOD OBESITY do not meet the daily recommendations for fruit and vegetable intake. They also do not eat the minimum recommended amounts of whole grains, but in turn eat more than the recommended maximum daily intake of sodium (CDC, February, 2013). Why are children more susceptible to eating unhealthy foods? One consideration Different environmental factors, including food marketing campaigns that target children, bring up ethical concerns related to childhood obesity. This paper discusses the ethical concerns involved with food marketing campaigns that target children. Considering that childhood obesity continues to be a major concern in America, is it ethically right that food companies are allowed to target children in their campaigns? Thesis Statement Poor dietary traits of obese children are linked to food marketing campaigns that target children. Purpose of the Study The purpose of this study was to evaluate the ethical concerns related to poor dietary traits of obese children ages 2-19 and how food marketing campaigns that target children have influenced these behaviors . Data reveals that most American youths do not meet the daily recommendations for fruit and vegetable intake. They also do not eat the minimum recommended amounts of whole grains, but in turn eat more than the recommended maximum daily intake of sodium. Empty calories make up 40% of daily calories for the average child and adolescent aged 2-19years. Half of these calories come from soda, fruit drinks, dairy desserts, grain desserts, pizza, and whole milk. Another disturbing fact is that adolescents Running head: CHILD-DIRECTED FOOD MARKETING CAMPAIGNS AND 4 CHILDHOOD OBESITY drink more soda per day than milk. Males aged 12 to 19 drinks on average 22 ounces of soda per day while females consume 14 ounces of soda per day (CDC, February, 2013). Many children aged 2-19 are not consuming a well-balanced diet which in turn is leading to health concerns like obesity. Food marketing campaigns arguably worsen this problem by specifically targeting children in advertisements for unhealthy food products. Fast food, sugary beverages, sweets, and convenience foods all contain advertisements that seek the attention of children. Should food marketing campaigns be allowed to target children as they are considered to be a vulnerable population? We will further explore this question throughout the paper. Research Questions and Hypotheses Is it ethical for food marketing campaigns to target children? Hypothesis: It is unethical for food marketing campaigns to target children. Background One important influence on childhood obesity includes the food industry and how they target children. One study examined two supermarket chains and profiled the food products that targeted children. The study examined strategies used to market foods to parents and children. The study took place over a 12 month period, where child-targeted foods were purchased for analysis (Elliott, 2012). After examining multiple food products that targeted children, researchers found that regular food products within the dairy, dry goods, and frozen sections are commonly being marketed as “fun” to children. Breakfast foods are very commonly being marketed as fun. Overall, the dry goods section Running head: CHILD-DIRECTED FOOD MARKETING CAMPAIGNS AND 5 CHILDHOOD OBESITY contained the largest number of fun foods. Second in line was dairy, with cheese being a leading product as well as flavored milk and yogurt. The third most commonly targeted category was refrigerated/frozen items. The produce category had very few items that were targeted as “fun” to children (Elliott, 2012). Another study takes a look at the fast food industry and how it has targeted young consumers with their brands and encouraging them to continue purchasing their product. The fast food industry is among the leaders in reaching youth and ethnic minorities through their marketing efforts. Also, that the increase in childhood obesity relates to the increases in marketing food and beverages. From 1994 to 2004 the overall rate of marketing foods that are high in calories, sugars, salt and fat was greater than the total market. Children who have been exposed to more advertisements are seen to request higher fat, high calorie snacks rather than healthy ones. The children who were above the 50th percentile showed higher recognition of fast food logos than those who were below the 50th percentile. Also, of these 155 children about 87% of them recognized the McDonalds’ and Burger King logos (Arredondo, et al., 2009). Literature also reveals that the food industry effectively target’s children with advertisements and influences families to purchase particular products and brands. Data reveals that fast food industries are affective in targeting and thus influencing children. Children who have a higher recognition of fast food logos are more likely to be overweight. As we look at the fast food market, we notice a very advanced and effective marketing system that clearly reaches its audiences. One study shows how commercial Running head: CHILD-DIRECTED FOOD MARKETING CAMPAIGNS AND CHILDHOOD OBESITY food marketing has significantly changed and influenced food choice behavior while 6 public health campaigns have had little impact on healthy eating. If public health could learn from commercial food marketing and begin to effectively utilize these strategies into their marketing campaign, they would be able to more effectively influence childhood obesity. In the study they found that factors such as nutritional evidence, trend awareness, vertical endorsement, simple naturalness, and common values are all extremely important when it comes to communicating or marketing health to the public with regard to food (N.A., 2012). Ethical Concerns From the background information provided above, we can conclude that advertisements play a large role in childhood obesity. Food marketing campaigns that pinpoint children while advertising unhealthy foods are influencing children to eat poorly and have an increased chance of being overweight. Statistics show that in 2002, around $15 billion was spent in the U.S. on marketing directly targeted at children. Marketing that targets children has been debated over the years. Do children have the ability to comprehend advertising and/or to distinguish between what is realistic and truthful or fantasy? These questions have been debated since the 70s (Oksenkrug, n.d.). One major ethical concern is that children have unique vulnerabilities and could be considered a vulnerable population. Some argue that food marketing campaigns are taking advantage of these vulnerabilities in order to sell their product. However, the main concern is whether or not marketing aimed at children can be harmful to them both mentally and physically. Data reveals that American youth Running head: CHILD-DIRECTED FOOD MARKETING CAMPAIGNS AND 7 CHILDHOOD OBESITY spend an average of four hours each day watching television while 83% of the commercials during the most popular shows for children ages 6 through 11 advertise snacks, fast food, or sugary treats, all which have been proven to have a very negative impact on childhood obesity (Oksenkrug, n.d.). Those who are pro children focused food marketing campaigns believe that advertising to young children is not only harmless but also has the potential to teach children to be discriminating consumers (Oksenkrug, n.d.). Those who are against marketing to children argue that it is unfair and unethical because children lack the cognitive skills and life experiences needed to understand the purpose and motives of the marketers. Due to this lack of experience and cognitive skills, opponents believe that children lack the ability to resist persuasive claims. Some believe that advertisements should not be viewed by children until they can understand the persuasive purposes of the advertising (Oksenkrug, n.d.). Proponents of children-directed advertisements state that, “...banning childrendirected advertising might even have negative consequences. For example, kids’ programming might disappear, as much of it is commercially sponsored” (Oksenkrug, pg. 8, n.d.). Further, some believe that marketing to children is ethical as long as it balances commercial sell with the advertisement of good behavior. Proponents also argue that there is not conclusive data that shows evidence that children are negatively impacted by marketing and advertising. One study actually found that food advertisements directed towards children has decreased with there being 9% fewer food ads today than in 1977. Obesity rates have doubled since then and thus it is hard to link child-directed Running head: CHILD-DIRECTED FOOD MARKETING CAMPAIGNS AND CHILDHOOD OBESITY advertisements with childhood obesity (Oksenkrug, n.d.). 8 Ultimately, children-directed food marketing has the potential to contribute to the growing obesity rates. Food industries are going to new extremes to grab the attention of the young audience and convince them to buy their product and associate with their brand. Tactics used by the food industry continue to raise an ethical debate. One major one being peer-to-peer advertisements. Peer-to-peer advertisements are when food marketing campaigns use children to advertise a product to children of the same age. Peer-to-peer gives the impression that this is what is in and expected of them in order for them to fit in. Taking advantage of a child's emotional and mental well-being in order to sell a product, is of great ethical concern. Children are the main focus for many food industries as children highly influence parents and family members into buying certain items and products. Since children have such a great influence on what will be purchased in their household, food marketers recognize that they must target them (Oksenkrug, n.d.). On the other-hand, proponents of children-directed advertising argue that there is not enough scientific evidence showing that childhood obesity rates have in fact increased due to child-directed advertisements. They also state that child-directed advertisements can actually be beneficial to the child as it prepares them to be a better, more experienced adult consumer in the future (Oksenkrug, n.d.). Running head: CHILD-DIRECTED FOOD MARKETING CAMPAIGNS AND CHILDHOOD OBESITY References 9 Arredondo, E., Castaneda, D., Elder, J. P., Slymen, D., & Dozier, D. (2009). Brand Name Logo Recognition of Fast Food and Healthy Food among Children. Journal Of Community Health, 34(1), 73-78. doi:10.1007/s10900-008-9119-3 CDC. (2012). Basics About Childhood Obesity. Retrieved September 7, 2013 from http://www.cdc.gov/obesity/childhood/basics.html. CDC. (August, 2013). Childhood Overweight and Obesity. Retrieved September 7, 2013 from http://www.cdc.gov/obesity/childhood/index.html. CDC. (February, 2013). Nutrition Facts. Retrieved September 7, 2013 from http://www.cdc.gov/healthyyouth/nutrition/facts.htm. CDC. (February, 2013). Obese Youth Over Time. Retrieved March 16, 2014 from http://www.cdc.gov/healthyyouth/obesity/obesity-youth-txt.htm. CDC. (January, 2013). Nutrition, Physical Activity, and Obesity. Retrieved September 7, 2013 from http://www.cdc.gov/phlp/publications/topic/nutrition.html Elliott, C. D. (2012). Packaging Fun: Analyzing Supermarket Food Messages Targeted at Children. Canadian Journal Of Communication, 37(2), 303-318. Lessons for public health campaigns from analyzing commercial food marketing success factors: a case study. (2012). BMC Public Health, 12(1), 139-149. doi:10.1186/1471-2458-12-139. Oksenkrug, M. (n.d.). The Ethics of Marketing to Children. 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