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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
Journal article   Open access   Peer reviewed

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

Brent A. Langellier, Ivana Stankov, Ross A. Hammond, Usama Bilal, Amy H. Auchincloss, Tonatiuh Barrientos-Gutierrez, Leticia de Oliveira Cardoso and Ana V. Diez Roux
Public health nutrition, v 25(6), pp 1711-1719
13 Dec 2021
PMID: 34895382
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1017/s1368980021004833View
Published, Version of Record (VoR)CC BY V4.0 Open
url
https://doi.org/10.1017/S1368980021004833View
Published, Version of Record (VoR) Open

Abstract

Life Sciences & Biomedicine Nutrition & Dietetics Public, Environmental & Occupational Health Science & Technology
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.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Nutrition & Dietetics
Public, Environmental & Occupational Health
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