Impact of health warning labels on selection and consumption of food and alcohol products: systematic review with meta-analysis.
Impact of health warning labels on selection and consumption of food and alcohol products: systematic review with meta-analysis.
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DOI：
10.1080/17437199.2020.1780147
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发表时间：
2021-09
影响因子：
9.8
通讯作者：
Hollands GJ
中科院分区：
文献类型：
--
作者：
Clarke N;Pechey E;Kosīte D;König LM;Mantzari E;Blackwell AKM;Marteau TM;Hollands GJ
健康警告标签(HWL)可以减少对食物(包括非酒精饮料)和酒精饮料的有害消费。使用Cochrane方法的Meta分析进行了一项系统的综述，以评估对显示图像和文本(有时称为图画)和纯文本HWL的食品或酒精饮料产品的选择(包括假设选择)或消费的影响。包括14项随机对照试验，其中3项针对酒精，11项针对食品。对于主要结果，11项研究衡量了选择，一项衡量了消费(两项只衡量了其他次要结果)。对9项研究(n=12,635)的12项比较的Meta分析发现，与没有HWL相比，HWL减少了对目标产品的选择(RR=0.74(95%CI 0.68-0.80))，参与者选择显示HWL的产品的可能性降低了26%。一项计划的亚组分析表明，图像和文本HWL的选择(RR=0.65(95%CI 0.54-0.80))比纯文本HWL(RR=0.79(95%CI 0.74-0.85))有更大的影响(尽管没有统计学意义)。这些发现表明，HWL在减少对食物和酒精饮料的选择方面具有巨大的潜力，但迄今为止所有的实验研究都是在实验室或在线环境中进行的，结果在单一接触后立即进行评估。需要在野外和自然实验室环境中进行研究，以评估食物和酒精HWL的潜在影响。研究报名：Propero 2018(注册号：CRD42018106522)。
Health warning labels (HWLs) could reduce harmful consumption of food (including non-alcoholic drinks) and alcoholic drinks. A systematic review with meta-analysis using Cochrane methods was conducted to assess the impact on selection (including hypothetical selection) or consumption of food or alcoholic drink products displaying image-and-text (sometimes termed ‘pictorial’) and text-only HWLs. Fourteen randomised controlled trials were included, three for alcohol, eleven for food. For the primary outcomes, eleven studies measured selection and one measured consumption (two measured only other secondary outcomes). Meta-analysis of twelve comparisons from nine studies (n=12,635) found HWLs reduced selection of the targeted product compared with no HWL (RR=0.74 (95%CI 0.68–0.80)), with participants 26% less likely to choose a product displaying a HWL. A planned subgroup analysis suggested a larger (although not statistically significant) effect on selection of image-and-text HWLs (RR=0.65 (95%CI 0.54–0.80)) than text-only HWLs (RR=0.79 (95%CI 0.74–0.85)). These findings suggest significant potential for HWLs to reduce selection of food and alcoholic drinks, but all experimental studies to date were conducted in laboratory or online settings with outcomes assessed immediately after a single exposure. Studies in field and naturalistic laboratory settings are needed to estimate the potential effects of food and alcohol HWLs. Study registration: PROSPERO 2018 (registration number: CRD42018106522).
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影响因子：
4.5
作者：
Carter P;Bignardi G;Hollands GJ;Marteau TM
通讯作者：
Marteau TM
DOI：
10.1007/bf03403649
发表时间：
2004-05-01
影响因子：
4.3
作者：
Hammond, D;McDonald, PW;Cameron, R
通讯作者：
Cameron, R
影响因子：
3.2
作者：
Cullerton, Katherine;Donnet, Timothy;Gallegos, Danielle
通讯作者：
Gallegos, Danielle
影响因子：
5.4
作者：
Acton, Rachel B.;Hammond, David
通讯作者：
Hammond, David
影响因子：
39
作者：
Brewer NT;Hall MG;Noar SM;Parada H;Stein-Seroussi A;Bach LE;Hanley S;Ribisl KM
通讯作者：
Ribisl KM