Acceptability and perceived harm of calorie labeling and other obesity policies: A cross-sectional survey study of UK adults with eating disorders and other mental health conditions.
Acceptability and perceived harm of calorie labeling and other obesity policies: A cross-sectional survey study of UK adults with eating disorders and other mental health conditions.
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卡路里标签和其他肥胖政策的可接受性和感知危害：针对患有饮食失调和其他心理健康状况的英国成年人的横断面调查研究。
DOI：
10.1002/eat.24031
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Putra IGNE
中科院分区：
文献类型：
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作者：
Putra IGNE
我们评估了对最近提出的英国肥胖政策的看法（强制性卡路里标签，禁止在网上和晚上9点前在电视上播放不健康食品和饮料的广告，和禁止“买一送一”的交易不健康的食物和饮料）的人饮食失调（艾德）和其他心理健康状况。方法共有1273名参与者与自我报告的终身心理健康状况（N= 583，患有艾德）于2022年9月至11月完成了一项在线调查。多项逻辑回归被用来检查支持和潜在的不利影响的政策参与者和没有ED。定性分析的潜在影响的政策对目前的艾德症状也进行了更好地了解如何和为什么政策可能是有害的或有益的。结果参与者与一个艾德有较低水平的支持，为实施卡路里标签政策相比，无艾德（43% vs. 58%）。一半的艾德患者（55%）报告称，标签可能会加重他们的艾德症状。定性数据表明感知到的潜在伤害（例如，复发的途径，对情绪的负面影响）和感知的益处（例如，感到知情和放心）的热量标签的参与者与ED。没有差异的支持或感知的伤害的其他两个政策之间的参与者与没有观察到的艾德。讨论未来的研究是有必要探讨的潜在影响的热量标签，以及如何减轻负面影响的人与艾德。公共意义这项研究是第一个评估的看法，英国肥胖相关的政策在患有艾德和其他精神疾病的人身上。患有艾德的参与者（与没有的参与者相比）更有可能不同意政府实施卡路里标签政策。这些发现强调了卡路里标签对艾德患者的潜在有害影响，以及未来研究了解如何减轻负面影响的必要性。
ObjectiveWe assessed perceptions of recently proposed UK obesity policies (mandatory calorie labeling, banning of advertisements of unhealthy food and drinks online and before 9 pm on TV, and banning “buy one get one free” deals for unhealthy food and drinks) in people with an eating disorder (ED) and other mental health conditions.MethodA total of 1273 participants with a self‐reported lifetime mental health condition (N= 583 with an ED) completed an online survey in September–November 2022. Multinomial logistic regression was used to examine support for and potential adverse effects of policies in participants with and without an ED. A qualitative analysis of the potential effects of the policy on current ED symptoms was also conducted to better understand how and why policies may be damaging or beneficial.ResultsParticipants with an ED had a lower level of support for the implementation of the calorie labeling policy compared to those without an ED (43% vs. 58%). Half of the participants with an ED (55%) reported that labeling may worsen their ED symptoms. Qualitative data indicated perceived potential harm (e.g., a gateway to relapse, negative effects on mood) and perceived benefits (e.g., feeling informed and reassured) of calorie labeling in participants with an ED. No differences in support or perceived harms of the other two policies were observed between participants with versus without an ED.DiscussionFuture studies are warranted to explore the potential effects of calorie labeling and how to mitigate negative impacts on people with an ED.Public SignificanceThis research is the first to assess the perceptions of UK obesity‐related policies in people with an ED and other mental health conditions. Participants with an ED (vs. without) were more likely to disagree with the government implementing the calorie labeling policy. These findings highlight the potentially harmful effects of calorie labeling in people with an ED and the need for future research to understand how to mitigate negative impacts.