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Article

The nature of UK supermarkets' policies on checkout food and associations with healthfulness and type of food displayed: cross-sectional study

Citation
Ejlerskov KT, Stead M, Adamson A, White M & Adams J (2018) The nature of UK supermarkets' policies on checkout food and associations with healthfulness and type of food displayed: cross-sectional study. International Journal of Behavioral Nutrition and Physical Activity, 15 (1), Art. No.: 52. https://doi.org/10.1186/s12966-018-0684-2

Abstract
Background Food choices are often determined by stimuli from our immediate surroundings, including strategic placement in shops to encourage impulse purchases. One example of this is food in shop checkout areas. Recently a number of UK supermarkets have voluntarily committed to providing healthier checkout foods. The aim of this study was to document the nature of current UK supermarket checkout food policies; determine whether there are any differences in the healthfulness and type of food displayed at checkouts in supermarkets according to the presence or nature of policies; and determine whether supermarkets are adhering to their checkout food policies. Methods Survey of checkout food policies. Cross-sectional observations in 69 supermarkets (covering 14 store formats) in the East of England in Feb-May 2017 of the number and type of checkout foods on each ‘checkout journey’ (each possible route through the checkout area). Checkout foods were categorised as less healthy or healthier, using the UK Food Standard’s Agency’s Nutrient Profile Model, and into food groups. Checkout food policies were categorised as clear and consistent, vague or inconsistent, or absent. Results Checkout food policies differed between store formats in some supermarket groups. Across the 14 store formats included, two had no checkout food policy, six had ‘clear and consistent’ policies, and six ‘vague or inconsistent’ policies. In supermarkets with clear and consistent policies there were a median of 13 products per checkout journey, of which 35% were less healthy. Comparable figures for supermarkets with vague or inconsistent, and absent policies were 15 (57%) and 39 (90%) respectively (ps for trend

Keywords
Checkout; Supermarket; Nutrition; Obesogenic environment; Marketing; Snack food; Policy; Unhealthy; Public health

Journal
International Journal of Behavioral Nutrition and Physical Activity: Volume 15, Issue 1

StatusPublished
Author(s)Ejlerskov, Katrine T; Stead, Martine; Adamson, Ashley; White, Martin; Adams, Jean
FundersNational Institute for Health Research
Publication date11/06/2018
Publication date online11/06/2018
Date accepted by journal24/05/2018
URLhttp://hdl.handle.net/1893/27493
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