TY - JOUR
T1 - Impact of San Francisco's toy ordinance on restaura NTS and children's food purchases, 2011-2012
AU - Otten, Jennifer J.
AU - Saelens, Brian E.
AU - Kapphahn, Kristopher I.
AU - Hekler, Eric B.
AU - Buman, Matthew
AU - Goldstein, Benjamin A.
AU - Krukowski, Rebecca A.
AU - O'Donohue, Laura S.
AU - Gardner, Christopher D.
AU - King, Abby C.
PY - 2014
Y1 - 2014
N2 - Introduction In 2011, San Francisco passed the first citywide ordinance to improve the nutritional standards of children's meals sold at restaurants by preventing the giving away of free toys or other incentives with meals unless nutritional criteria were met. This study examined the impact of the Healthy Food Incentives Ordinance at ordinance-affected restaurants on restaurant response (eg, toy-distribution practices,change in children's menus), and the energy and nutrient content of all orders and children's-meal-only orders purchased for children aged 0 through 12 years. Methods Restaurant responses were examined from January 2010 through March 2012. Parent-caregiver/child dyads (n = 762) who were restaurant customers were surveyed at 2 points before and 1 seasonally matched point after ordinance enactment at Chain A and B restaurants (n = 30) in 2011 and 2012. Results Both restaurant chains responded to the ordinance by selling toys separately from children's meals, but neither changed their menus to meet ordinance-specified nutrition criteria. Among children for whom children'smeals were purchased, significant decreases in kilocalories, sodium, and fat per order were likely due to changesin children's side dishes and beverages at Chain A. Conclusion Although the changes at Chain A did not appear to be directly in response to the ordinance, the transition to a more healthful beverage and default side dish was consistent with the intent of the ordinance. Study results underscore the importance of policy wording, support the concept that more healthful defaults may be a powerful approach for improving dietary intake, and suggest that public policies may contribute to positive restaurant changes.
AB - Introduction In 2011, San Francisco passed the first citywide ordinance to improve the nutritional standards of children's meals sold at restaurants by preventing the giving away of free toys or other incentives with meals unless nutritional criteria were met. This study examined the impact of the Healthy Food Incentives Ordinance at ordinance-affected restaurants on restaurant response (eg, toy-distribution practices,change in children's menus), and the energy and nutrient content of all orders and children's-meal-only orders purchased for children aged 0 through 12 years. Methods Restaurant responses were examined from January 2010 through March 2012. Parent-caregiver/child dyads (n = 762) who were restaurant customers were surveyed at 2 points before and 1 seasonally matched point after ordinance enactment at Chain A and B restaurants (n = 30) in 2011 and 2012. Results Both restaurant chains responded to the ordinance by selling toys separately from children's meals, but neither changed their menus to meet ordinance-specified nutrition criteria. Among children for whom children'smeals were purchased, significant decreases in kilocalories, sodium, and fat per order were likely due to changesin children's side dishes and beverages at Chain A. Conclusion Although the changes at Chain A did not appear to be directly in response to the ordinance, the transition to a more healthful beverage and default side dish was consistent with the intent of the ordinance. Study results underscore the importance of policy wording, support the concept that more healthful defaults may be a powerful approach for improving dietary intake, and suggest that public policies may contribute to positive restaurant changes.
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U2 - 10.5888/pcd11.140026
DO - 10.5888/pcd11.140026
M3 - Article
C2 - 25032837
AN - SCOPUS:84939452611
SN - 1545-1151
VL - 11
JO - Preventing Chronic Disease
JF - Preventing Chronic Disease
M1 - 140026
ER -