Exploring the volume and type of unhealthy advertising in close proximity to schools: An audit of bus shelter advertising in one mid-sized Canadian city

Authors

  • Laura J Kennedy Dalhousie University
  • Dan Steeves Nova Scotia Health
  • Rose Walls Nova Scotia Health
  • Hannah Pierce Cancer Council, Western Australia
  • Melissa Stoneham Curtin University

DOI:

https://doi.org/10.15273/hpj.v3i4.11673

Keywords:

commercial determinants of health, bus shelter advertising, gambling advertising, alcohol advertising, obesity, child health, Nova Scotia

Abstract

Background: Unhealthy advertising influences the attitudes and behaviour of children. Child exposure to products such as alcohol and fast food have been linked to adverse health problems, such as heavy drinking and obesity. Bus shelter advertisements are a potential exposure site for unhealthy advertising for children as they take municipal transit to and from school. This study explores the volume and type of unhealthy advertising at bus shelters within close proximity to schools in Halifax, Nova Scotia, Canada. Methods: In Halifax, Nova Scotia, 55 bus shelters with advertising were within a 500-metre distance of an elementary, junior, or high school. Three audits occurred in October 2020 (Fall), January 2021 (Winter), and April 2021 (Spring). Advertisements were coded as unhealthy if containing alcohol or gambling promotions. Food promotions were classified as maximum (healthy), moderate, or minimum (unhealthy) nutrition. Results: In total, 319 bus shelter advertisements were collected across three audits. Of these, 14.4% of advertisements were unhealthy (n = 46), and less than 1% (n = 3) were classified as healthy. For the unhealthy advertising, 37.0% (n = 17) of advertisements promoted gambling, 32.6% (n = 15) advertised food, 21.7% (n = 10) advertised non-alcohol beverages, and 8.7% (n = 4) advertised alcohol. The majority of advertisements (n = 270; 84.6%) were classified as other. Implications: Children are potentially exposed to unhealthy advertising as they travel to and from school in Halifax, Nova Scotia. Further research is needed to understand how and when children are exposed to these types of advertising. Municipalities can consider implementing further bylaws and administrative orders that create supportive environments for children and youth.

References

Abbott, M. (2017, June 28). The epidemiology and impact of gambling disorder and other gambling-related harm. World Health Organization. https://www.who.int/docs/default-source/substance-use/the-epidemiology-and-impact-of-gambling-disorder-and-other-gambling-relate-harm.pdf

Allen, L. N., Nicholson, B. D., Yeung, B. Y. T., & Goiana-da-Silva, F. (2020). Implementation of non-communicable disease policies: A geopolitical analysis of 151 countries. The Lancet Global Health, 8(1), e50–e58. https://doi.org/10.1016/S2214-109X(19)30446-2

Boyland, E. J., Nolan, S., Kelly, B., Tudur-Smith, C., Jones, A., Halford, J. C. G., & Robinson, E. (2016). Advertising as a cue to consume: A systematic review and meta-analysis of the effects of acute exposure to unhealthy food and nonalcoholic beverage advertising on intake in children and adults. American Journal of Clinical Nutrition, 103(2), 519–533. https://doi.org/10.3945/ajcn.115.120022

Brien, A., Wu, S., Maharaj, S., Meneses, S., Yousif, L., Nasimham, H., Smith, M., & Egli,

V. (2023). Junk food, sugary drinks and XL portion sizes: Advertising on convenience stores near primary schools in Tāmaki Makaurau Auckland, Aotearoa New Zealand. Kōtuitui: New Zealand Journal of Social Sciences Online, 18(1), 45–63. https://doi.org/10.1080/1177083X.2022.2058407

Canadian Radio-television and Telecommunications Commission. (1996, August 1). Code for broadcast advertising of alcoholic beverages. https://crtc.gc.ca/eng/television/publicit/codesalco.htm

Clark, H., Coll-Seck, A. M., Banerjee, A., Peterson, S., Dalglish, S. L., Ameratunga, S., Balabanova, D., Bhan, M. K., Bhutta, Z. A., Borrazzo, J., Claeson, M., Doherty, T., El-Jardali, F., George, A. S., Gichaga, A., Gram, L., Hipgrave, D. B., Kwamie, A., Meng, Q., … Costello, A. (2020). A future for the world’s children? A WHO–UNICEF–Lancet Commission. The Lancet, 395(10224), 605–658. https://doi.org/10.1016/S0140-6736(19)32540-1

Coleman, P. C., Hanson, P., van Rens, T., & Oyebode, O. (2022). A rapid review of the evidence for children’s TV and online advertisement restrictions to fight obesity. Preventive Medicine Reports, 26, Article 101717. https://doi.org/10.1016/j.pmedr.2022.101717

Dia, O. E. W., Løvhaug, A. L., Rukundo, P. M., & Torheim, L. E. (2021). Mapping of outdoor food and beverage advertising around primary and secondary schools in Kampala city, Uganda. BMC Public Health, 21, Article 707.

http://doi.org/10.1186/s12889-021-10661-8

Egli, V., Villanueva, K., Donnellan, N., Mackay, L., Forsyth, E., Zinn, C., Kytta, M., & Smith, M. (2020). Understanding children’s neighbourhood destinations: Presenting the Kids-PoND framework. Children’s Geographies, 18(4). https://doi.org/10.1080/14733285.2019.1646889

Finlay, A. H., Lloyd, S., Lake, A., Armstrong, T., Fishpool, M., Green, M., Moore, H. J., O’Malley, C., & Boyland, E. J. (2022). An analysis of food and beverage advertising on bus shelters in a deprived area of Northern England. Public Health Nutrition, 25(7), 1989–2000. https://doi.org/10.1017/s1368980021005048

Food and Drugs Act, RSC 1985, c F-27.

Halifax Regional Municipality. (n.d.). Student transit pass pilot program. Retrieved March 1, 2023, from https://www.halifax.ca/transportation/halifax-transit/transit-programs-services/student-pass-pilot-program

Hing, N., Vitartas, P., & Lamont, M. (2013). Gambling sponsorship of sport : An exploratory study of links with gambling attitudes and intentions. International Gambling Studies, 13(3), 281–301. https://doi.org/10.1080/14459795.2013.812132

Huang, D., Brien, A., Omari, L., Culpin, A., Smith, M., & Egli, V. (2020). Bus stops near schools advertising junk food and sugary drinks. Nutrients, 12(4), Article 1192. https://doi.org/10.3390/nu12041192

Jernigan, D., Noel, J., Landon, J., Thornton, N., & Lobstein, T. (2017). Alcohol marketing and youth alcohol consumption: A systematic review of longitudinal studies published since 2008. Addiction, 112(S1), 7–20. https://doi.org/10.1111/add.13591

Kelly, B., Cretikos, M., Rogers, K., & King, L. (2008). The commercial food landscape: Outdoor food advertising around primary schools in Australia. Australian and New Zealand Journal of Public Health, 32(6), 522–528.

https://doi.org/10.1111/j.1753-6405.2008.00303.x

Lapierre, M. A., Fleming-Milici, F., Rozendaal, E., McAlister, A. R., & Castonguay, J. (2017). The effect of advertising on children and adolescents. Pediatrics, 140(Supplement 2), S152–S156. https://doi.org/10.1542/peds.2016-1758V

Martino, S. C., Collins, R. L., Kovalchik, S. A., Setodji, C. M., D’Amico, E. J., Becker, K., Shadel, W. G., & Tolpadi, A. A. (2018). Drinking it in: The impact of youth exposure to alcohol advertising [Policy brief]. RAND Corporation. https://doi.org/10.7249/RB10015

Naimi, T. S., Ross, C. S., Siegel, M. B., DeJong, W., & Jernigan, D. H. (2016). Amount of televised alcohol advertising exposure and the quantity of alcohol consumed by youth. Journal of Studies on Alcohol and Drugs, 77(5), 723–729. http://dx.doi.org/10.15288/jsad.2016.77.723

Nova Scotia Government. (2016). Nova Scotia food and beverage nutrient criteria.

Park, M. H., Falconer, C., Viner, R. M., & Kinra, S. (2012). The impact of childhood obesity on morbidity and mortality in adulthood: A systematic review. Obesity Reviews, 13(11), 985–1000. https://doi.org/10.1111/j.1467-789X.2012.01015.x

Parnell, A., Edmunds, M., Pierce, H., & Stoneham, M. J. (2019). The volume and type of unhealthy bus shelter advertising around schools in Perth, Western Australia: Results from an explorative study. Health Promotion Journal of Australia, 30(1), 88–93. https://doi.org/10.1002/hpja.55

Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., Kakuma, R., Kennedy, E., Mahon, J., McGovern, T., Mokdad, A. H., Patel, V., Petroni, S., Reavley, N., Taiwo, K., … Viner, R. M. (2016). Our future: A Lancet commission on adolescent health and wellbeing. The Lancet, 387(10036), 2423–2478. https://doi.org/10.1016/S0140-6736(16)00579-1

Pitt, H., Thomas, S. L., Bestman, A., Daube, M., & Derevensky, J. (2017). Factors that influence children’s gambling attitudes and consumption intentions: Lessons for gambling harm prevention research, policies and advocacy strategies. Harm Reduction Journal, 14, Article 11. https://doi.org/10.1186/s12954-017-0136-3

Salmanzadeh, H., Ahmadi-Soleimani, S. M., Pachenari, N., Azadi, M., Halliwell, R. F., Rubino, T., & Azizi, H. (2020). Adolescent drug exposure: A review of evidence for the development of persistent changes in brain function. Brain Research Bulletin, 156, 105–117. https://doi.org/10.1016/j.brainresbull.2020.01.007

Sargent, J. D., & Babor, T. F. (2020). The relationship between exposure to alcohol marketing and underage drinking is causal. Journal of Studies on Alcohol and Drugs, Supplement, (S19), 113–124. https://doi.org/10.15288/jsads.2020.s19.113

Smith, R., Kelly, B., Yeatman, H., & Boyland, E. (2019). Food marketing influences children’s attitudes, preferences and consumption: A systematic critical review. Nutrients, 11(4), Article 875. https://doi.org/10.3390/nu11040875

State Government of Victoria. (2017, September 16). Gambling ad ban near schools, roads and public transport [Press release]. https://www.premier.vic.gov.au/gambling-ad-ban-near-schools-roads-and-public-transport/

Trapp, G., Hooper, P., Thornton, L. E., Kennington, K., Sartori, A., Wickens, N., & Billingham, W. (2021). Exposure to unhealthy food and beverage advertising during the school commute in Australia. Journal of Epidemiology and Community Health, 75(12), 1232–1235. https://doi.org/10.1136/jech-2021-217032

Trapp, G., Hooper, P., Thornton, L., Kennington, K., Sartori, A., Wickens, N., Mandzufas, J., & Billingham, W. (2022). Children’s exposure to outdoor food advertising near primary and secondary schools in Australia. Health Promotion Journal of Australia, 33(3), 642–648. https://doi.org/10.1002/hpja.532

United Nations Convention on the Rights of the Child, November 20, 1989, https://www.ohchr.org/en/instruments-mechanisms/instruments/convention-rights-child

Velazquez, C. E., Daepp, M. I. G., & Black, J. L. (2019). Assessing exposure to food and beverage advertisements surrounding schools in Vancouver, BC. Health & Place, 58, Article 102066. https://doi.org/10.1016/j.healthplace.2018.12.007

Victorian Commission for Gambling and Liquor Regulation. (2018). Alcohol advertising near schools.

World Health Organization. (2019). The SAFER technical package: Five areas of intervention at national and subnational levels. https://apps.who.int/iris/rest/bitstreams/1262746/retrieve

World Health Organization. (2021, November 5). Commercial determinants of health. Retrieved March 1, 2023, from https://www.who.int/news-room/fact-sheets/detail/commercial-determinants-of-health

Published

2023-11-29

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Section

Articles