IDEAS home Printed from https://ideas.repec.org/a/eee/jhecon/v79y2021ics016762962100093x.html
   My bibliography  Save this article

Snacks, nudges and asymmetric peer influence: Evidence from food choice experiments with children in Indonesia

Author

Listed:
  • Mecheva, Margarita de Vries
  • Rieger, Matthias
  • Sparrow, Robert
  • Prafiantini, Erfi
  • Agustina, Rina

Abstract

Many children in low- and middle-income countries are growing up during a rapid nutrition transition. Experimental evidence on food choice in developing countries is scarce, while it is unclear to what extent evidence from high-income countries can be generalized. Children participated in a snack choice experiment. We expose some children to emoji labels encouraging healthy snacks, while others observe healthy or unhealthy snacking by peers. While emoji labels moderately promote healthy snacking, the adverse effect of observing a peer eating the unhealthy snack is very large. The effect associated with observing a healthy peer is insignificant. Additionally, cross-randomized blocks of children watched a nutrition video to study the interaction of information provision and nudging. The video independently improves healthy choices but does not aid the emoji nudge and cannot counter the strong negative peer effect. We compare our findings to studies conducted in developed countries and discuss policy implications.

Suggested Citation

  • Mecheva, Margarita de Vries & Rieger, Matthias & Sparrow, Robert & Prafiantini, Erfi & Agustina, Rina, 2021. "Snacks, nudges and asymmetric peer influence: Evidence from food choice experiments with children in Indonesia," Journal of Health Economics, Elsevier, vol. 79(C).
    • Handle: RePEc:eee:jhecon:v:79:y:2021:i:c:s016762962100093x
    DOI: 10.1016/j.jhealeco.2021.102508
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S016762962100093X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.jhealeco.2021.102508?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Fortin, Bernard & Yazbeck, Myra, 2015. "Peer effects, fast food consumption and adolescent weight gain," Journal of Health Economics, Elsevier, vol. 42(C), pages 125-138.
    2. Ruhm, Christopher J., 2012. "Understanding overeating and obesity," Journal of Health Economics, Elsevier, vol. 31(6), pages 781-796.
    3. Belot, Michèle & James, Jonathan & Nolen, Patrick, 2016. "Incentives and children's dietary choices: A field experiment in primary schools," Journal of Health Economics, Elsevier, vol. 50(C), pages 213-229.
    4. Gregory Colson & Jay R. Corrigan & Carola Grebitus & Maria L. Loureiro & Matthew C. Rousu, 2016. "Which Deceptive Practices, If Any, Should Be Allowed in Experimental Economics Research? Results from Surveys of Applied Experimental Economists and Students," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 98(2), pages 610-621.
    5. Paul Frijters & Asad Islam & Chitwan Lalji & Debayan Pakrashi, 2019. "Roommate effects in health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 28(8), pages 998-1034, August.
    6. John Cawley & Euna Han & Jiyoon (June) Kim & Edward C. Norton, 2017. "Testing for Peer Effects Using Genetic Data," NBER Working Papers 23719, National Bureau of Economic Research, Inc.
    7. Marbach, Moritz & Hangartner, Dominik, 2020. "Profiling Compliers and Noncompliers for Instrumental-Variable Analysis," Political Analysis, Cambridge University Press, vol. 28(3), pages 435-444, July.
    8. Glenn W. Harrison & John A. List, 2004. "Field Experiments," Journal of Economic Literature, American Economic Association, vol. 42(4), pages 1009-1055, December.
    9. Manuela Angelucci & Silvia Prina & Heather Royer & Anya Samek, 2019. "Incentives and Unintended Consequences: Spillover Effects in Food Choice," American Economic Journal: Economic Policy, American Economic Association, vol. 11(4), pages 66-95, November.
    10. Cawley, John, 2015. "An economy of scales: A selective review of obesity's economic causes, consequences, and solutions," Journal of Health Economics, Elsevier, vol. 43(C), pages 244-268.
    11. Cooper, David J., 2014. "A Note on Deception in Economic Experiments," Journal of Wine Economics, Cambridge University Press, vol. 9(02), pages 111-114, August.
    12. Young, Alwyn, 2019. "Channeling Fisher: randomization tests and the statistical insignificance of seemingly significant experimental results," LSE Research Online Documents on Economics 101401, London School of Economics and Political Science, LSE Library.
    13. Benito-Ostolaza, Juan Miguel & Echavarri, Rebeca & Garcia-Prado, Ariadna & Oses-Eraso, Nuria, 2021. "Using visual stimuli to promote healthy snack choices among children," Social Science & Medicine, Elsevier, vol. 270(C).
    14. Sara B. Heller & Anuj K. Shah & Jonathan Guryan & Jens Ludwig & Sendhil Mullainathan & Harold A. Pollack, 2017. "Thinking, Fast and Slow? Some Field Experiments to Reduce Crime and Dropout in Chicago," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 132(1), pages 1-54.
    15. Yakusheva, Olga & Kapinos, Kandice & Weiss, Marianne, 2011. "Peer effects and the Freshman 15: Evidence from a natural experiment," Economics & Human Biology, Elsevier, vol. 9(2), pages 119-132, March.
    16. Harris, Jeffrey E. & González López-Valcárcel, Beatriz, 2008. "Asymmetric peer effects in the analysis of cigarette smoking among young people in the United States, 1992-1999," Journal of Health Economics, Elsevier, vol. 27(2), pages 249-264, March.
    17. Loewenstein, George & Price, Joseph & Volpp, Kevin, 2016. "Habit formation in children: Evidence from incentives for healthy eating," Journal of Health Economics, Elsevier, vol. 45(C), pages 47-54.
    18. Jonathan de Quidt & Johannes Haushofer & Christopher Roth, 2018. "Measuring and Bounding Experimenter Demand," American Economic Review, American Economic Association, vol. 108(11), pages 3266-3302, November.
    19. Giuntella, Osea & Rieger, Matthias & Rotunno, Lorenzo, 2020. "Weight gains from trade in foods: Evidence from Mexico," Journal of International Economics, Elsevier, vol. 122(C).
    20. Balafoutas, Loukas & Nikiforakis, Nikos, 2012. "Norm enforcement in the city: A natural field experiment," European Economic Review, Elsevier, vol. 56(8), pages 1773-1785.
    21. Adam I. Biener & John Cawley & Chad Meyerhoefer, 2020. "The medical care costs of obesity and severe obesity in youth: An instrumental variables approach," Health Economics, John Wiley & Sons, Ltd., vol. 29(5), pages 624-639, May.
    22. List, John A. & Samek, Anya Savikhin, 2015. "The behavioralist as nutritionist: Leveraging behavioral economics to improve child food choice and consumption," Journal of Health Economics, Elsevier, vol. 39(C), pages 135-146.
    23. Bonetti, Shane, 1998. "Experimental economics and deception," Journal of Economic Psychology, Elsevier, vol. 19(3), pages 377-395, June.
    24. Dyck, John H. & Woolverton, Andrea E. & Rangkuti, Fahwani Yuliati, 2012. "Indonesia's Modern Retail Food Sector: Interaction With Changing Food Consumption and Trade Patterns," Economic Information Bulletin 127495, United States Department of Agriculture, Economic Research Service.
    25. Buunk, Abraham P. & Gibbons, Frederick X., 2007. "Social comparison: The end of a theory and the emergence of a field," Organizational Behavior and Human Decision Processes, Elsevier, vol. 102(1), pages 3-21, January.
    26. Jens Ludwig & Jeffrey R. Kling & Sendhil Mullainathan, 2011. "Mechanism Experiments and Policy Evaluations," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 17-38, Summer.
    27. Deschenes, Olivier & Wang, Huixia & Wang, Si & Zhang, Peng, 2020. "The effect of air pollution on body weight and obesity: Evidence from China," Journal of Development Economics, Elsevier, vol. 145(C).
    28. John Cawley, 2004. "The Impact of Obesity on Wages," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
    29. Daniel Zizzo, 2010. "Experimenter demand effects in economic experiments," Experimental Economics, Springer;Economic Science Association, vol. 13(1), pages 75-98, March.
    30. repec:wly:soecon:v:82:4:y:2016:p:1266-1310 is not listed on IDEAS
    31. Kalle Hirvonen, 2020. "This is US: Geography of evidence in top health economics journals," Health Economics, John Wiley & Sons, Ltd., vol. 29(10), pages 1316-1323, October.
    32. Samek, Anya, 2019. "Gifts and goals: Behavioral nudges to improve child food choice at school," Journal of Economic Behavior & Organization, Elsevier, vol. 164(C), pages 1-12.
    33. Alwyn Young, 2019. "Channeling Fisher: Randomization Tests and the Statistical Insignificance of Seemingly Significant Experimental Results," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 134(2), pages 557-598.
    34. Miller, Gabrielle F. & Gupta, Sonam & Kropp, Jaclyn D. & Grogan, Kelly A. & Mathews, Anne, 2016. "The effects of pre-ordering and behavioral nudges on National School Lunch Program participants’ food item selection," Journal of Economic Psychology, Elsevier, vol. 55(C), pages 4-16.
    35. Romain Cadario & Pierre Chandon, 2020. "Which Healthy Eating Nudges Work Best? A Meta-Analysis of Field Experiments," Marketing Science, INFORMS, vol. 39(3), pages 465-486, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Belot, Michèle & James, Jonathan, 2022. "Incentivizing dietary choices among children: Review of experimental evidence," Food Policy, Elsevier, vol. 111(C).
    2. Lenel, Friederike & Priebe, Jan & Satriawan, Elan & Syamsulhakim, Ekki, 2022. "Can mHealth campaigns improve CCT outcomes? Experimental evidence from sms-nudges in Indonesia," Journal of Health Economics, Elsevier, vol. 86(C).
    3. Manuela Fritz & Michael Grimm & Ingmar Weber & Elad Yom-Tov & Benedictus Praditya, 2022. "Uncover your risk! Using Facebook to increase personal risk awareness and screening of type 2 diabetes in Indonesia," Working Papers 221, Bavarian Graduate Program in Economics (BGPE).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nguyen, Trang & de Brauw, Alan & van den Berg, Marrit, 2022. "Sweet or not: Using information and cognitive dissonance to nudge children toward healthier food choices," Economics & Human Biology, Elsevier, vol. 47(C).
    2. Belot, Michèle & James, Jonathan, 2022. "Incentivizing dietary choices among children: Review of experimental evidence," Food Policy, Elsevier, vol. 111(C).
    3. Benito-Ostolaza, Juan Miguel & Echavarri, Rebeca & Garcia-Prado, Ariadna & Oses-Eraso, Nuria, 2021. "Using visual stimuli to promote healthy snack choices among children," Social Science & Medicine, Elsevier, vol. 270(C).
    4. Carroll, Kathryn A. & Samek, Anya, 2018. "Field experiments on food choice in grocery stores: A ‘how-to’ guide," Food Policy, Elsevier, vol. 79(C), pages 331-340.
    5. Timothy N. Cason & Steven Y. Wu, 2019. "Subject Pools and Deception in Agricultural and Resource Economics Experiments," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 73(3), pages 743-758, July.
    6. Ozturk, Orgul D. & Frongillo, Edward A. & Blake, Christine E. & McInnes, Melayne M. & Turner-McGrievy, Gabrielle, 2020. "Before the lunch line: Effectiveness of behavioral economic interventions for pre-commitment on elementary school children's food choices," Journal of Economic Behavior & Organization, Elsevier, vol. 176(C), pages 597-618.
    7. Toni Mora & Beatriz G. Lopez‐Valcarcel, 2018. "Breakfast choice: An experiment combining a nutritional training workshop targeting adolescents and the promotion of unhealthy products," Health Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 306-319, February.
    8. Ana Balsa & Carlos Díaz, 2018. "Social interactions in health behaviors and conditions," Documentos de Trabajo/Working Papers 1802, Facultad de Ciencias Empresariales y Economia. Universidad de Montevideo..
    9. Samek, Anya, 2019. "Gifts and goals: Behavioral nudges to improve child food choice at school," Journal of Economic Behavior & Organization, Elsevier, vol. 164(C), pages 1-12.
    10. Fabrice Etilé, 2019. "The Economics of Diet and Obesity: Public Policy," PSE-Ecole d'économie de Paris (Postprint) hal-02154445, HAL.
    11. Marit Hinnosaar, 2023. "The Persistence of Healthy Behaviors in Food Purchasing," Marketing Science, INFORMS, vol. 42(3), pages 521-537, May.
    12. John A. List & Anya Samek & Terri Zhu, 2022. "Incentives to Eat Healthily: Evidence from a Grocery Store Field Experiment," Economica, London School of Economics and Political Science, vol. 89(354), pages 489-509, April.
    13. Manuela Angelucci & Silvia Prina & Heather Royer & Anya Samek, 2015. "When Incentives Backfire: Spillover Effects in Food Choice," NBER Working Papers 21481, National Bureau of Economic Research, Inc.
    14. Belot, Michèle & James, Jonathan & Nolen, Patrick, 2016. "Incentives and children's dietary choices: A field experiment in primary schools," Journal of Health Economics, Elsevier, vol. 50(C), pages 213-229.
    15. Lata Gangadharan & Tarun Jain & Pushkar Maitra & Joe Vecci, 2022. "Lab-in-the-field experiments: perspectives from research on gender," The Japanese Economic Review, Springer, vol. 73(1), pages 31-59, January.
    16. Ryota Nakamura & Marc Suhrcke & Daniel John Zizzo, 2017. "A triple test for behavioral economics models and public health policy," Theory and Decision, Springer, vol. 83(4), pages 513-533, December.
    17. Rafkin, Charlie & Shreekumar, Advik & Vautrey, Pierre-Luc, 2021. "When guidance changes: Government stances and public beliefs," Journal of Public Economics, Elsevier, vol. 196(C).
    18. Belot, Michèle & James, Jonathan, 2016. "Partner selection into policy relevant field experiments," Journal of Economic Behavior & Organization, Elsevier, vol. 123(C), pages 31-56.
    19. Anell, Anders & Dietrichson, Jens & Ellegård, Lina Maria & Kjellsson, Gustav, 2021. "Information, switching costs, and consumer choice: Evidence from two randomised field experiments in Swedish primary health care," Journal of Public Economics, Elsevier, vol. 196(C).
    20. Paolo Nicola Barbieri, 2022. "Social distortion in weight perception: a decomposition of the obesity epidemic," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 39(2), pages 685-713, July.

    More about this item

    Keywords

    Food choice; Nudges; Peer effects; Overweight; Indonesia;
    All these keywords.

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jhecon:v:79:y:2021:i:c:s016762962100093x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/505560 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.