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Determinants of Food Choice and Perceptions of Supermarket-Based Nudging Interventions among Adults with Low Socioeconomic Position: The SUPREME NUDGE Project

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  • Marjolein C. Harbers

    (Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Universiteitsweg 100, 3584 CG Utrecht, The Netherlands)

  • Cédric N.H. Middel

    (Athena Institute, Faculty of Science, VU University Amsterdam, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands)

  • Josine M. Stuber

    (Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, De Boelelaan 1089a, 1081 HV Amsterdam, The Netherlands)

  • Joline W.J. Beulens

    (Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Universiteitsweg 100, 3584 CG Utrecht, The Netherlands
    Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, De Boelelaan 1089a, 1081 HV Amsterdam, The Netherlands)

  • Femke Rutters

    (Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, De Boelelaan 1089a, 1081 HV Amsterdam, The Netherlands)

  • Yvonne T. van der Schouw

    (Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Universiteitsweg 100, 3584 CG Utrecht, The Netherlands)

Abstract

Nudging has received ample attention in scientific literature as an environmental strategy to promote healthy diets, and may be effective for reaching populations with low socioeconomic position (SEP). Therefore, the objective of this study was to investigate how the determinants of food choice shape the perceptions regarding supermarket-based nudging strategies among adults with low SEP. We conducted semi-structured interviews among fifteen adults with low SEP using a pre-defined topic list and visual examples of nudges. Interviews were recorded and transcribed verbatim and content analysis was used to analyse the data. The results show that food costs, convenience, healthiness, taste, and habits were frequently mentioned as determinants of food choice. However, the relative importance of these determinants seemed to be context-dependent. Interviewees generally had a positive attitude towards nudges, especially when they were aligned with product preferences, information needs, and beliefs about the food environment. Still, some interviewees also expressed distrust towards nudging strategies, suspecting ulterior motives. We conclude that nudging strategies should target foods which align with product preferences and information needs. However, the suspicion of ulterior motives highlights an important concern which should be considered when implementing supermarket-based nudging strategies.

Suggested Citation

  • Marjolein C. Harbers & Cédric N.H. Middel & Josine M. Stuber & Joline W.J. Beulens & Femke Rutters & Yvonne T. van der Schouw, 2021. "Determinants of Food Choice and Perceptions of Supermarket-Based Nudging Interventions among Adults with Low Socioeconomic Position: The SUPREME NUDGE Project," IJERPH, MDPI, vol. 18(11), pages 1-14, June.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6175-:d:570524
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    References listed on IDEAS

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    1. Josine M. Stuber & Cédric N. H. Middel & Joreintje D. Mackenbach & Joline W. J. Beulens & Jeroen Lakerveld, 2020. "Successfully Recruiting Adults with a Low Socioeconomic Position into Community-Based Lifestyle Programs: A Qualitative Study on Expert Opinions," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    2. Dahlgren, Göran & Whitehead, Margaret, 1991. "Policies and strategies to promote social equity in health. Background document to WHO - Strategy paper for Europe," Arbetsrapport 2007:14, Institute for Futures Studies.
    3. Gareth J. Hollands & Giacomo Bignardi & Marie Johnston & Michael P. Kelly & David Ogilvie & Mark Petticrew & Andrew Prestwich & Ian Shemilt & Stephen Sutton & Theresa M. Marteau, 2017. "The TIPPME intervention typology for changing environments to change behaviour," Nature Human Behaviour, Nature, vol. 1(8), pages 1-9, August.
    4. Reynolds, J.P. & Archer, S. & Pilling, M. & Kenny, M. & Hollands, G.J. & Marteau, T.M., 2019. "Public acceptability of nudging and taxing to reduce consumption of alcohol, tobacco, and food: A population-based survey experiment," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.
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