ArticleThe Milbank quarterly2020
Dark Nudges and Sludge in Big Alcohol: Behavioral Economics, Cognitive Biases, and Alcohol Industry Corporate Social Responsibility.
Article in The Milbank quarterly, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Paraquat at 63-the story of a controversial herbicide and its regulations: It is time to put people and public health first when regulating paraquat.BMC public health · 2025Pooled it
- Impact on alcohol selection and online purchasing of changing the proportion of available non-alcoholic versus alcoholic drinks: A randomised controlled trial.PLoS medicine · 2023Trial
- Underinvestment, Corporate Power and Health Promotion's Moral Jeopardy.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- Behavioral Modeling in Weight Management: A Global Bibliometric and Content Analysis of Health Belief Model Applications.Behavioral sciences (Basel, Switzerland) · 2026Article
- Digital vectors of disease: how alcohol 'smart' labels leapfrog health policy.BMC public health · 2026Article
- Hidden Persuasion: Big Alcohol's Tactics on Social Media.Drug and alcohol review · 2026Article
- Dark patterns in online gambling: A scoping review and classification of deceptive design practices.Journal of behavioral addictions · 2026Article
- "They make it seem harmless": a qualitative investigation into women's perceptions about novel gambling promotions and public relations strategies.BMC public health · 2026Article
- How alcohol industries affect public health in Nepal: a qualitative study of commercial sector practices of alcohol industries based on the Lancet model of Commercial Determinants of Health.BMJ public health · 2026Article
- Do alcohol industry-funded organisations act to correct misinformation? A qualitative study of pregnancy and infant health content following independent analysis.Globalization and health · 2025Article
- Sludge, dark patterns and dark nudges: A taxonomy of online gambling platforms' deceptive design features.Addiction (Abingdon, England) · 2025Article
- Review
- Changing public perceptions of alcohol, alcohol harms and alcohol policies: A multi-methods study to develop novel framing approaches.Addiction (Abingdon, England) · 2025Article
- Reclaiming the narrative: countering harmful commercial discourses.Health promotion international · 2024Article
- Exploring links-exposure to alcohol adverts on social media in relation to alcohol use among university students in Uganda.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Corporate activities that influence population health: a scoping review and qualitative synthesis to develop the HEALTH-CORP typology.Globalization and health · 2024Article
- Extrinsic goals benefit capitalism but not well-being. Rethinking the economy's goal for a healthier future.Health promotion international · 2024Article
- Continuities and change in alcohol policy at the global level: a documentary analysis of the 2010 Global Strategy for Reducing the Harmful Use of Alcohol and the Global Alcohol Action Plan 2022-2030.Globalization and health · 2024Article
- 'You can't really separate these risks, our environment, our animals and us': Australian children's perceptions of the risks of the climate crisis.Health promotion international · 2024Article
- The Pitfalls of Ascribing Moral Agency to Corporations: Public Obligation and Political and Social Contexts in the Commercial Determinants of Health.The Milbank quarterly · 2024Article
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5 authors.
Funding
Abstract
Policy Points Nudges steer people toward certain options but also allow them to go their own way. "Dark nudges" aim to change consumer behavior against their best interests. "Sludge" uses cognitive biases to make behavior change more difficult. We have identified dark nudges and sludge in alcohol industry corporate social responsibility (CSR) materials. These undermine the information on alcohol harms that they disseminate, and may normalize or encourage alcohol consumption. Policymakers and practitioners should be aware of how dark nudges and sludge are used by the alcohol industry to promote misinformation about alcohol harms to the public. CONTEXT: "Nudges" and other behavioral economic approaches exploit common cognitive biases (systematic errors in thought processes) in order to influence behavior and decision-making. Nudges that encourage the consumption of harmful products (for example, by exploiting gamblers' cognitive biases) have been termed "dark nudges." The term "sludge" has also been used to describe strategies that utilize cognitive biases to make behavior change harder. This study aimed to identify whether dark nudges and sludge are used by alcohol industry (AI)-funded corporate social responsibility (CSR) organizations, and, if so, to determine how they align with existing nudge conceptual frameworks. This information would aid their identification and mitigation by policymakers, researchers, and civil society.
methodsWe systematically searched websites and materials of AI CSR organizations (e.g., IARD, Drinkaware, Drinkwise, Éduc'alcool); examples were coded by independent raters and categorized for further analysis.
findingsDark nudges appear to be used in AI communications about "responsible drinking." The approaches include social norming (telling consumers that "most people" are drinking) and priming drinkers by offering verbal and pictorial cues to drink, while simultaneously appearing to warn about alcohol harms. Sludge, such as the use of particular fonts, colors, and design layouts, appears to use cognitive biases to make health-related information about the harms of alcohol difficult to access, and enhances exposure to misinformation. Nudge-type mechanisms also underlie AI mixed messages, in particular alternative causation arguments, which propose nonalcohol causes of alcohol harms.
conclusionsAlcohol industry CSR bodies use dark nudges and sludge, which utilize consumers' cognitive biases to promote mixed messages about alcohol harms and to undermine scientific evidence. Policymakers, practitioners, and the public need to be aware of how such techniques are used to nudge consumers toward industry misinformation. The revised typology presented in this article may help with the identification and further analysis of dark nudges and sludge.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.