Evidence map›Paper›PMID 34895382›Full record

ArticlePublic health nutrition2022

Potential impacts of policies to reduce purchasing of ultra-processed foods in Mexico at different stages of the social transition: an agent-based modelling approach.

Brent A Langellier, Ivana Stankov, Ross A Hammond, Usama Bilal, Amy H Auchincloss, Tonatiuh Barrientos-Gutierrez, Leticia de Oliveira Cardoso, Ana V Diez Roux

Abstract read
In one paragraph

Article in Public health nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Observational
  9. Article
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  11. Research Translation to Promote Urban Health in Latin America: The SALURBAL Experience.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Article
  12. Urban Environments, Health, and Environmental Sustainability: Findings From the SALURBAL Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Brent A LangellierDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, 3215 Market St, Office 356, Philadelphia, PA19104, USA.ORCID 0000-0002-2136-9486
Ivana StankovUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Ross A HammondCenter on Social Dynamics & Policy, Brookings Institution, Washington, DC, USA.
Usama BilalUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Amy H AuchinclossUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.ORCID 0000-0002-5844-6721
Tonatiuh Barrientos-GutierrezCenter for Population Health Research, National Institute of Public Health, Cuernavaca, México.
Leticia de Oliveira CardosoOswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Ana V Diez RouxUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
The Health Consequences of Urban ScalingDP5OD026429 · OD · DREXEL UNIVERSITY · PI BILAL, USAMA · 2018 to 2022
$2.7M
NIDDK NIH HHS P30 DK092950NIH HHS DP5 OD026429Wellcome Trust 205177Wellcome Trust 205177/Z/16/Z
6 · The paper itself

Abstract

objectivesTo develop a simulation framework for assessing how combinations of taxes, nutrition warning labels and advertising levels could affect purchasing of ultra-processed foods (UPF) in Latin American countries and to understand whether policies reinforce or reduce pre-existing social disparities in UPF consumption.

designWe developed an agent-based simulation model using international evidence regarding the effect of price, nutrition warning labels and advertising on UPF purchasing.

settingWe estimated policy effects in scenarios representing two stages of the 'social transition' in UPF purchasing: (1) a pre-transition scenario, where UPF purchasing is higher among high-income households, similar to patterns in Mexico; and (2) a post-transition scenario where UPF purchasing is highest among low-income households, similar to patterns in Chile.

participantsA population of 1000 individual agents with levels of age, income, educational attainment and UPF purchasing similar to adult women in Mexico.

resultsA 20 % tax would decrease purchasing by 24 % relative to baseline in both the pre- and post-transition scenarios, an effect that is similar in magnitude to that of a nutrition warning label policy. A 50 % advertising increase or decrease had a comparatively small effect. Nutrition warning labels were most effective among those with higher levels of educational attainment. Labelling reduced inequities in the pre-transition scenario (i.e. highest UPF purchasing among the highest socio-economic group) but widened inequities in the post-transition scenario.

conclusionsEffective policy levers are available to reduce UPF purchasing, but policymakers should anticipate that equity impacts will differ depending on existing social patterns in UPF purchasing.

Indexed as

DietFast FoodsAdultFemaleFood HandlingHumansMexicoNutrition PolicySystems AnalysisComplex systemsDietFood policySimulationSocial determinants of health

Identifiers

PMID34895382
PMCPMC7612742

What OpenQuestion holds

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Registered trials

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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.