BMC Public Health (Apr 2022)

Explaining the effect on food selection of altering availability: two experimental studies on the role of relative preferences

  • Rachel Pechey,
  • Gareth J. Hollands,
  • Theresa M. Marteau

DOI
https://doi.org/10.1186/s12889-022-13067-2
Journal volume & issue
Vol. 22, no. 1
pp. 1 – 14

Abstract

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Abstract Background Increasing the availability of healthier or plant-based foods increases their selection. The current studies aimed to examine the extent to which relative preferences account for food selections following availability interventions. In particular, (a) whether increasing the availability of lower-energy options increases the likelihood that individuals’ highest-ranked option is lower-energy, and (b) the extent to which selections reflect individuals’ highest-ranked option from the available range. Methods UK adults (Study 1: n = 1976; Study 2: n = 1078) took part in within-subjects online studies. In both studies, the order of preference between food options was established by participants choosing the option that they would prefer “to eat right now” from every possible pairing within a pool of eight options. Then, participants were shown either predominantly higher-energy options (three higher- and one lower-energy) or predominantly lower-energy options (vice versa), presented in a random order. Results When predominantly lower-energy options were presented, the odds of the highest-ranked option being a lower-energy option increased ten-fold (Study 1: odds ratio: 10.1; 95%CI: 8.9,11.4; Study 2: odds ratio: 10.4; 95%CI: 7.4,14.7), compared to when predominantly higher-energy options were available. In both studies, around 90% of selections reflected the highest-ranked option in the range offered in the studied availability conditions (range 88–92%). Conclusions These studies suggest that increased availability of lower-energy options increases the likelihood of an individual’s highest-ranked option being lower-energy, and that the highest-ranked option has the greatest likelihood of selection. As such, preferences may be a key contributor to the effects of altering availability on food selections. Trial registration ISRCTN ( http://www.isrctn.com/ISRCTN27598623 ; 3/12/19 [Study 1]; http://www.isrctn.com/ISRCTN61010183 ; 20/4/20 [Study 2]).

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