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The Food Industry and Self-Regulation: Standards to Promote Success and to Avoid Public Health Failures

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The Food Industry and Self-Regulation: Standards to Promote Success and to Avoid Public Health Failures
FRAMING HEALTH MATTERS

The Food Industry and Self-Regulation: Standards to Promote Success and to Avoid Public Health Failures
Lisa L. Sharma, MBA, MPH, Stephen P. Teret, JD, MPH, and Kelly D. Brownell, PhD

Threatened by possible government regulation and critical public opinion, industries often undertake self-regulatory actions, issue statements of concern for public welfare, and assert that self-regulation is sufficient to protect the public. The food industry has made highly visible pledges to curtail children’s food marketing, sell fewer unhealthy products in schools, and label foods in responsible ways. Ceding regulation to industry carries opportunities but is highly risky. In some industries (e.g., tobacco), self-regulation has been an abject failure, but in others (e.g., forestry and marine fisheries), it has been more successful. We examined food industry self-regulation in the context of other self-regulatory successes and failures and defined 8 standards that should be met if self-regulation is to be effective. (Am J Public Health. 2010;100:240–246. doi:10.2105/AJPH.2009.160960)

Alarmed by links between poor diet and disease, as well as striking increases in obesity, policymakers, the public, and health professionals have challenged food industry practices.1–3 Although many forces contribute to obesity and poor diet, food industry behaviors such as marketing unhealthy foods to children, promoting large portions and betweenmeal snacks, and exploiting schools for commercial gain have raised calls for government regulation and paved the path for actions such as requiring calorie labeling in restaurants.4,5 Industry practices affecting children have raised special concern, particularly regarding food marketing.6 According to a recent report by the Federal Trade Commission (FTC), businesses spent $9.6 billion marketing food and beverages in 2007. Of this, nearly $1.7 billion was spent on marketing specifically targeted to children and adolescents, most



References: 1. Brownell KD, Horgen KB. Food Fight: The Inside Story of the Food Industry, America’s Obesity Crisis and What We Can Do About It. Chicago, IL: Contemporary Books; 2004. 2. Nestle M. Food Politics: How the Food Industry Influences Nutrition and Health. Berkeley, CA: University of California Press; 2002. 3. Schlosser E. Fast Food Nation: The Dark Side of the All-American Meal. New York, NY: Perennial; 2002. 4. Bassett MT, Dumanovsky T, Huang C, et al. Purchasing behavior and calorie information at fast-food chains in New York City, 2007. Am J Public Health. 2008;98(8):1457–1459. 5. Pomeranz J, Brownell KD. Legal and public health considerations affecting the success, reach, and impact of menu labeling laws. Am J Public Health. 2008;98(9): 1578–1583. 6. Institute of Medicine. Food Marketing to Children and Youth: Threat or Opportunity? Washington, DC: National Academies Press; 2006. 7. Federal Trade Commission. Marketing food to children and adolescents: a review of industry expenditures, activities, and self-regulation: July 2008. Available at: http:// www.ftc.gov/os/2008/07/P064504foodmktingreport.pdf. Accessed December 26, 2008. 8. Committee on Communications, American Academy of Pediatrics, Strasburger VC. Children, adolescents, and advertising. Pediatrics. 2006;118(6):2563–2569. 9. Swinburn B, Sacks G, Lobstein T, et al. The ‘Sydney Principles’ for reducing the commercial promotion of foods and beverages to children. Public Health Nutr. 2008;11(9):881–886. 10. Hawkes C. Regulating food marketing to young people worldwide: trends and policy drivers. Am J Public Health. 2007;97(11):1962–1973. 11. Mello MM, Pomeranz J, Moran P. The interplay of public health law and industry self-regulation: the case of 246 | Framing Health Matters | Peer Reviewed | Sharma et al. American Journal of Public Health | February 2010, Vol 100, No. 2 Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder 's express written permission. However, users may print, download, or email articles for individual use.

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