Nudging healthy food choices through e-messages in a supermarket

IF 2 3区 医学 Q2 ECONOMICS Health economics Pub Date : 2024-03-21 DOI:10.1002/hec.4831
Ana Balsa, Cecilia Noboa, Patricia Triunfo
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Abstract

This paper analyses the impact of a healthy food nudge intervention on purchases of 1590 customers of a supermarket chain's loyalty program in Uruguay through a randomized controlled trial. Nudges were presented in the form of messages sent through WhatsApp to customers three times a week for 8 weeks (between July and September 2020). Messages highlighted the benefits of cooking at home and eating mindfully and healthy (vegetables, fruits, healthy snacks, legumes, and fish), and included easy to implement tips. Results show that, on average, customers assigned to the treatment group increased their purchases of healthy food by 8% and substituted sugar-sweetened for sugar-free beverages. We find an unintended increase in purchases of unhealthy food of 7%, with no correlative increase in calories, suggesting that customers substituted higher calorie products for lower calorie ones. We find that households with lower educational attainment, lower income, and with children under the age of 12 are more likely to increase purchases of fruits and vegetables, while other households are more likely to improve the diet quality without increasing expenditure. Effects do not persist after the intervention is over, suggesting that salience, rather than information is the main channel triggering the effects.

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在超市通过电子信息提示人们选择健康食品。
本文通过一项随机对照试验,分析了健康食品劝导干预对乌拉圭一家连锁超市忠诚度计划的 1590 名顾客购买行为的影响。在为期 8 周的时间里(2020 年 7 月至 9 月),我们通过 WhatsApp 向顾客发送信息,每周三次。信息强调了在家烹饪和用心健康饮食(蔬菜、水果、健康零食、豆类和鱼类)的益处,并包含了易于实施的提示。结果显示,被分配到治疗组的顾客平均增加了 8%的健康食品购买量,并用无糖饮料代替了含糖饮料。我们发现,不健康食品的购买量意外增加了 7%,而热量却没有相应增加,这表明顾客用热量较低的产品替代了热量较高的产品。我们发现,教育程度较低、收入较低、子女在 12 岁以下的家庭更有可能增加水果和蔬菜的购买量,而其他家庭则更有可能在不增加支出的情况下提高饮食质量。干预结束后,效果并未持续,这表明引发效果的主要渠道是 "显著性 "而非 "信息"。
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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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