Impact of San Francisco's toy ordinance on restaura NTS and children's food purchases, 2011-2012

Jennifer J. Otten, Brian E. Saelens, Kristopher I. Kapphahn, Eric B. Hekler, Matthew P. Buman, Benjamin A. Goldstein, Rebecca Krukowski, Laura S. O'Donohue, Christopher D. Gardner, Abby C. King

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Introduction In 2011, San Francisco passed the first citywide ordinance to improve the nutritional standards of children's meals sold at restaurants by preventing the giving away of free toys or other incentives with meals unless nutritional criteria were met. This study examined the impact of the Healthy Food Incentives Ordinance at ordinance-affected restaurants on restaurant response (eg, toy-distribution practices,change in children's menus), and the energy and nutrient content of all orders and children's-meal-only orders purchased for children aged 0 through 12 years. Methods Restaurant responses were examined from January 2010 through March 2012. Parent-caregiver/child dyads (n = 762) who were restaurant customers were surveyed at 2 points before and 1 seasonally matched point after ordinance enactment at Chain A and B restaurants (n = 30) in 2011 and 2012. Results Both restaurant chains responded to the ordinance by selling toys separately from children's meals, but neither changed their menus to meet ordinance-specified nutrition criteria. Among children for whom children'smeals were purchased, significant decreases in kilocalories, sodium, and fat per order were likely due to changesin children's side dishes and beverages at Chain A. Conclusion Although the changes at Chain A did not appear to be directly in response to the ordinance, the transition to a more healthful beverage and default side dish was consistent with the intent of the ordinance. Study results underscore the importance of policy wording, support the concept that more healthful defaults may be a powerful approach for improving dietary intake, and suggest that public policies may contribute to positive restaurant changes.

Original languageEnglish (US)
Article number140026
JournalPreventing Chronic Disease
Volume11
DOIs
StatePublished - Jan 1 2014

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Play and Playthings
San Francisco
Restaurants
Food
Meals
Beverages
Motivation
Public Policy
Caregivers
Sodium
Fats

All Science Journal Classification (ASJC) codes

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Otten, J. J., Saelens, B. E., Kapphahn, K. I., Hekler, E. B., Buman, M. P., Goldstein, B. A., ... King, A. C. (2014). Impact of San Francisco's toy ordinance on restaura NTS and children's food purchases, 2011-2012. Preventing Chronic Disease, 11, [140026]. https://doi.org/10.5888/pcd11.140026

Impact of San Francisco's toy ordinance on restaura NTS and children's food purchases, 2011-2012. / Otten, Jennifer J.; Saelens, Brian E.; Kapphahn, Kristopher I.; Hekler, Eric B.; Buman, Matthew P.; Goldstein, Benjamin A.; Krukowski, Rebecca; O'Donohue, Laura S.; Gardner, Christopher D.; King, Abby C.

In: Preventing Chronic Disease, Vol. 11, 140026, 01.01.2014.

Research output: Contribution to journalArticle

Otten, JJ, Saelens, BE, Kapphahn, KI, Hekler, EB, Buman, MP, Goldstein, BA, Krukowski, R, O'Donohue, LS, Gardner, CD & King, AC 2014, 'Impact of San Francisco's toy ordinance on restaura NTS and children's food purchases, 2011-2012', Preventing Chronic Disease, vol. 11, 140026. https://doi.org/10.5888/pcd11.140026
Otten, Jennifer J. ; Saelens, Brian E. ; Kapphahn, Kristopher I. ; Hekler, Eric B. ; Buman, Matthew P. ; Goldstein, Benjamin A. ; Krukowski, Rebecca ; O'Donohue, Laura S. ; Gardner, Christopher D. ; King, Abby C. / Impact of San Francisco's toy ordinance on restaura NTS and children's food purchases, 2011-2012. In: Preventing Chronic Disease. 2014 ; Vol. 11.
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abstract = "Introduction In 2011, San Francisco passed the first citywide ordinance to improve the nutritional standards of children's meals sold at restaurants by preventing the giving away of free toys or other incentives with meals unless nutritional criteria were met. This study examined the impact of the Healthy Food Incentives Ordinance at ordinance-affected restaurants on restaurant response (eg, toy-distribution practices,change in children's menus), and the energy and nutrient content of all orders and children's-meal-only orders purchased for children aged 0 through 12 years. Methods Restaurant responses were examined from January 2010 through March 2012. Parent-caregiver/child dyads (n = 762) who were restaurant customers were surveyed at 2 points before and 1 seasonally matched point after ordinance enactment at Chain A and B restaurants (n = 30) in 2011 and 2012. Results Both restaurant chains responded to the ordinance by selling toys separately from children's meals, but neither changed their menus to meet ordinance-specified nutrition criteria. Among children for whom children'smeals were purchased, significant decreases in kilocalories, sodium, and fat per order were likely due to changesin children's side dishes and beverages at Chain A. Conclusion Although the changes at Chain A did not appear to be directly in response to the ordinance, the transition to a more healthful beverage and default side dish was consistent with the intent of the ordinance. Study results underscore the importance of policy wording, support the concept that more healthful defaults may be a powerful approach for improving dietary intake, and suggest that public policies may contribute to positive restaurant changes.",
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