Skip to main content
Top
Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Research

Less meat in the shopping basket. The effect on meat purchases of higher prices, an information nudge and the combination: a randomised controlled trial

Authors: R. E. Vellinga, M. Eykelenboom, M. R. Olthof, I. H. M. Steenhuis, R. de Jonge, E. H. M. Temme

Published in: BMC Public Health | Issue 1/2022

Login to get access

Abstract

Background

Reduced meat consumption benefits human and planetary health. Modelling studies have demonstrated the significant health and environmental gains that could be achieved through fiscal measures targeting meat. Adding other interventions may enhance the effect of a fiscal measure. The current study aimed to examine the effect of higher meat prices, an information nudge and a combination of both measures on meat purchases in a three-dimensional virtual supermarket.

Methods

A parallel designed randomised controlled trial with four conditions was performed. Participants (≥ 18 years) were randomly assigned to the control condition or one of the experimental conditions: a 30% price increase for meat (‘Price condition’), an information nudge about the environmental impact of meat production and consumers’ role in that regard (‘Information nudge condition’) or a combination of both (‘Combination condition’). Participants were asked to shop for their household for one week. The primary outcome was the difference in the total amount of meat purchased in grams per household per week.

Results

Between 22 June 2020 and 28 August 2020, participants were recruited and randomly assigned to the control and experimental conditions. The final sample included 533 participants. In the ‘Combination condition’, − 386 g (95% CI: − 579, − 193) meat was purchased compared with the ‘Control condition’. Compared to the ‘Control condition’ less meat was purchased in the ‘Price condition’ (− 144 g (95%CI: − 331, 43)), although not statistically significant, whereas a similar amount of meat was purchased in the ‘Information nudge condition’ (1 g (95%CI: − 188, 189)).

Conclusion

Achieving the most pronounced effects on reduced meat purchases will require a policy mixture of pricing and an information nudge. Less meat is purchased in a virtual supermarket after raising the meat price by 30% combined with an information nudge. The results could be used to design evidence-based policy measures to reduce meat purchases.

Trial registration

The trial was registered in the Netherlands Trial Register identifier NL8628. Registered on 18/05/2020. ICTRP Search Portal (who.int) NTR (trialregister.nl).
Appendix
Available only for authorised users
Literature
1.
go back to reference Willett W, Rockström J, Loken B, Springmann M, Lang T, Vermeulen S, et al. Food in the Anthropocene: the EAT–lancet commission on healthy diets from sustainable food systems. Lancet. 2019;393(10170):447–92.CrossRef Willett W, Rockström J, Loken B, Springmann M, Lang T, Vermeulen S, et al. Food in the Anthropocene: the EAT–lancet commission on healthy diets from sustainable food systems. Lancet. 2019;393(10170):447–92.CrossRef
2.
go back to reference Abid Z, Cross AJ, Sinha R. Meat, dairy, and cancer. Am J Clin Nutr. 2014;100:386S–93S.CrossRef Abid Z, Cross AJ, Sinha R. Meat, dairy, and cancer. Am J Clin Nutr. 2014;100:386S–93S.CrossRef
3.
go back to reference Abete I, Romaguera D, Vieira AR, de Munain AL, Norat T. Association between total, processed, red and white meat consumption and all-cause, CVD and IHD mortality: a meta-analysis of cohort studies. Br J Nutr. 2014;112(5):762–75.CrossRef Abete I, Romaguera D, Vieira AR, de Munain AL, Norat T. Association between total, processed, red and white meat consumption and all-cause, CVD and IHD mortality: a meta-analysis of cohort studies. Br J Nutr. 2014;112(5):762–75.CrossRef
4.
go back to reference Micha R, Khatibzadeh S, Shi P, Andrews KG, Engell RE, Mozaffarian D. Global, regional and national consumption of major food groups in 1990 and 2010: a systematic analysis including 266 country-specific nutrition surveys worldwide. BMJ Open. 2015;5(9):e008705.CrossRef Micha R, Khatibzadeh S, Shi P, Andrews KG, Engell RE, Mozaffarian D. Global, regional and national consumption of major food groups in 1990 and 2010: a systematic analysis including 266 country-specific nutrition surveys worldwide. BMJ Open. 2015;5(9):e008705.CrossRef
5.
go back to reference Broeks MJ, Biesbroek S, Over EA, van Gils PF, Toxopeus I, Beukers MH, et al. A social cost-benefit analysis of meat taxation and a fruit and vegetables subsidy for a healthy and sustainable food consumption in the Netherlands. BMC Public Health. 2020;20:1–12.CrossRef Broeks MJ, Biesbroek S, Over EA, van Gils PF, Toxopeus I, Beukers MH, et al. A social cost-benefit analysis of meat taxation and a fruit and vegetables subsidy for a healthy and sustainable food consumption in the Netherlands. BMC Public Health. 2020;20:1–12.CrossRef
6.
go back to reference Temme EH, Vellinga RE, de Ruiter H, Kugelberg S, van de Kamp M, Milford A, et al. Demand-side food policies for public and planetary health. Sustainability. 2020;12(15):5924.CrossRef Temme EH, Vellinga RE, de Ruiter H, Kugelberg S, van de Kamp M, Milford A, et al. Demand-side food policies for public and planetary health. Sustainability. 2020;12(15):5924.CrossRef
7.
go back to reference Latka C, Kuiper M, Frank S, Heckelei T, Havlík P, Witzke H-P, et al. Paying the price for environmentally sustainable and healthy EU diets. Glob Food Sec. 2021;28:100437.CrossRef Latka C, Kuiper M, Frank S, Heckelei T, Havlík P, Witzke H-P, et al. Paying the price for environmentally sustainable and healthy EU diets. Glob Food Sec. 2021;28:100437.CrossRef
8.
go back to reference Säll S, Gren M. Effects of an environmental tax on meat and dairy consumption in Sweden. Food Policy. 2015;55:41–53.CrossRef Säll S, Gren M. Effects of an environmental tax on meat and dairy consumption in Sweden. Food Policy. 2015;55:41–53.CrossRef
9.
go back to reference Springmann M, Mason-D’ Croz D, Robinson S, Wiebe K, HCJ G, Rayner M, et al. Health-motivated taxes on red and processed meat: a modelling study on optimal tax levels and associated health impacts. PLoS One. 2018;13(11):e0204139.CrossRef Springmann M, Mason-D’ Croz D, Robinson S, Wiebe K, HCJ G, Rayner M, et al. Health-motivated taxes on red and processed meat: a modelling study on optimal tax levels and associated health impacts. PLoS One. 2018;13(11):e0204139.CrossRef
10.
go back to reference Hyseni L, Atkinson M, Bromley H, Orton L, Lloyd-Williams F, McGill R, et al. The effects of policy actions to improve population dietary patterns and prevent diet-related non-communicable diseases: scoping review. Eur J Clin Nutr. 2017;71(6):694–711.CrossRef Hyseni L, Atkinson M, Bromley H, Orton L, Lloyd-Williams F, McGill R, et al. The effects of policy actions to improve population dietary patterns and prevent diet-related non-communicable diseases: scoping review. Eur J Clin Nutr. 2017;71(6):694–711.CrossRef
11.
go back to reference Harbers MC, Beulens JW, Rutters F, de Boer F, Gillebaart M, Sluijs I, et al. The effects of nudges on purchases, food choice, and energy intake or content of purchases in real-life food purchasing environments: a systematic review and evidence synthesis. Nutr J. 2020;19(1):1–27.CrossRef Harbers MC, Beulens JW, Rutters F, de Boer F, Gillebaart M, Sluijs I, et al. The effects of nudges on purchases, food choice, and energy intake or content of purchases in real-life food purchasing environments: a systematic review and evidence synthesis. Nutr J. 2020;19(1):1–27.CrossRef
12.
go back to reference Zorbas C, Palermo C, Chung A, Iguacel I, Peeters A, Bennett R, et al. Factors perceived to influence healthy eating: a systematic review and meta-ethnographic synthesis of the literature. Nutr Rev. 2018;76(12):861–74.PubMed Zorbas C, Palermo C, Chung A, Iguacel I, Peeters A, Bennett R, et al. Factors perceived to influence healthy eating: a systematic review and meta-ethnographic synthesis of the literature. Nutr Rev. 2018;76(12):861–74.PubMed
13.
go back to reference Thow AM, Downs S, Jan S. A systematic review of the effectiveness of food taxes and subsidies to improve diets: understanding the recent evidence. Nutr Rev. 2014;72(9):551–65.CrossRef Thow AM, Downs S, Jan S. A systematic review of the effectiveness of food taxes and subsidies to improve diets: understanding the recent evidence. Nutr Rev. 2014;72(9):551–65.CrossRef
14.
go back to reference Afshin A, Penalvo JL, Del Gobbo L, Silva J, Michaelson M, O'Flaherty M, et al. The prospective impact of food pricing on improving dietary consumption: a systematic review and meta-analysis. PLoS One. 2017;12(3):e0172277.CrossRef Afshin A, Penalvo JL, Del Gobbo L, Silva J, Michaelson M, O'Flaherty M, et al. The prospective impact of food pricing on improving dietary consumption: a systematic review and meta-analysis. PLoS One. 2017;12(3):e0172277.CrossRef
15.
go back to reference Teng A, Puloka V, Genç M, Filimoehala O, Latu C, Lolomana’ia M, et al. Sweetened beverage taxes and changes in beverage price, imports and manufacturing: interrupted time series analysis in a middle-income country. Int J Behav Nutr Phys Act. 2020;17(1):1–12.CrossRef Teng A, Puloka V, Genç M, Filimoehala O, Latu C, Lolomana’ia M, et al. Sweetened beverage taxes and changes in beverage price, imports and manufacturing: interrupted time series analysis in a middle-income country. Int J Behav Nutr Phys Act. 2020;17(1):1–12.CrossRef
16.
go back to reference Bianchi F, Garnett E, Dorsel C, Aveyard P, Jebb SA. Restructuring physical micro-environments to reduce the demand for meat: a systematic review and qualitative comparative analysis. Lancet Planet Health. 2018;2(9):e384–97.CrossRef Bianchi F, Garnett E, Dorsel C, Aveyard P, Jebb SA. Restructuring physical micro-environments to reduce the demand for meat: a systematic review and qualitative comparative analysis. Lancet Planet Health. 2018;2(9):e384–97.CrossRef
17.
go back to reference Harguess JM, Crespo NC, Hong MY. Strategies to reduce meat consumption: a systematic literature review of experimental studies. Appetite. 2020;144:104478.CrossRef Harguess JM, Crespo NC, Hong MY. Strategies to reduce meat consumption: a systematic literature review of experimental studies. Appetite. 2020;144:104478.CrossRef
18.
go back to reference Garnett EE, Balmford A, Marteau TM, Pilling MA, Sandbrook C. Price of change: does a small alteration to the price of meat and vegetarian options affect their sales? J Environ Psychol. 2021;75:101589.CrossRef Garnett EE, Balmford A, Marteau TM, Pilling MA, Sandbrook C. Price of change: does a small alteration to the price of meat and vegetarian options affect their sales? J Environ Psychol. 2021;75:101589.CrossRef
19.
go back to reference Hollands GJ, Bignardi G, Johnston M, Kelly MP, Ogilvie D, Petticrew M, et al. The TIPPME intervention typology for changing environments to change behaviour. Nat Hum Behav. 2017;1(8):1–9.CrossRef Hollands GJ, Bignardi G, Johnston M, Kelly MP, Ogilvie D, Petticrew M, et al. The TIPPME intervention typology for changing environments to change behaviour. Nat Hum Behav. 2017;1(8):1–9.CrossRef
20.
go back to reference Waterlander WE, Scarpa M, Lentz D, Steenhuis IH. The virtual supermarket: an innovative research tool to study consumer food purchasing behaviour. BMC Public Health. 2011;11(1):589.CrossRef Waterlander WE, Scarpa M, Lentz D, Steenhuis IH. The virtual supermarket: an innovative research tool to study consumer food purchasing behaviour. BMC Public Health. 2011;11(1):589.CrossRef
21.
go back to reference Waterlander WE, Jiang Y, Steenhuis IHM, Mhurchu CN. Using a 3D virtual supermarket to measure food purchase behavior: a validation study. J Med Internet Res. 2015;17(4):e107.CrossRef Waterlander WE, Jiang Y, Steenhuis IHM, Mhurchu CN. Using a 3D virtual supermarket to measure food purchase behavior: a validation study. J Med Internet Res. 2015;17(4):e107.CrossRef
22.
go back to reference Eykelenboom M, Olthof MR, Van Stralen MM, Djojosoeparto SK, Poelman MP, Kamphuis CB, et al. The effects of a sugar-sweetened beverage tax and a nutrient profiling tax based on Nutri-score on consumer food purchases in a virtual supermarket: a randomised controlled trial. Public Health Nutr. 2022;25(4):1105–17.CrossRef Eykelenboom M, Olthof MR, Van Stralen MM, Djojosoeparto SK, Poelman MP, Kamphuis CB, et al. The effects of a sugar-sweetened beverage tax and a nutrient profiling tax based on Nutri-score on consumer food purchases in a virtual supermarket: a randomised controlled trial. Public Health Nutr. 2022;25(4):1105–17.CrossRef
23.
go back to reference van Rossum C, Buurma-Rethans E, Dinnissen C, Beukers M, Brants H, Ocké M. The diet of the Dutch: results of the Dutch National Food Consumption Survey 2012–2016; 2020. van Rossum C, Buurma-Rethans E, Dinnissen C, Beukers M, Brants H, Ocké M. The diet of the Dutch: results of the Dutch National Food Consumption Survey 2012–2016; 2020.
27.
go back to reference Vellinga RE, van de Kamp M, Toxopeus IB, van Rossum C, de Valk E, Biesbroek S, et al. Greenhouse gas emissions and blue water use of Dutch diets and its association with health. Sustainability. 2019;11(21):6027.CrossRef Vellinga RE, van de Kamp M, Toxopeus IB, van Rossum C, de Valk E, Biesbroek S, et al. Greenhouse gas emissions and blue water use of Dutch diets and its association with health. Sustainability. 2019;11(21):6027.CrossRef
28.
go back to reference Garnett T, Mathewson S, Angelides P, Borthwick F. Policies and actions to shift eating patterns: what works. Foresight. 2015;515(7528):518–22. Garnett T, Mathewson S, Angelides P, Borthwick F. Policies and actions to shift eating patterns: what works. Foresight. 2015;515(7528):518–22.
29.
go back to reference Cadario R, Chandon P. Which healthy eating nudges work best? A meta-analysis of field experiments. Mark Sci. 2020;39(3):465–86.CrossRef Cadario R, Chandon P. Which healthy eating nudges work best? A meta-analysis of field experiments. Mark Sci. 2020;39(3):465–86.CrossRef
30.
go back to reference van Deursen AJAM, van Dijk JAGM. Improving digital skills for the use of online public information and services. Gov Inf Q. 2009;26(2):333–40.CrossRef van Deursen AJAM, van Dijk JAGM. Improving digital skills for the use of online public information and services. Gov Inf Q. 2009;26(2):333–40.CrossRef
Metadata
Title
Less meat in the shopping basket. The effect on meat purchases of higher prices, an information nudge and the combination: a randomised controlled trial
Authors
R. E. Vellinga
M. Eykelenboom
M. R. Olthof
I. H. M. Steenhuis
R. de Jonge
E. H. M. Temme
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-13535-9

Other articles of this Issue 1/2022

BMC Public Health 1/2022 Go to the issue