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AJPH First Look, published online ahead of print Jul 16, 2008
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September 2008, Vol 98, No. 9 | American Journal of Public Health 1616-1629
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.115626

FRAMING HEALTH MATTERS

The Context for Choice: Health Implications of Targeted Food and Beverage Marketing to African Americans

Sonya A. Grier, PhD, MBA and Shiriki K. Kumanyika, PhD, MPH

Sonya A. Grier is with the Department of Marketing, American University Kogod School of Business, Washington, DC. Shiriki K. Kumanyika is with the Departments of Biostatistics and Epidemiology, and Pediatrics, University of Pennsylvania School of Medicine, Philadelphia.

Correspondence: Requests for reprints should be sent to Sonya A. Grier, Associate Professor of Marketing, American University Kogod School of Business, 4400 Massachusetts Ave NW, Washington, DC 20016-8044 (e-mail: griers{at}american.edu).

Targeted marketing of high-calorie foods and beverages to ethnic minority populations, relative to more healthful foods, may contribute to ethnic disparities in obesity and other diet-related chronic conditions. We conducted a systematic review of studies published in June 1992 through 2006 (n = 20) that permitted comparison of food and beverage marketing to African Americans versus Whites and others. Eight studies reported on product promotions, 11 on retail food outlet locations, and 3 on food prices. Although the evidence base has limitations, studies indicated that African Americans are consistently exposed to food promotion and distribution patterns with relatively greater potential adverse health effects than are Whites. The limited evidence on price disparities was inconclusive.






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