Impact of university students lifestyle in the promotion of public health policies. The case of nudges
e202007072
Keywords:
Public Health Administration, Lifestyle, Healthy nutrition, Behavioural Sciences, Questionnaire, Public opinion, Health promotion, Multivariate analyses, University students, NudgeAbstract
Background: In the last decade, public policy makers are applying new tools to promote healthy habits, starting from the behavioral economics sciences and social psychology. These tools are known as nudges, and before being applied, the degree of acceptance that the population presents about them must be analyzed. The objective of this study was to determine if there is a relationship between the lifestyle of the university population and the degree of acceptance of tools for the promotion of public health policies.
Methods: Cross-sectional correlational study of a representative sample of 590 university students (95% CI, α=5%) from Spanish universities using an online questionnaire. Bivariate and multivariate analyzes were performed applying Chi-squared test and Student t-test for independent samples.
Results: Young university students have an inadequate diet, with a deficient consumption of fruit and vegetables (only 27.8% consume them several times a day, the recommended daily amount being 5 pieces) and a high consumption of junk food, alcohol (68.81% and 63.39%, respectively, consumed between 1 and 2 times a week) and meat (consumed 3 to 4 times a week by 46.61%). By correlating the socio-demographic variables with food, significant results were found. The group of men, the youngest students, who are more supportive of the political right, and the religious practitioners, are the ones with the worst habits. In addition, those with older, more affiliated with the political left, less religious practice and better eating habits, they performed more responsible habits. There was a positive correlation between approval of nudges and responsible habits and less meat consumption (p<0,001), being significant in the nudges on food.
Conclusions: The acceptance of public policies on health is related to healthy eating and to the most socially committed behaviors. In addition, these factors are more frequent among women, the older group, who show more support for the political left and have fewer religious beliefs.
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References
OMS. Enfermedades no transmisibles. 2018. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/noncommunicable-diseases.
España. Real Decreto 293/2018, de 18 de mayo, sobre reducción del consumo de bolsas de plástico y por el que se crea el Registro de Productores. BOE, 122. Disponible en: https://www.boe.es/buscar/doc.php?id=BOE-A-2018-6651.
Thaler RH, Sunstein CR. Nudge: improving decisions about health, wealth, and happiness. Yale University Press. 2008;20.
Libaert T. Dictamen del Comité Económico y Social Europeo sobre Integrar los nudges en las políticas europeas. Diario oficial de la Unión Europea. 2017. Disponible en: https://doi.org/10.3.2017.2017/C 075/05.
Abellán JM, Jimenez-Gomez D. Economía del comportamiento para mejorar estilos de vida y reducir factores de riesgo. Gaceta Sanitaria [edición electrónica]. 2019. Disponible en: https://www.gacetasanitaria.org/es-economia-del-comportamiento-mejorar-estilos-articulo-S021391111930161X.
Halpern D. Inside the Nudge Unit: How Changes can Make a Big Difference. London: WH Allen; 2015.
Obama B. Executive order: Using behavorial science insights to better serve the American people. 5 de septiembre. 2015. Disponible en: https://www.whitehouse.gov/the-press-office/2015/09/15/executive-order-using-behavioral-science-insights-betterserve-american.
Lourenço JS, Ciriolo E, Almeida SR et al. Behavioural insights applied to policy-country overviews 2016, n. JRC100547. Eur Comm. 2016.
Ferraro PJ, Miranda JJ, Price MK. The persistence of treatment effects with norm-based policy. Am Econ rev. 2011; 101.
Mazar N, Zhong CB. Do green products make us better people? Psychol sci. 2010; 21, 494-498. Disponible en: https://doi.org/10.1177/0956797610363538.
Costa DL, Kahn ME. Energy conservation nudges and environmentalist ideology: Evidence from a randomized residential electricity field experiment. J. of Eur Econ association. 2013; 11. Disponible en: https://doi.org/10.1111/jeea.12011.
Sunstein CR, Reisch LA, Kaiser M. Trusting nudges? Lessons from an international survey. J. of Eur public policy. 2019; 26, 1417-1443. (Consultado el 6/2/2020) Disponible en: https://doi.org/10.1080/13501763.2018.1531912.
Reisch LA, Sunstein CR. Do Europeans like nudges?. Judgm and decis mak. 2016; 11, 310-325. (Consultado el 20/12/2019) Disponible en: http://dx.doi.org/10.2139/ssrn.2739118.
Rivero R, Cerezo M. Innovación en las normas ambientales. Valencia: Tirant lo Blanch; 2019.
Nelson MC, Story M, Larson NI et al. Emerging adulthood and college-aged youth: an overlooked age for weight-related behavior change. Obes. 2008; 16, 2205–2211.
Hansen PG, Jespersen AM. Nudge and the manipulation of choice: A framework for the responsible use of the nudge approach to behaviour change in public policy. Eur J. of risk regul. 2013; 4, 3-28. Disponible en: https://doi.org/10.1017/S1867299X00005468.
Bhawra J, Reid JL, White CM et al. Are young Canadians supportive of proposed nutrition policies and regulations? An overview of policy support and the impact of socio-demographic factors on public opinion. Canadian J of public health. 2018; 109, 498-505. Disponible en: https://doi.org/10.17269/s41997-018-0066-1.
Sainsbury E, Hendy C, Magnusson R et al. Public support for government regulatory interventions for overweight and obesity in Australia. BMC Public Health. 2018; 18, 513–24. Disponible en: https://doi.org/10.1186/s12889-018-5455-0.
Yan H, Yates JF. Improving acceptability of nudges: Learning from attitudes towards opt-in and opt-out policies. Judgm and decis making. 2019; 14, 26-39.
Allman-Farinelli M, Rahman H, Nour M et al. The role of supportive food environments to enable healthier choices when eating meals prepared outside the home: findings from focus groups of 18 to 30-year-olds. Nutrients. 2019; 11. Disponible en: https://doi.org/10.3390/nu11092217.
Lucke J. Context is all important in investigating attitudes: acceptability depends on the nature of the nudge, who nudges, and who is nudged. The Am J of bioeth. 2013; 13, 24-25. Disponible en: https://doi.org/10.1080/15265161.2013.781709.
Petrescu DC, Hollands GJ, Couturier DL et al. Public acceptability in the UK and USA of nudging to reduce obesity: the example of reducing sugar-sweetened beverages consumption. PLoS One. 2016; 11. Disponible en:
https://doi.org/10.1371/journal.pone.0155995.
Reynolds JP, Archer S, Pilling M et al. Public acceptability of nudging and taxing to reduce consumption of alcohol, tobacco, and food: A population-based survey experiment. Soc sci & Med. 2019; 236. Disponible en:
https://doi.org/10.1016/j.socscimed.2019.112395.
Ministerio de Educación, Cultura y Deporte. Estadística de estudiantes universitarios (EEU). 2019. Disponible en: http://www.educacionyfp.gob.es/servicios-al-ciudadano/estadisticas/universitaria/estadisticas/alumnado/desde-2015.html.
OCU. Otro consumo para un futuro mejor. Nuevas economías al servicio de las personas y el planeta. 2019. Disponible en: https://www.ocu.org/consumo-familia/consumo-colaborativo/informe/otro-consumo-futuro-mejor.
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