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Exploring Fast Food Consumption Behaviours and Social Influence

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Exploring Fast Food Consumption Behaviours and Social Influence Exploring fast food consumption behaviours and social influence Submitted in full requirement for the degree of Doctor of Philosophy Emily Brindal B. Psych (Honours) Faculty of Health Sciences, the University of Adelaide, South Australia School of Psychology; School of Medicine NOBLE Research Group; CSIRO Human Nutrition, Adelaide, South Australia April 2010 – Contents – – List of Tables – _______________________________________________________________________________________ v – List of Figures – ______________________________________________________________________________________ vi – Overview of Chapters – ____________________________________________________________________________ vii – Summary – _________________________________________________________________________________________ viii – Declaration – __________________________________________________________________________________________ x – Acknowledgements – _______________________________________________________________________________ xi 1 Chapter One: Obesity, changing eating patterns and fast foods _____________________________ 1 1.1 Obesity ____________________________________________________________________________________________1 1.1.1 Global increase in obesity rates _______________________________________________________________2 1.1.2 Direct and indirect consequences of obesity _________________________________________________4 1.1.3 Energy equilibrium: An explanation for obesity _____________________________________________5 1.2 Eating patterns and changing diets _____________________________________________________________7 1.2.1 The increase in the consumption of meals prepared away from the home and nutritional implications ______________________________________________________________________________7 1.3 Understanding fast food consumption _________________________________________________________9 1.3.1 Defining fast foods _____________________________________________________________________________9 1.3.2 Fast food consumption in Australia _________________________________________________________ 13 1.3.3 The fast food consumer ______________________________________________________________________ 16 1.3.4 Why do people consume fast food? _________________________________________________________ 17 1.3.5 Underlying reasons for the shift toward ‘convenience’ foods ____________________________ 19 1.4 Fast food and obesity __________________________________________________________________________ 21 1.4.1 Fast food consumption, weight gain and obesity: A review of existing studies _________ 22 1.4.2 Energy density: How fast food may promote overconsumption _________________________ 28 1.4.3 Meal deals: How fast food environments may encourage consumption _________________ 30 1.5 Summary of literature _________________________________________________________________________ 31 1.6 Objectives of the current research ____________________________________________________________ 32 2 Chapter Two: A study of the current macronutrient profile of fast food in Australia __ 34 2.1 Methods ________________________________________________________________________________________ 35 2.1.1 The construction of ‘traditional’ fast food meals __________________________________________ 36 2.1.2 Healthier alternatives ________________________________________________________________________ 37 2.1.3 Nutritional calculations ______________________________________________________________________ 37 2.2 Results __________________________________________________________________________________________ 38 2.3 Discussion ______________________________________________________________________________________ 42 2.3.1 Summary of analysis _________________________________________________________________________ 45 3 Chapter Three: Social influence and food intake – A review of the literature ___________ 46 3.1 Modelling and social norms ___________________________________________________________________ 47 3.1.1 Social Modelling ______________________________________________________________________________ 47 3.1.2 Social Norms __________________________________________________________________________________ 51 3.1.3 Normative overeating ________________________________________________________________________ 56 3.2 Social Facilitation ______________________________________________________________________________ 57 3.2.1 Social facilitation and eating behaviours ___________________________________________________ 58 3.2.2 The time‐extension hypothesis _____________________________________________________________ 60 3.2.3 Beyond duration _____________________________________________________________________________ 64 3.3 Relationships: the potential moderator of social influence _________________________________ 67 3.3.1 Sources of influence __________________________________________________________________________ 68 i 3.3.2 Research on relationships and social influence ____________________________________________ 70 3.4 Social Influence and fast food _________________________________________________________________ 73 3.4.1 Environmental Pressure _____________________________________________________________________ 73 3.4.2 Normative influence and social facilitation ________________________________________________ 74 3.4.3 The ‘who’ of social influence ________________________________________________________________ 75 3.4.4 Fast food behaviours _________________________________________________________________________ 76 3.5 Aims of subsequent studies ___________________________________________________________________ 77 4 Chapter Four: Development of the Fast Food Survey and Preliminary Examination of Social Influences on Fast Food Consumption _____________________________________________________ 78 4.1 Development of the Fast Food Survey (FFS) _________________________________________________ 79 4.1.1 The Fast Food Choices Program (FFCP) ____________________________________________________ 81 4.1.2 Measuring Correlates of Consumption _____________________________________________________ 83 4.2 Surveying at the Royal Adelaide Show _______________________________________________________ 86 4.2.1 Procedure _____________________________________________________________________________________ 86 4.2.2 Assessment of outliers _______________________________________________________________________ 88 4.2.3 Adjustments to orders _______________________________________________________________________ 88 4.2.4 Recoding ______________________________________________________________________________________ 89 4.3 Results __________________________________________________________________________________________ 90 4.3.1 Usability _______________________________________________________________________________________ 90 4.3.2 Final sample __________________________________________________________________________________ 90 4.3.3 The relationship between demographic factors and fast food consumption ___________ 92 4.3.4 Fast food behaviours _________________________________________________________________________ 94 4.3.5 Fast foods eaten and the potential for overconsumption _________________________________ 99 4.3.6 The influence of micro‐environmental pressures on fast food consumption __________ 102 4.3.7 Social influences and fast food consumption _____________________________________________ 104 4.4 Discussion _____________________________________________________________________________________ 108 4.4.1 The Fast Food Survey: Strengths and limitations _________________________________________ 109 4.4.2 Demographic characteristics and fast food consumption ________________________________ 110 4.4.3 Behaviours, motivators and context surrounding fast food consumption ______________ 112 4.4.4 Fast food: Potential for overconsumption _________________________________________________ 113 4.4.5 Social influences and fast food consumption _____________________________________________ 114 4.4.6 Conclusions from the initial FFS ___________________________________________________________ 117 5 Chapter Five: Social influences on amount of fast food consumed in one visit – Testing a structural model ____________________________________________________________________________________ 119 5.1 Testing existing social influence models in fast food _______________________________________ 119 5.1.1 Extending Feunekes et al.’s model of social facilitation to fast food consumption _____ 121 5.1.2 The goal of the current study _______________________________________________________________ 123 5.1.3 Using survey methods to explore social influence ________________________________________ 124 5.2 Procedure _____________________________________________________________________________________ 126 5.2.1 A brief introduction to Internet methods _________________________________________________ 126 5.2.2 Pilot testing of the Fast Food Survey (FFS) delivered on the Internet __________________ 127 5.2.3 Recruitment methods and outcomes ______________________________________________________ 128 5.3 Approach to analysis _________________________________________________________________________ 129 5.3.1 Descriptive data _____________________________________________________________________________ 129 5.3.2 Methods for modelling ______________________________________________________________________ 130 5.3.3 Limiting the reverse relationship between time spent eating and the amount eaten _ 131 5.4 Data adjustments
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