Using mass media to promote healthy eating: A community-based demonstration project.
BACKGROUND
Many question whether mass media, in the absence of other programming, can produce significant and sustained behavior change.


METHODS
The 1% Or Less campaign in Wheeling, West Virginia (population 35,000), used paid advertising and public relations to encourage members of one community to switch from whole or 2% milk (high-fat milk) to 1% or fat-free milk (low-fat milk). The study used a quasi-experimental research design with one intervention city and one comparison city. The effectiveness of the campaign was evaluated by collecting milk sales data from supermarkets and conducting pre- and post-intervention telephone surveys in intervention and comparison cities.


RESULTS
In the intervention city, low-fat milk sales increased from 29% of overall milk sales before the campaign to 46% of sales in the month following the campaign. The increase was maintained at the 6-month follow up. According to the telephone surveys, 34.1% of high-fat-milk drinkers reported switching to low-fat milk in the intervention community compared with 3.6% in the comparison community (z = 13.1, P < 0.0001).


CONCLUSIONS
A media-only approach was sufficient to encourage a significant proportion of the people in one community to alter the dietary habit targeted by the intervention.
Reger
B
B
Community Health Promotion, West Virginia University, Morgantown, West Virginia 26506-6116, USA.
Wootan
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MG
Booth-Butterfield
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S
D000329:Advertising; D000704:Analysis of Variance; D000818:Animals; D004041:Dietary Fats; D005247:Feeding Behavior; D005260:Female; D006293:Health Promotion / Q000191:economics / Q000379:methods*; D006801:Humans; D008297:Male; D008402:Mass Media; D008875:Middle Aged; D008892:Milk; D010865:Pilot Projects; D012959:Socioeconomic Factors; D014903:West Virginia
D004041:Dietary Fats